Understanding barriers and enablers to adherence to NICE Falls guidelines when treating older adults who attend an Emergency Department (ED)
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Background: Approximately one in three older adults (aged 65 and over) fall each year. Such falls commonly present at EDs (Help the Aged, 2005; Close, Ellis, Hooper, Glucksman, Jackson and Swift, 1999). The National Institute for Health and Care Excellence (NICE) 'Falls' guidelines (2004) were developed to improve management of falls, including their assessment and ways to prevent future falls. However, there is evidence of poor adherence to the guidelines (Sheldon et al., 2004). This research explores how falls are managed in EDs and the reasons why guidelines are not always followed. \nMethods: I undertook a detailed review of relevant research on the management of falls in EDs. Research also took place at two sites. Two particular research methods were employed; 1) observation research of healthcare professional and patient interaction, and 2) interviews with healthcare professionals. I observed the care of 27 patients and interviewed 30 health professionals. These methods were
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Background: Approximately one in three older adults (aged 65 and over) fall each year. Such falls commonly present at EDs (Help the Aged, 2005; Close, Ellis, Hooper, Glucksman, Jackson and Swift, 1999). The National Institute for Health and Care Excellence (NICE) 'Falls' guidelines (2004) were developed to improve management of falls, including their assessment and ways to prevent future falls. However, there is evidence of poor adherence to the guidelines (Sheldon et al., 2004). This research explores how falls are managed in EDs and the reasons why guidelines are not always followed. \nMethods: I undertook a detailed review of relevant research on the management of falls in EDs. Research also took place at two sites. Two particular research methods were employed; 1) observation research of healthcare professional and patient interaction, and 2) interviews with healthcare professionals. I observed the care of 27 patients and interviewed 30 health professionals. These methods were
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