Publication

Interactions that support older inpatients with cognitive impairments to engage with falls prevention in hospitals: An ethnographic study

McVey, Lynn
; 
Alvarado, Natasha
; ; 
Healey, F.
; 
Todd, C.
; 
Issa, B.
; 
Woodcock, D.
; 
Dowding, D.
; 
Hardiker, N.R.
; 
Lynch, A.
... show 4 more
Publication Date
2024-05-19
End of Embargo
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Keywords
Accidental falls, Aged, Cognitive dysfunction, Delirium, Dementia, Empathy, Ethnography, Inpatients, Patient safety, Falls prevention
Rights
© 2024 The Authors. Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Peer-Reviewed
Yes
Open Access status
openAccess
Accepted for publication
2024-01-07
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Department
Awarded
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Health Studies Publications
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McVey_et_al_2025
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Additional title
Abstract
Aims: To explore the nature of interactions that enable older inpatients with cognitive impairments to engage with hospital staff on falls prevention. Design: Ethnographic study. Methods: Ethnographic observations on orthopaedic and older person wards in English hospitals (251.25 h) and semi-structured qualitative interviews with 50 staff, 28 patients and three carers. Findings were analysed using a framework approach. Results: Interactions were often informal and personalised. Staff qualities that sup-ported engagement in falls prevention included the ability to empathise and negotiate, taking patient perspectives into account. Although registered nurses had limited time for this, families/carers and other staff, including engagement workers, did so and passed information to nurses. Conclusions: Some older inpatients with cognitive impairments engaged with staff on falls prevention. Engagement enabled them to express their needs and collaborate, to an extent, on falls prevention activities. To support this, we recommend wider adoption in hospitals of engagement workers and developing the relational skills that underpin engagement in training programmes for patient-facing staff.
URI
https://bradscholars.brad.ac.uk/handle/10454/20528
Version
Published version
Citation
McVey L, Alvarado N, Zaman H, et al (2024) Interactions that support older inpatients with cognitive impairments to engage with falls prevention in hospitals: An ethnographic study. Journal of Clinical Nursing. 33(5): 1884-1895.
Link to publisher’s version
Link to published version
Link to Version of Record
https://doi.org/10.1111/jocn.17006
Type
Article
Qualification name
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