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- The fear of falls in the caregivers of institutionalized eldersPublication . Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Henriques, Maria Adriana; Marques-Vieira, Cristina; Sousa, LuísAIMS: To understand how the fear of falls emerges and manifests itself in caregivers of institutionalized elders. METHOD: It is a qualitative study, based on the Grounded Theory and carried out with 24 informal caregivers, 5 nurses, 2 physicians and 2 directors of two Portuguese nursing homes. Data collection took place through interviews, participant observation, and documentation analysis, between October 2016 and January 2018. Data was collected and analyzed simultaneously, following the stages of open, axial, and selective coding. RESULTS: The comparative analysis of the findings identified the conceptual category "Fear of falls in the caregivers of institutionalized elders". The main category is associated with the categories: maintaining safety, hidden fear of falls, the perceived self-efficacy in the prevention of falls, falls and interpersonal relations, previous experiences, and team support. CONCLUSIONS: The fear has an influence on the self-efficacy perceived in the prevention of falls; the quality of the teamwork, in turn, is affected by previous negative experiences and by the support of the team.
- Validation of the international 7-item falls efficacy scale in portuguese community-dwelling older adultsPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Baixinho, Cristina Rosa Soares Lavareda; Reis, Maria Gorete Mendonça dos; Pérez-Rivas, Francisco Javier; Sousa, Lisete Maria Ribeiro deObjective: to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method: a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale – International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach’s α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results: in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman’s correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion: the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.