ESEL - CIDNUR - Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa
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Percorrer ESEL - CIDNUR - Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa por assunto "Accidental falls"
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- Falls efficacy scale - Formal caregivers: Adaptation and validation in Portuguese nursing homesPublication . Baixinho, Cristina Lavareda; Marques-Vieira, Cristina; Sousa, Luís; Abrantes, António; Conceiçao, Nuno; Martins, Amaro; Henriques, Maria Adriana; Dixe, Maria dos AnjosThe literature review shows that the fear of falling is present in older persons', but also in their careers and influences the performance of activities of daily living. The objective of this methodological study was to adapt and validate the Falls Efficacy Scale - Formal Caregivers. The development of the examined scale was based on the Falls Efficacy Scale - International, which was adapted for assessing the fear of falling in formal caregivers. The instrument was filled out by 319 formal caregivers of older people living in 11 Portuguese nursing homes for older people. Their average age was 46.8 ± 10.7 years, they had been working in this role for 13.4 ± 8.2 years, and 67.7 % of them attended vocational training in the workplace after being employed at the nursing home. Falls Efficacy Scale - Formal Caregivers, which contains 16 items, showed good internal consistency (α = 0.848). These items were organized into 3 factors after exploratory and confirmatory factor analysis (lesser physical effort activities; intermediate physical effort activities, carried out in safe conditions; and intermediate physical effort activities, carried out in less safe conditions), with adequate convergent validity.
- Learning to assess the fall risk in clinical nursing education: an interpretative study.Publication . Pedrosa, Ana Rita; Dixe, Maria dos Anjos; Sousa, Luís; Ferreira, Rogério; Marques-Vieira, Cristina; Marques, Andréa; Baixinho, Cristina LavaredaBackground: Falls are a complex problem for the health and quality of life of older persons. Risk assessment is important for identifying people at risk and planning preventive measures. Few studies have focused on how health professionals learn to assess this risk. Objective: The aim of this study was to explore how nursing undergraduate students learn to assess fall risk in older adults/people during their hospital-based clinical practice. Methods: This qualitative study was conducted within an interpretive paradigm. The focus group was selected as the method to address the research question: How do nursing students learn to assess of fall risk in the older population during clinical practice? The participants were students enrolled in a Bachelor of Nursing program. To support data organization and enhance analytic rigor, qualitative data analysis software (WebQDA®) was employed. Results: Fifteen students participated in two focus groups. The analysis identified three main categories: (i) risk factors assessed; (ii) risk assessment; and (iii) learning to manage fall risk in clinical practice. Students reported that nursing supervisors primarily emphasized physical factors, mobility, and cognitive status. The findings also highlighted a gap between the assessment and the implementation of individualized interventions, as well as the difficulty in converting records into preventive actions and risk management. Conclusions: Nursing students learn to assess fall risk primarily through observation of clinical practices and the influence of supervisors, although they do not always understand the instrumental basis or the correlation between risk and intervention. The results indicate the need to strengthen the training of professionals and students.