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Vårdgivares uppfattning om fallrisker och fallprevention inom tre vårdnivåer
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
2008 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

The progress of the health among the elderly has a major meaning for the needs of care, nursing and social services. The health of the elderly has improved but fall and fall accidents are a major problem. Acute diseases, activities and environment risks are often related to fall accidents. The aim of the study was to describe health care staffs’ opinions about fall risk and fall prevention. The study had a qualitative approach with a descriptive design. Twelve persons from a primary healthcare centre, a hospital and a community elder care unit in the middle of Sweden were interviewed. The material was analyzed through qualitative content analysis and data from the interviews resulted in two categories; The category “Factors contributing to falls” was formulated from the subcategories; The older persons health status and their care needs, Physical environment, Lack of competence among staff, Lack of time, stress and insufficient staffing, Staffs’ responsibilities and not followed routines and Insufficient cooperation between professional groups. The category “Factors preventing falls” was formulated from the subcategories; Physical environment and physical aid, Competence and fall risk assessment instruments, Different professionals’ responsibilities and Cooperation between different professionals. The results showed that the health care staff viewed several factors, which according to them contributed to falls as well as prevented falls. Cooperation between different professionals, increased competence and use of systematic fall risk assessment instruments were mentioned resulting in advantages for the patient.

Abstract [sv]

Utvecklingen av de äldres hälsa har stor betydelse för behoven av vård och omsorg. Hälsan för äldre har förbättrats men fall och fallskador är ett stort problem och akuta sjukdomar, aktiviteter och omgivningsfaktorer är ofta utösande orsaker till fall. Syftet med denna studie var att beskriva vårdgivares uppfattning om fallrisker och fallprevention. Metoden var en kvalitativ intervjustudie med en beskrivande design. Tolv personer har intervjuats från hälsocentral, sjukhus och kommunalt äldreboende i ett län i Mellansverige. Resultatet redovisas utifrån två kategorier. Kategorin ”Faktorer som kan bidra till fall” framkom ur subkategorierna; Patientens tillstånd och omvårdnadsbehov, Fysisk miljö, Brist på kunskaper hos vårdpersonalen, Tidsbrist, stress och otillräcklig bemanning, Personalens ansvar och att inte följa rutiner samt Otillräcklig samverkan mellan yrkesgrupper och vårdnivåer. Kategorin ”Faktorer som kan motverka fall/fallprevention” framkom ur subkategorierna; Fysisk miljö och hjälpmedel, Kunskaper och utveckling av ett systematiskt arbetssätt, Ansvaret hos olika yrkeskategorier samt Samverkan. Resultatet i studien visade att det finns flera olika faktorer kring en patient som kan bidra till fall och som kan motverka fall. Samverkan mellan olika vårdnivåer, kunskaper och utveckling av ett systematiskt arbetssätt framkom som viktiga faktorer till fördel för patienten.

Place, publisher, year, edition, pages
2008. , p. 28
Keywords [en]
Fall prevention, Hospital, Primary care, Elderly care
Keywords [sv]
Fallprevention, Sjukhus, Primärvård, Äldrevård
Identifiers
URN: urn:nbn:se:hig:diva-4439Archive number: SPECDSK/vt08nr10OAI: oai:DiVA.org:hig-4439DiVA, id: diva2:218760
Presentation
(English)
Uppsok
medicin
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Available from: 2009-05-27 Created: 2009-05-12 Last updated: 2009-05-27Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard-cite-them-right
  • ieee
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Language
  • sv-SE
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  • nn-NB
  • de-DE
  • Other locale
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Output format
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