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- The fear of falls in the caregivers of institutionalized eldersPublication . Baixinho, Cristina Lavareda; Dixe, MA; Henriques, Adriana; Marques-Vieira, Cristina; Sousa, LuísAims: To understand how the fear of falls emerges and manifests itself in caregivers of institutionalized elders. Method: It is a qualitative study, based on the Grounded Theory and carried out with 24 informal caregivers, 5 nurses, 2 physicians and 2 directors of two Portuguese nursing homes. Data collection took place through interviews, participant observation, and documentation analysis, between October 2016 and January 2018. Data was collected and analyzed simultaneously, following the stages of open, axial, and selective coding. Results: The comparative analysis of the findings identified the conceptual category “Fear of falls in the caregivers of institutionalized elders”. The main category is associated with the categories: maintaining safety, hidden fear of falls, the perceived self-efficacy in the prevention of falls, falls and interpersonal relations, previous experiences, and team support. Conclusions: The fear has an influence on the self-efficacy perceived in the prevention of falls; the quality of the teamwork, in turn, is affected by previous negative experiences and by the support of the team.
- Gerir o risco de queda:Publication . Baixinho, Cristina Lavareda; Marques-Vieira, Cristina; Agostinho, Inês; NASCIMENTO, TIAGO
- Validation of the international 7-item falls efficacy scale in portuguese community-dwelling older adultsPublication . Marques-Vieira, Cristina; Sousa, Luís; Baixinho, Cristina Lavareda; Reis, Maria Gorete Mendonça dos; Pérez-Riva, Francisco Javier; SOUSA, LISETEObjective to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale - International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach's α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman's correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.
- 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.
- Scoping review on the consequences of falls in women during the PerinatalperiodPublication . Risso, Sandra; Soares, Tânia; Sá, Luis Octávio de; Miranda, Luis; Rosado, Rita; Deus, Sílvia; Marques-Vieira, CristinaObjective: To identify consequences of falls in women during the perinatal period. Data sources: Academic Search Complete (EBSCO), CINAHL Ultimate (EBSCO), MEDLINE Ultimate (EBSCO), Cochrane Central Register of Controlled Trials (EBSCO), Cochrane Clinical Answers (EBSCO), Cochrane Database of Systematic Reviews (EBSCO), Cochrane Methodology Register (EBSCO), MedicLatina (EBSCO), Repositórios Científicos de Acesso Aberto de Portugal (RCAAP), SciELO, Scopus, and Web of Science. Study selection: We included quantitative or qualitative primary studies, literature reviews, systematic reviews, expert opinion papers, organizational guidelines, and conference abstracts regarding consequences of falls in women during the perinatal period, in any context of care, that were published until November 11, 2024, in English, French, Portuguese, and Spanish. Data extraction: We extracted the following data from the included reports: author(s), year, country, aim, study design, type of report, sample size, setting, types and consequences of falls, prevalence, and risk factors for falls. Data synthesis: From a total of 33 articles, 27 were related to the consequences of falls during pregnancy, 3 were related to consequences of falls during both pregnancy and the postpartum period, 2 were related to consequences of falls during the perinatal period in which one does not identify the specific stage, and 1 was related to the postpartum period. We did not identify any reports of falls during childbirth. Injuries were common consequences of falls among women during the perinatal period, and the severity of falls varied from minor to severe. Obstetric injuries were severe and unique to pregnant women. Conclusion: Pregnant women sustain varied injuries after falls and often need health care. Further research is warranted regarding the consequences of falls during childbirth and the postpartum period.