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Fall Risk Management in Nursing Homes: A Scoping Review

2025-12-10Journal article Open access
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorGaspar, Cecília
dc.contributor.authorPedreira, Larissa
dc.contributor.authorReis, Neuza
dc.contributor.authorCosta, Andreia
dc.contributor.authorFerreira, Ricardo
dc.contributor.authorHenriques, Maria
dc.contributor.authorBaixinho, Cristina Lavareda
dc.date.accessioned2026-01-19T16:24:13Z
dc.date.available2026-01-19T16:24:13Z
dc.date.issued2025-12-10
dc.descriptionArticle number 3233.
dc.description.abstractBackground: Population aging represents a growing public health challenge, with falls being one of the leading causes of morbidity, mortality, and loss of autonomy among older adults. In nursing homes, the risk is exacerbated by physical, cognitive, and environmental factors, yet which interventions are most actionable in nursing homes remains unclear, requiring effective and evidence-based prevention strategies. Objective: We aimed to map the evidence on interventions in fall risk management among institutionalized older adults, highlighting assessment, exercise, environmental, and educational strategies. Methods: A scoping review was conducted according to JBI guidelines. The search was carried out in MEDLINE, CINAHL, Scopus, Cochrane, and Web of Science. The review included studies, published between 2019 and 2024, involving older adults (≥65 years) in nursing homes, focusing on nursing interventions for fall risk management. Results: The initial search identified 1146 records across electronic databases and gray literature sources. After removing duplicates and screening titles, abstracts, and full texts, 18 studies met the inclusion criteria and were included in this scoping review. The inclusion criteria were as follows: (i) fall risk assessment, using functional and clinical scales such as the Timed Up and Go (TUG), Berg Balance Scale (BBS), Morse Fall Scale, to identify predisposing factors; (ii) exercise programs, such as the Otago Exercise Program and multicomponent training, which demonstrated benefits in strength, balance, and mobility; (iii) environmental modifications, aimed at reducing extrinsic risks and promoting safer surroundings; and (iv) educational programs, targeting professionals, residents, and families, with positive effects on adherence to preventive practices and on strengthening the safety culture. Conclusions: Effective fall risk management in nursing homes requires an integrated, multidisciplinary, and person-centered approach, with nurses playing a central role in assessment, coordination, and implementation of interventions. However, gaps remain regarding standardization, validation of assessment tools specific to the institutional context, and evaluation of long-term outcomes.eng
dc.description.sponsorshipThe present study was funded by the Center for Research, Innovation, and Development in Nursing, in Portugal, by means of grants provided to some of the authors (CIDNUR, Less#Falls_2021).
dc.identifier.citationGaspar,C.;Pedreira, L.C.; Reis, N.; Costa, A.; Ferreira, R.O.; Henriques, M.A.;Baixinho, C.L. Fall Risk ManagementinNursingHomes: AScopingReview. Healthcare2025,13, 3233. https://doi.org/10.3390/ healthcare13243233
dc.identifier.doi10.3390/healthcare13243233
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.8/15406
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/13/24/3233
dc.relation.ispartofHealthcare
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectFall
dc.subjectNursing homes
dc.subjectOlder adult
dc.subjectprevention/intervention
dc.subjectRehabilitation
dc.titleFall Risk Management in Nursing Homes: A Scoping Revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue24
oaire.citation.titleHealthcare
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLavareda Baixinho
person.givenNameCristina
person.identifier57203119057
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0001-7417-1732
relation.isAuthorOfPublicationb0ae74ed-abba-4718-88f8-9e5c8c8031b0
relation.isAuthorOfPublication.latestForDiscoveryb0ae74ed-abba-4718-88f8-9e5c8c8031b0

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