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Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC

Purpose To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA‐I Risk for falls’ risk factors and of NOC indicators related to falls in older adults with arterial hypertension. Background Nurses can use nursing taxonomies to provide effective care in preventing...

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Published in:International journal of nursing knowledge 2022-04, Vol.33 (2), p.147-161
Main Authors: Moreira, Rafaella Pessoa, Guerra, Francisca Valuzia Guedes, Ferreira, Glauciano de Oliveira, Cavalcante, Tahissa Frota, Felício, Janiel Ferreira, Ferreira, Luzia Camila Coelho, Guedes, Nirla Gomes
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container_issue 2
container_start_page 147
container_title International journal of nursing knowledge
container_volume 33
creator Moreira, Rafaella Pessoa
Guerra, Francisca Valuzia Guedes
Ferreira, Glauciano de Oliveira
Cavalcante, Tahissa Frota
Felício, Janiel Ferreira
Ferreira, Luzia Camila Coelho
Guedes, Nirla Gomes
description Purpose To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA‐I Risk for falls’ risk factors and of NOC indicators related to falls in older adults with arterial hypertension. Background Nurses can use nursing taxonomies to provide effective care in preventing falls in specific populations. Methods Clinical, randomized, open, parallel, and multicenter trial following the CONSORT recommendations for nonpharmacological trials. The clinical trial was registered. The research was conducted with 118 older adults allocated to intervention and control groups and matched by sex and age. The intervention was conducted in the participants’ homes in three different moments and consisted of nursing activities belonging to the NIC Fall prevention and implemented with the aid of a protocol with operational definitions. Findings Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather‐related condition, insufficient anti‐slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. Implications for nursing practice The tested intervention is important and should be instituted, mainly by nurses from primary care services who make home visits to older adults.
doi_str_mv 10.1111/2047-3095.12346
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Background Nurses can use nursing taxonomies to provide effective care in preventing falls in specific populations. Methods Clinical, randomized, open, parallel, and multicenter trial following the CONSORT recommendations for nonpharmacological trials. The clinical trial was registered. The research was conducted with 118 older adults allocated to intervention and control groups and matched by sex and age. The intervention was conducted in the participants’ homes in three different moments and consisted of nursing activities belonging to the NIC Fall prevention and implemented with the aid of a protocol with operational definitions. Findings Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather‐related condition, insufficient anti‐slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. Implications for nursing practice The tested intervention is important and should be instituted, mainly by nurses from primary care services who make home visits to older adults.</description><identifier>ISSN: 2047-3087</identifier><identifier>EISSN: 2047-3095</identifier><identifier>DOI: 10.1111/2047-3095.12346</identifier><identifier>PMID: 34519446</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Accidental Falls - prevention &amp; control ; Aged ; aged, hypertension, fall, nursing diagnosis, clinical trial ; Clinical research ; Clinical trials ; Compensation ; Domiciliary visits ; Falls ; Hearing loss ; Home environment ; Humans ; Hypertension ; Hypertension - prevention &amp; control ; Hypotension ; Injury prevention ; Intervention ; Leisure ; Medical diagnosis ; Multicenter studies ; Nursing ; Older people ; Prevention ; Prevention programs ; Primary care ; Professional practice ; Risk Factors ; Risk reduction ; Standardized Nursing Terminology ; Unsafe ; Weather</subject><ispartof>International journal of nursing knowledge, 2022-04, Vol.33 (2), p.147-161</ispartof><rights>2021 NANDA International, Inc.</rights><rights>2022 NANDA International, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2566-a8211ac2cb73e952a944ce48fc93d169dc9c956f28043dca3457ad92200882af3</cites><orcidid>0000-0002-5601-0086 ; 0000-0002-5142-671X ; 0000-0002-2594-2323 ; 0000-0003-2341-7936</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F2047-3095.12346$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F2047-3095.12346$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,31034,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34519446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreira, Rafaella Pessoa</creatorcontrib><creatorcontrib>Guerra, Francisca Valuzia Guedes</creatorcontrib><creatorcontrib>Ferreira, Glauciano de Oliveira</creatorcontrib><creatorcontrib>Cavalcante, Tahissa Frota</creatorcontrib><creatorcontrib>Felício, Janiel Ferreira</creatorcontrib><creatorcontrib>Ferreira, Luzia Camila Coelho</creatorcontrib><creatorcontrib>Guedes, Nirla Gomes</creatorcontrib><title>Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC</title><title>International journal of nursing knowledge</title><addtitle>Int J Nurs Knowl</addtitle><description>Purpose To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA‐I Risk for falls’ risk factors and of NOC indicators related to falls in older adults with arterial hypertension. 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Findings Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather‐related condition, insufficient anti‐slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. 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Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing knowledge</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira, Rafaella Pessoa</au><au>Guerra, Francisca Valuzia Guedes</au><au>Ferreira, Glauciano de Oliveira</au><au>Cavalcante, Tahissa Frota</au><au>Felício, Janiel Ferreira</au><au>Ferreira, Luzia Camila Coelho</au><au>Guedes, Nirla Gomes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC</atitle><jtitle>International journal of nursing knowledge</jtitle><addtitle>Int J Nurs Knowl</addtitle><date>2022-04</date><risdate>2022</risdate><volume>33</volume><issue>2</issue><spage>147</spage><epage>161</epage><pages>147-161</pages><issn>2047-3087</issn><eissn>2047-3095</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Purpose To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA‐I Risk for falls’ risk factors and of NOC indicators related to falls in older adults with arterial hypertension. Background Nurses can use nursing taxonomies to provide effective care in preventing falls in specific populations. Methods Clinical, randomized, open, parallel, and multicenter trial following the CONSORT recommendations for nonpharmacological trials. The clinical trial was registered. The research was conducted with 118 older adults allocated to intervention and control groups and matched by sex and age. The intervention was conducted in the participants’ homes in three different moments and consisted of nursing activities belonging to the NIC Fall prevention and implemented with the aid of a protocol with operational definitions. Findings Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather‐related condition, insufficient anti‐slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. 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source Wiley-Blackwell Journals; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Accidental Falls - prevention & control
Aged
aged, hypertension, fall, nursing diagnosis, clinical trial
Clinical research
Clinical trials
Compensation
Domiciliary visits
Falls
Hearing loss
Home environment
Humans
Hypertension
Hypertension - prevention & control
Hypotension
Injury prevention
Intervention
Leisure
Medical diagnosis
Multicenter studies
Nursing
Older people
Prevention
Prevention programs
Primary care
Professional practice
Risk Factors
Risk reduction
Standardized Nursing Terminology
Unsafe
Weather
title Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC
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