1. Barriers to Research
Utilization
Team a
STacy coleman
STephanie mcleod
aimee RivaS
chRiSTine SchulTz
debbie WilSon

2. Introduction To Patient Falls
• Highest incidence in people 65 & older
– Leading cause of injury deaths
– Most common cause of hospital admissions for trauma
– Rates for LTC residents 3 times higher then aged living at
home
– 25% to 84% of incident reports in hospitals and LTC facilities
are related to falls
• Nurses are responsible
– For patient safety & fall prevention

3. Patient Falls
• What’s Considered a Patient Fall?
– Any unplanned descent to the floor
– Includes when patient lowered to floor to prevent falls, or
lowers himself/herself to floor
• Types & Causes of Falls
– Accidental Falls
– Unanticipated Physiological Falls
– Anticipated Physiological Falls
– Intrinsic and extrinsic factors

4. Cultural Barriers in Patients
• Age
• Authority
• Sex
• Fear

5. Strategies for preventing falls
• Identify
• Fall assessment
• Alerting the staff
• Fall Research

6. Motor Control and Adaptive Training
• Motor Control
• Learning Adaptive
Training
• Weight Support
• Stability
• Retention

7. Calcium & Vitamin D Therapy
& Fall Reduction Strategy
• Age Related Changes
• Vitamin D
• Calcium
• Fall Prevention through
Combination Therapy

8. Barriers & The Team
• Demonstrating the Relationship
– The decision maker
– Relationship development
– Building mutual trust
– Sharing responsibilities
• Determining the Structure
– Roles and responsibility of the researcher/s
– Establishing communication guidelines
– Development of a steering committee &
working committee
• Organizational climate
– Organization experience with research
– Creating credibility
– Availability (i.e. staffing)

9. Leadership Barriers
• Presenting The Research
– Creative Problem solving
– Balance
– Previous Study Reviews
• OrganizingThe Research Study
– Assembling the risk factors
– Instrumentation methods
– Recommendations
– Interventions
– Study impact
• Conformity With The Team
• On indicators & outcomes
• On teaching methods
• On evaluation

10. Organizational Culture Barriers
• What is Organizational Culture?
• Identification of Organizational Barriers
– “Sitters” & Attendants
– Staffing
• Integration & Partnerships

11. Conclusion
• “Among people 65 years and older, falls are the
leading cause of injury deaths and the most
common cause of nonfatal injuries and hospital
admissions for trauma.”*
• Patient falls are one of the top five sentinel events
for hospitals, long term care, and home care
agencies…”**
*(Quigley et al.,2008, as reported in CDC, 2006).
**(Quigley et al.)

12. References
Boonen, S., Bischoff-Ferrari, H., Cooper, C., Lips, P., Ljunggren, O., Meunier, P.,
Reginster, J.-Y., (2006). Addressing the musculoskeletal components
of fracture risk with Calcium and Vitamin D: A review of the
evidence.. Calcified Tissue International, 78(11), 257-270
Center for Disease Control. Studies of AoA-funded Fall Prevention Programs
(2008).Retreived June 10, 2008 from
http://www.cdc.gov/ncipc/duip/FallsPreventionActivity.htm#research%20studie
Comprehensive Fall Prevention. Planning for Success in Identifying and
Referring Older Adults through Hospital- Based programs. (2004). Retrieved
June 10, 2008 from
http://mphi.org/files/Fall%20Prevention%20for%20Community%20Dwelling%20O
McNamara, C. (1997). Organizational culture: what is culture? Retrieved June
12, 2008, from http://www.managementhelp.org/org_thry/culture/culture.htm
National Defense University. (n.d.). Strategic leadership and decision
making organizational culture. Retrieved June 13, 2008, from
http://www.au.af.mil/au/awc/awcgate/ndu/strat-ldr-dm/pt4ch16.html

13. References
National Institutes of Health: Osteoporosis and Related Bone Diseases
National Resource Center. Falls and Related Fractures: The risk of
undiagnosed Osteoporosis. April 2000.
Pai, Y-C. Bhatt, T (2007). Repeated-slip training: An emerging paradigm for
prevention of slip -related falls among older adults. Physical
Therapy.87(11) 1478-1494
PubMed. Design-related bias in hospital fall risk screening tool predictive
accuracy evaluations: systematic review and meta-analysis. (2007) Retrieved
June 10, 2008 from http://www.ncbi.nlm.nih.gov/pubmed/17595425
Premier, Inc. (2008). Fall prevention. Retrieved June 14, 2008, from
http://www.premiereinc.com/saftey/topics/falls/#top
Quigley, P., Nelly, J., Watson, M., Wright, M. & Strobel, K. (2007). Measuring fall
program outcomes. The Online Journal of Issues in Nursing. Retrieved June
10, 2008, from
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriod

14. References
Rehab Management. Reducing the Risk of Falls in the Elderly. (2000)
Retrieved Jun 10, 2008 from
http://www.rehabpub.com/features/672000/4.asp
Scott, V. (2007, April). World health organization report: prevention of falls in
older age. Retrieved May 13, 2008, from
http://www.who.int/ageing/projects/5.Intervention,%20policies%20and%20sust
St. Joseph’s/Candler (2008). Falls prevention education module. Retrieved
June 14,2008 from
https://.netapp.netlkearning/learnmod/stjosephcandler/fallprevent/sld004.htm
Toolpack Consulting. (2008). Organizational culture. Retrieved June 13, 2008,
from http://www.toolpack.com/culture.html
Torkelson, D., & Dobal, M. (1999, May). Constant observation in medical-surgical
settings: a multi hospital study. Retrieved June 13, 2008, from
http://www.findarticles.com/p/articles/mi_m0FSW/is_3_17/ai_n18608643/pg_7

15. References
Toolpack Consulting. (2008). Organizational culture. Retrieved June 13, 2008,
from http://www.toolpack.com/culture.html
Torkelson, D., & Dobal, M. (1999, May). Constant observation in medical-surgical
settings: a multi hospital study. Retrieved June 13, 2008, from
http://www.findarticles.com/p/articles/mi_m0FSW/is_3_17/ai_n18608643/pg_7