南開科技大學圖書館 |

Language: 繁體中文

說明(常見問題)

南開科技大學

圖書館首頁

編目中圖書申請

登入

回上頁

切換: 標籤 | MARC模式 | ISBD

Physician persectives on fall preven...

Nyrop, Kirsten A.

Physician persectives on fall prevention in assisted living.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Physician persectives on fall prevention in assisted living./
作者:	Nyrop, Kirsten A.
面頁冊數:	96 p.
附註:	Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: .
Contained By:	Dissertation Abstracts International71-08B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3409933
ISBN:	9781124078007

Physician persectives on fall prevention in assisted living.
Nyrop, Kirsten A.

Physician persectives on fall prevention in assisted living. - 96 p.

Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: .

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2010.

Residential care/assisted living (RC/AL) communities are a relatively new focus of aging research. Little data exist on care practices and outcomes in these settings, because they are not regulated in the same manner as nursing homes. Falls are of particular concern among the one million older adult residents of RC/AL communities. This dissertation study provides first data on physician perspectives on fall prevention and monitoring among RC/AL residents with regard to: (a) fall risk assessment, (b) medications review for potential side effects related to falls, and (c) communication and collaboration between primary physicians and RC/AL staff regarding patients at high risk for falls. Data were collected through a questionnaire informed by the Theory of Planned Behavior (TPB), mailed to primary physicians for residents of four RC/AL communities in North Carolina. Physicians expressed strong support for fall risk assessment, medications review, and talking/working with RC/AL staff to reduce fall risk, and they believed these activities could reduce fall risks among RC/AL patients. Physicians assumed full responsibility for medications review but had conflicting beliefs about fall risk assessment -- they thought RC/AL staff had more time and responsibility for this task and that it was easier for them to do, but expressed some reservations about RC/AL staff expertise. Communication and collaboration challenges between physicians and RC/AL staff were also identified by the survey. Further, theory-based models were developed and tested to identify physician beliefs predictive of their self-reported (past) behavior and (future) intention with regard to fall risk assessment, medication review, and talking/working with RC/AL staff. The models were robust, explaining 22-52% of the variance in behavior and 21-46% of the variance in intention. Models also identified specific beliefs that were especially salient for various fall prevention and monitoring activities. This research provides (a) baseline data for on-going discussions of the role of primary physicians in the care of RC/AL residents, (b) contributes to theory-based implementation and dissemination research focused on interventions to influence physician beliefs and behavior, and (c) informs social work practice by drawing attention to coordination and collaboration challenges in the care of the frail older adults in RC/AL communities.

ISBN: 9781124078007Subjects--Topical Terms:

168436
Gerontology.

Physician persectives on fall prevention in assisted living.
LDR:03533nmm 2200325 4500 001 1000005644
005 20110119101705.5
008 110119s2010 ||||||||||||||||| ||eng d
020 $a 9781124078007
035 $a (UMI)AAI3409933
035 $a AAI3409933
040 $a UMI $c UMI{me_controlnum}
100 1 $a Nyrop, Kirsten A. $3 1000007105
245 1 0 $a Physician persectives on fall prevention in assisted living.
300 $a 96 p.
500 $a Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: .
500 $a Adviser: Sheryl Zimmerman.
502 $a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2010.
520 $a Residential care/assisted living (RC/AL) communities are a relatively new focus of aging research. Little data exist on care practices and outcomes in these settings, because they are not regulated in the same manner as nursing homes. Falls are of particular concern among the one million older adult residents of RC/AL communities. This dissertation study provides first data on physician perspectives on fall prevention and monitoring among RC/AL residents with regard to: (a) fall risk assessment, (b) medications review for potential side effects related to falls, and (c) communication and collaboration between primary physicians and RC/AL staff regarding patients at high risk for falls. Data were collected through a questionnaire informed by the Theory of Planned Behavior (TPB), mailed to primary physicians for residents of four RC/AL communities in North Carolina. Physicians expressed strong support for fall risk assessment, medications review, and talking/working with RC/AL staff to reduce fall risk, and they believed these activities could reduce fall risks among RC/AL patients. Physicians assumed full responsibility for medications review but had conflicting beliefs about fall risk assessment -- they thought RC/AL staff had more time and responsibility for this task and that it was easier for them to do, but expressed some reservations about RC/AL staff expertise. Communication and collaboration challenges between physicians and RC/AL staff were also identified by the survey. Further, theory-based models were developed and tested to identify physician beliefs predictive of their self-reported (past) behavior and (future) intention with regard to fall risk assessment, medication review, and talking/working with RC/AL staff. The models were robust, explaining 22-52% of the variance in behavior and 21-46% of the variance in intention. Models also identified specific beliefs that were especially salient for various fall prevention and monitoring activities. This research provides (a) baseline data for on-going discussions of the role of primary physicians in the care of RC/AL residents, (b) contributes to theory-based implementation and dissemination research focused on interventions to influence physician beliefs and behavior, and (c) informs social work practice by drawing attention to coordination and collaboration challenges in the care of the frail older adults in RC/AL communities.
590 $a School code: 0153.
650 4 $a Gerontology. $3 168436
650 4 $a Psychology, Behavioral Sciences. $3 1000007107
690 $a 0351
690 $a 0602
710 2 $a The University of North Carolina at Chapel Hill. $b Social Work: Doctoral (residential). $3 1000007106
773 0 $t Dissertation Abstracts International $g 71-08B.
790 1 0 $a Zimmerman, Sheryl, $e advisor
790 1 0 $a Bangdiwala, Kant $e committee member
790 1 0 $a Bowen, Gary $e committee member
790 1 0 $a Sloane, Philip D. $e committee member
790 1 0 $a Usher, Lynn $e committee member
790 $a 0153
791 $a Ph.D.
792 $a 2010
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3409933