Journal Article


Older people’s experiences of falling and perceived risk of falls in the community: a narrative synthesis of qualitative research

Abstract

Background. Falls are a major problem for older people and healthcare services across the world. Accidental falls in the community are a persistent problem that is generally recognised as an intrinsic risk of aging. This review provides a new synthesis of evidence that considers older people’s perception of falls in the community as new insights are needed if the increasing problems of falls are to be addressed. Aim. To examine qualitative research exploring older people’s experiences of falling and the perceived risk of falling in the community. This will contribute new insights into how falling is perceived by the older community. Design. Synthesis of the qualitative literature employing Noblit and Hare’s method of Reciprocal Translation (Noblit & Hare 1988). CINAHL, Medline, EMBASE, PsychINFO and BNI were searched 1999-2015. Methods. Noblit and Hare’s (1988) method of reciprocal translations was used to conceive this meta- ethnographic synthesis. The ENTREQ statement (Tong 2012) was employed as a tool for reporting the synthesis of qualitative research. The PRISMA statement (Moher 2009) was used for reporting the different phase of the literature search, and the CASP (CASP 2014) appraisal tool was used as an appraisal framework. Results. Eleven papers fit the inclusion criteria and revealed a series of themes. These were: falls as a threat to personal identity, falls as a threat to independence, falls as a threat to social interaction and carefulness as a protective strategy. Conclusion. Many older people reject the label of ‘at risk of falling’ because of the perceived implication of dependency and incompetence. To be considered ‘at risk’ of falling is perceived as threatening the identity of individuals who are comfortable maintaining their own independence. However, there are also those who accept the risk of falling and in doing so choose carefulness as a personal strategy to manage the risk. For the majority of older people, maintaining independence is the key motivator influencing their actions. Independence to pursue social interaction safeguards against loss of identity, social isolation and negative feelings of dependency. Falling in the community is a problem that persists, despite intervention of local health teams. This article contributes to a body of evidence on older people’s experience of falling in the community with the aim of providing new insights for nurses as they approach the issues with patients.

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Authors

Gardiner, Siobhan
Glogowska, Margaret
Stoddart, Catherine
Pendlebury, Sarah
Lasserson, Daniel
Jackson, Debra

Oxford Brookes departments

Faculty of Health and Life Sciences\Department of Nursing

Dates

Year of publication: 2017
Date of RADAR deposit: 2017-04-12


Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License


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