Feasibility and usefulness of a leadership intervention to implement evidence-based falls prevention practices in residential care in Canada

Table 2 Documentation of evidence-based practices pre/post-intervention

Evidence-based practice identified for implementation	Level of evidence*	Pre-intervention (%)	Post-intervention (%)
Provide client and family education^∞	IV	2	35
Identify and modify equipment/environment^∞ (i.e., mark optimal bed height on wall)	Ia	0	4
Referral to physiotherapy for exercise plan^∞	Ib	Unavailable	46
Develop toileting plan^∞	IV	2	4
Encourage adequate fluid intake^#	III	39	35
Encourage dietary fiber^◊	III	18	15

^*Higher levels of evidence suggest fewer sources of bias. For example, level Ia is evidence from systematic reviews of randomized controlled trials, whereas level IV is from non-experimental observational studies, such as descriptive and/or qualitative studies
^∞Registered Nurses of Ontario (2011) guideline: Prevention of Falls and Falls Injuries in the Older Adult [32]
^#Registered Nurses of Ontario (2011) guideline: Promoting Continence Using Prompted Voiding [33]
^◊Registered Nurses of Ontario (2011) guideline: Prevention of Constipation in the Older Adult Population [34]

ISSN: 2055-5784