rss
Evid Based Nurs 6:115 doi:10.1136/ebn.6.4.115
  • Treatment

A structured education programme increased hip protector use and may reduce hip fractures in nursing homes


 
 QUESTION: In elderly nursing home residents, does a structured education programme designed to increase use of hip protectors reduce the number of hip fractures more than usual care?

Design

Cluster randomised (allocation concealed), unblinded, controlled trial with 18 months of follow up.

Setting

42 nursing homes in Hamburg, Germany.

Patients

942 nursing home residents (in 49 nursing home clusters) who were ≥70 years of age (mean age 87 y, 86% women), not bedridden, and living in the nursing home for >3 months. All patients and clusters were included in the analysis.

Intervention

25 nursing home clusters (n=459) were allocated to a structured education programme designed to increase hip protector use. Staff from each cluster attended a 60–90 minute educational session (mean 12 staff/cluster) on the risk of hip fracture and related morbidity, strategies to prevent falls and fractures, effectiveness of hip protectors, aspects known to interfere with hip protector use, and strategies for successful implementation. At least 1 nurse/cluster then delivered the educational programme to nursing home residents individually or in small groups. Free hip protectors were provided (3 protectors/resident). 24 nursing home clusters (n=483) were allocated to usual care, in which a designated coordinator received brief information and a demonstration about hip protectors.

Main outcome measures

Main outcome was hip fracture. Secondary outcomes included hip protector use (proportion of falls with documented hip protector …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article