Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review

Udoka Okpalauwaekwe,1 Huey-Ming Tzeng2 1University of Saskatchewan, College of Medicine, Saskatoon, Saskatchewan, Canada; 2The University of Texas Medical Branch at Galveston, School of Nursing, Galveston, TX, USACorrespondence: Huey-Ming TzengSchool of Nursing, The University of Texas Medical Branc...

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Autores principales:	Okpalauwaekwe U, Tzeng HM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	older adults adverse events skilled nursing facilities rehabilitation short stays risk factors Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c102f96042104af4bf8745744e866c50
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spelling	oai:doaj.org-article:c102f96042104af4bf8745744e866c502021-11-14T19:00:31ZAdverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review1179-271Xhttps://doaj.org/article/c102f96042104af4bf8745744e866c502021-11-01T00:00:00Zhttps://www.dovepress.com/adverse-events-and-their-contributors-among-older-adults-during-skille-peer-reviewed-fulltext-article-PROMhttps://doaj.org/toc/1179-271XUdoka Okpalauwaekwe,1 Huey-Ming Tzeng2 1University of Saskatchewan, College of Medicine, Saskatoon, Saskatchewan, Canada; 2The University of Texas Medical Branch at Galveston, School of Nursing, Galveston, TX, USACorrespondence: Huey-Ming TzengSchool of Nursing, The University of Texas Medical Branch at Galveston, Galveston, TX, USATel +1 734 358 0358Email tzenghm@gmail.com; tzenghm@utmb.eduPurpose: To identify factors that contribute to adverse events among older adults during short stays at skilled nursing facilities (SNFs) for rehabilitation (ie, up to 100 resident days). Adults aged 65 years and older are at serious risk for adverse events throughout their continuum of care. Over 33% of older adults admitted to SNFs experienced an adverse event (eg, falls) within the first 35 days of their stay.Design: A scoping review.Setting and Participants: Older adults admitted for short stays in SNFs.Methods: Eligibility criteria were peer-reviewed original articles published between 1 January 2015 and 30 May 2021, written in English, and containing any of the following key terms and synonyms: “skilled nursing facilities”, “adverse events”, and “older adults”. These terms were searched in PubMed, MEDLINE, CINAHL, EBSCOHost, and the ProQuest Nursing and Allied Health Database. We summarized the findings using the Joanna Briggs Institute and PRISMA-ScR reporting guidelines. We also used the Capability-Opportunity-Motivation-Behavior (COM-B) model of health behavioral change as a framework to guide the content, thematic, and descriptive analyses of the results.Results: Eleven articles were included in this scoping review. Intrinsic and extrinsic contributors to adverse events (ie, falls, medication errors, pressure ulcers, and acute infections) varied for each COM-B domain. The most frequently mentioned capacity-related intrinsic contributors to adverse events were frailty and reduced muscle strength due to advancing age. Inappropriate medication usage and polypharmacy were the most common capacity-related extrinsic factors. Opportunity-related extrinsic factors contributing to adverse events included environmental hazards, poor communication among SNF staff, lack of individualized resident safety plans, and overall poor care quality owing to racial bias and organizational and administrative issues.Conclusion: These findings shed light on areas that warrant further research and may aid in developing interventional strategies for adverse events during short SNF stays.Keywords: older adults, adverse events, skilled nursing facilities, rehabilitation, short stays, risk factorsOkpalauwaekwe UTzeng HMDove Medical Pressarticleolder adultsadverse eventsskilled nursing facilitiesrehabilitationshort staysrisk factorsMedicine (General)R5-920ENPatient Related Outcome Measures, Vol Volume 12, Pp 323-337 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	older adults adverse events skilled nursing facilities rehabilitation short stays risk factors Medicine (General) R5-920
spellingShingle	older adults adverse events skilled nursing facilities rehabilitation short stays risk factors Medicine (General) R5-920 Okpalauwaekwe U Tzeng HM Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review
description	Udoka Okpalauwaekwe,1 Huey-Ming Tzeng2 1University of Saskatchewan, College of Medicine, Saskatoon, Saskatchewan, Canada; 2The University of Texas Medical Branch at Galveston, School of Nursing, Galveston, TX, USACorrespondence: Huey-Ming TzengSchool of Nursing, The University of Texas Medical Branch at Galveston, Galveston, TX, USATel +1 734 358 0358Email tzenghm@gmail.com; tzenghm@utmb.eduPurpose: To identify factors that contribute to adverse events among older adults during short stays at skilled nursing facilities (SNFs) for rehabilitation (ie, up to 100 resident days). Adults aged 65 years and older are at serious risk for adverse events throughout their continuum of care. Over 33% of older adults admitted to SNFs experienced an adverse event (eg, falls) within the first 35 days of their stay.Design: A scoping review.Setting and Participants: Older adults admitted for short stays in SNFs.Methods: Eligibility criteria were peer-reviewed original articles published between 1 January 2015 and 30 May 2021, written in English, and containing any of the following key terms and synonyms: “skilled nursing facilities”, “adverse events”, and “older adults”. These terms were searched in PubMed, MEDLINE, CINAHL, EBSCOHost, and the ProQuest Nursing and Allied Health Database. We summarized the findings using the Joanna Briggs Institute and PRISMA-ScR reporting guidelines. We also used the Capability-Opportunity-Motivation-Behavior (COM-B) model of health behavioral change as a framework to guide the content, thematic, and descriptive analyses of the results.Results: Eleven articles were included in this scoping review. Intrinsic and extrinsic contributors to adverse events (ie, falls, medication errors, pressure ulcers, and acute infections) varied for each COM-B domain. The most frequently mentioned capacity-related intrinsic contributors to adverse events were frailty and reduced muscle strength due to advancing age. Inappropriate medication usage and polypharmacy were the most common capacity-related extrinsic factors. Opportunity-related extrinsic factors contributing to adverse events included environmental hazards, poor communication among SNF staff, lack of individualized resident safety plans, and overall poor care quality owing to racial bias and organizational and administrative issues.Conclusion: These findings shed light on areas that warrant further research and may aid in developing interventional strategies for adverse events during short SNF stays.Keywords: older adults, adverse events, skilled nursing facilities, rehabilitation, short stays, risk factors
format	article
author	Okpalauwaekwe U Tzeng HM
author_facet	Okpalauwaekwe U Tzeng HM
author_sort	Okpalauwaekwe U
title	Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review
title_short	Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review
title_full	Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review
title_fullStr	Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review
title_full_unstemmed	Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review
title_sort	adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/c102f96042104af4bf8745744e866c50
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Adverse Events and Their Contributors Among Older Adults During Skilled Nursing Stays for Rehabilitation: A Scoping Review

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