{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:40:24Z","timestamp":1791906024432,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Bed and chair sensor alarms are commonly used for falls prevention in hospitals, despite questionable efficacy. Research analysing older adults' experiences of alarms is scarce, and adults with cognitive impairment are consistently excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to explore how older adults with cognitive impairment perceive and experience falls prevention alarms in hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A qualitative descriptive design investigated older adults' experiences of alarms in a Geriatric Evaluation and Management ward in Melbourne. Patients were included if they had been provided an alarm. Semi\u2010structured interviews were the primary method of data collection with two observation sessions and medical record analyses completed to enable triangulation of findings. Data were subjected to thematic analysis, and the Person\u2010Environment\u2010Occupation framework was chosen to add insight into the complexities of older adults' experiences of alarms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>All 11 participants had a level of cognitive impairment with delirium, confusion, or impulsiveness recorded in their medical file. Two overarching themes were identified: <jats:italic>communication and collaboration with staff<\/jats:italic> and <jats:italic>rationalisation of alarm use<\/jats:italic>. Participants' perceived staff were focussed on falls prevention but experienced a lack of communication about the purpose of alarms. Participants wanted an individualised approach to alarms. Some were comforted with the thought of alarms alerting staff, making them feel well cared for and believed alarms were a useful \u2018back\u2010up\u2019. Others found alarms uncomfortable, frustrating, and restricting. Application of the Person\u2010Environment\u2010Occupation framework provided insight into how enabling and restrictive factors can impact whether the alarm is experienced positively or negatively. Seven unwitnessed falls occurred during the participants' admissions. Thirty\u2010four per cent of alarm triggers observed were considered false alerts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Older adults commonly reported negative experiences using bed\/chair sensor alarms. Occupational therapists have the training to collaborate with people with cognitive impairment and assess the usefulness of alarms in reducing falls, based on how they interact with the older adult's unique person, environment, and occupation domains.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12917","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:09:50Z","timestamp":1701216590000},"page":"132-148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The experiences of older adults with cognitive impairment in using falls prevention alarms in hospital: A qualitative descriptive study"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5863-5274","authenticated-orcid":false,"given":"Kelly","family":"Stephen","sequence":"first","affiliation":[{"name":"College of Nursing and Health sciences Flinders University  Adelaide South Australia Australia"},{"name":"Eastern Health  Box Hill Victoria Australia"},{"name":"School of Primary and Allied Healthcare Monash University Peninsula Campus  Frankston Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Campbell","sequence":"additional","affiliation":[{"name":"College of Nursing and Health sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,28]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Australian Commission on Safety and Quality in Health Care. (2009).Preventing falls and harm from falls in older people. Best practice guidelines for Australian hospitals.https:\/\/www.safetyandquality.gov.au\/publications-and-resources\/resource-library\/preventing-falls-and-harm-falls-older-people-best-practice-guidelines-australian-hospitals"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172005"},{"key":"e_1_2_11_4_1","volume-title":"Person\u2010centred dementia care: Making services better within the VIPS framework","author":"Brooker D.","year":"2016"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.2010.00878.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022617735047"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0287537"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000027467"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ncq.0b013e3182aa6f86"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12698"},{"key":"e_1_2_11_11_1","unstructured":"Department of Health Australian Government. (2015).Falls.https:\/\/www.health.vic.gov.au\/patient-care\/falls"},{"key":"e_1_2_11_12_1","unstructured":"Department of Health Australian Government. (2022).Fact sheet \u2010 Types of restrictive practices.https:\/\/www.health.gov.au\/sites\/default\/files\/2022-11\/types-of-restrictive-practices.pdf"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2019.151189"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14075"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781849208574"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199204000-00009"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261793"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2014.03.003"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12026"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.2011.tb00195.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2020.08.005"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/000841749606300103"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare7010051"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.06.002"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac077"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14738"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/2377960820916252"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k433"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2018.08.001"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-017-0266-7"},{"key":"e_1_2_11_32_1","unstructured":"Samsi K. &Manthorpe J.(2020).Interviewing people living with dementia in social care research: Methods review. National Institute for Health Research School for Social Care Research.https:\/\/www.sscr.nihr.ac.uk\/publication\/mr022\/"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.1885"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12446"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22049"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2021.1984592"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2016.00292"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12889"},{"key":"e_1_2_11_39_1","volume-title":"Enabling occupation II: Advancing an occupational therapy vision for health, well\u2010being, and justice through occupation","author":"Townsend E. A.","year":"2013"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.4236\/aar.2019.86011"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/ncq.0000000000000054"}],"container-title":["Australian Occupational Therapy Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1440-1630.12917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T11:11:49Z","timestamp":1707995509000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1440-1630.12917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,28]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/1440-1630.12917"],"URL":"https:\/\/doi.org\/10.1111\/1440-1630.12917","archive":["Portico"],"relation":{},"ISSN":["0045-0766","1440-1630"],"issn-type":[{"value":"0045-0766","type":"print"},{"value":"1440-1630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,28]]},"assertion":[{"value":"2022-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}