Usability of Nursing Quality Indicator for preventing falls among the elderly with dementia based on processes in clinical judgment : Comparison consideration of comparison between acute hospitals and long term care insurance facilities

Abstract

The purpose of this study was to clarify the usability of the Nursing Quality Indicator for preventing falls as well as to evaluate their nursing teams by comparing the results between acute hospital and long term care insurance facilities by Dementia Nursing certified nurses. 233 Dementia nursing certified nurses as the subjects of this study were sent a self-administered questionnaire of this indicator. The subjects were 105 people (14 Males and 91 Females) with a response rate of 45.1%. Eighty seven (82.9%) of the subjects belonged to Acute Hospitals and 18 (17.1%) belonged to Long-term Care Insurance Facilities. More than 80% of the subjects agreed that, "This indicator covered important points in all practice of fall prevention for dementia nursing", "If nurses would be able to attend trainings, have education about dementia nursing care in their hospitals/facilities and improvement of the system, they could perform nursing care using this indicator". More than 80% of Dementia Nursing Certified Nurses in Long-Term Care Insurance facilities have already conducted the following indicators: [A: assess risk of falls concerning elderly with dementia], [B: consider the perspectives of elderly with dementia when taking care of them]. Five items such as "We draw the sense of values of elderly with dementia and care about the viewpoint of the person in order to reduce behaviors leading to falls" were significantly high. It was suggested that this indicator has a high usability when used in Long-Term Care Insurance Facilities. However, it needs training and education about dementia nursing.