Table 4 Barriers and facilitators to leading implementation of evidence-based fall prevention practices

Proactive leadership

• Unclear implementation roles

• Lack of authority to facilitate change

• Difficulty planning as a team

• Lack of process to monitor goals and outcomes

• Lack of resources for new initiatives (i.e., staff and time)

• Team coordination to develop implementation plan and strategy

• Link implementation to other organizational initiatives

Knowledgeable leadership

• Inconsistent messages from senior leaders

• Emphasize residents’ safety as reason for implementation

Supportive leadership

• Inability to engage staff

• Limited communication with staff and leadership team

• Active listening

• Engage and encourage feedback from staff

• Recognize and support staff efforts and contributions

Perseverant leadership

• Lack of commitment

• Commitment