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Resident-to-Resident Mistreatment Evaluation of a Staff Training Program in the Reduction of Falls and Injuries

NCJ Number
Journal of Gerontological Nursing Volume: 44 Issue: 5 Dated: 2018 Pages: 15-23
Jeanne A. Teresi; Mildred Ramirez; Terry Fulmer; Julie Ellis; Stephanie Silver; Jian Kong; Joseph Elmicke; Gabriel Boratgis; Rhoda Meador; Mark S. Lachs; Kari Pillemer
Date Published
9 pages

Since resident-to-resident elder mistreatment (R-REM) occurs frequently in long-term services and support settings, The purpose of the current study was to evaluate the effect of a R-REM training program for nursing and other frontline staff on resident falls and injuries in a cluster randomized trial of units within four nursing homes.


Interview and observational data from a sample of 1,201 residents (n = 600 and n = 601 in the usual care and intervention groups, respectively) and staff were collected at baseline and 6 and 12 months. A generalized linear model was used to model the falls/injuries outcome. The net reduction in falls and injuries was 5 percent, translating to 10 saved events per year in an average-sized facility. Although the result did not reach statistical significance due to low power, the findings of fall prevention associated with implementing the intervention in long-term care facilities is clinically important. (publisher abstract modified)