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Tytuł pozycji:

Strategies for the implementation of an electronic fracture risk assessment tool in long term care: a qualitative study.

Tytuł:
Strategies for the implementation of an electronic fracture risk assessment tool in long term care: a qualitative study.
Autorzy:
Bai Y; McMaster University, 1280 Main Street West, L8S 4L8, Hamilton, Ontario, Canada.; GERAS Centre for Aging Research, 88 Maplewood Avenue, L8M 1W9, Hamilton, Ontario, Canada.
McArthur C; Dalhousie University, PO Box 15000, 6299 South St, NS, B3H 4R2, Halifax, Canada. .
Ioannidis G; McMaster University, 1280 Main Street West, L8S 4L8, Hamilton, Ontario, Canada.; GERAS Centre for Aging Research, 88 Maplewood Avenue, L8M 1W9, Hamilton, Ontario, Canada.
Giangregorio L; University of Waterloo, 200 University Avenue West, N2L 3G1, Waterloo, Ontario, Canada.; Schlegel-UW Research Institute for Aging, 150 Laurelwood Drive, N2J 0E2, Waterloo, Ontario, Canada.
Straus S; University of Toronto, 27 King's College Circle, M5S 1A4, Toronto, Ontario, Canada.
Papaioannou A; McMaster University, 1280 Main Street West, L8S 4L8, Hamilton, Ontario, Canada.; GERAS Centre for Aging Research, 88 Maplewood Avenue, L8M 1W9, Hamilton, Ontario, Canada.
Źródło:
BMC geriatrics [BMC Geriatr] 2021 Aug 21; Vol. 21 (1), pp. 467. Date of Electronic Publication: 2021 Aug 21.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, [2001]-
MeSH Terms:
Long-Term Care*
Quality of Life*
Aged ; Electronics ; Humans ; Qualitative Research ; Risk Assessment
References:
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Grant Information:
Canada CAPMC CIHR
Contributed Indexing:
Keywords: Clinical assessment protocol; Evidence-based; Fracture risk; Guidelines; Knowledge translation; Long-term care
Entry Date(s):
Date Created: 20210822 Date Completed: 20210831 Latest Revision: 20210831
Update Code:
20240104
PubMed Central ID:
PMC8379826
DOI:
10.1186/s12877-021-02388-3
PMID:
34418976
Czasopismo naukowe
Background: Older adults in long-term care (LTC) homes experience high rates of fractures, which are detrimental to their quality of life. The purpose of this study is to identify and make recommendations on strategies to implementing an evidence-based Fracture Risk Clinical Assessment Protocol (CAP) in LTC.
Methods: Following the Behaviour Change Wheel framework, we conducted six focus group interviews with a total of 32 LTC stakeholders (e.g. LTC physicians) to identify barriers and facilitators, suggest implementation strategies, and discuss whether the identified strategies were affordable, practicable, effective, acceptable, safe, and if they promote equity (APEASE). The interviews were transcribed verbatim and analyzed using thematic content analysis.
Results: Themes of implementation strategies that met the APEASE criteria were minimizing any increase in workload, training on CAP usage, education for residents and families, and persuasion through stories. Other strategy themes identified were culture change, resident-centred care, physical restructuring, software features, modeling in training, education for staff, social rewards, material rewards, public benchmarking, and regulations.
Conclusions: To implement the Fracture Risk CAP in LTC, we recommend using implementation strategies centred around minimizing any increase in workload, training on CAP usage, providing education for residents and families, and persuading through stories. Through improving implementation of the fracture risk CAP, results from this work will improve identification and management of LTC residents at high fracture risk and could inform the implementation of guidelines for other conditions in LTC homes.
(© 2021. The Author(s).)

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