ESR 2: Accidental falls care pathway for avoiding transitions from nursing home to hospital

16 April 2020

Early Stage Researcher 2 - Katia Mifsud - Martin Luther University Halle-Wittenberg, Halle (Saale), Germany

Accidental falls care pathway for avoiding transitions from nursing home to hospital


Project update:
Several care transitions from nursing home to hospital can be avoided. Accidental falls of nursing home residents are associated with a high risk of hospitalization. A possible strategy for reducing unwanted variations in the care process is a care pathway. The overall project aim is to develop and pilot a care pathway for the management of in-nursing homes falls, with a focus on preventing unnecessary transitions from nursing home to hospital.

The project starts with a systematic literature review to explore the scientific literature on how avoidable and unavoidable transitions after accidental falls in nursing homes can be operationalized. Clinical interventions which seem promising to improve the management of accidental falls in nursing homes will be identified as part of the strategy to develop the care pathway. Katia is currently conducting this first stage of the project, where also the initial secondment period for the TRANS SENIOR- ESR joint stage of research experience, had its initiation cycle.

Project leader:
Prof. Dr. Gabriele Meyer, Dr. Almuth Berg
Institute of Health and Nursing Science, Medical Faculty,
Martin Luther University Halle-Wittenberg, Halle (Saale), Germany

Objective of the project:
To develop and pilot a care pathway for the management of in-nursing homes falls, with a focus on preventing unnecessary transitions from nursing home to hospital; and secondary to further improve methods for pathway development.

Expected results:
The early stage researcher will increase our understanding of the incidence of transitions to hospital after accidental falls in nursing homes, their benefit or lack thereof, as well as the reasons and context behind decisions made.
The work is used to produce:

  • a pilot tested care pathway allowing nursing home staff to improve the management of accidental falls, including evidence-based key interventions, and process and outcome indicators; and
  • a toolkit for the development of similar care pathways.

Secondments:

  • Academic secondment & Joint degree university 1:
    Basel University, Basel, Switzerland
    Supervisor: Dr. Franziska Zuniga
  • Non-academic secondment:
    Volkssolidarit├Ąt Landesverband Sachsen-Anhalt, Germany
    Supervisor: Michael Bremer.


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