As part of enhancing the quality of nursing home(NH) care in Singapore, Agency of Integrated Care (AIC) launched the Fall Prevention collaborative, a continuous quality improvement(CQI) programme which integrates evidence-based practices, expert-led lecture series and NH-driven pilot projects. This qualitative review explored staff perspectives on the initiative’s impact, challenges, and personal meaning. A total of 579 staff across 14 NHs provided feedback over two years in four different settings. Rather than aggregating all responses, results were analysed at individual setting levels to capture site-level variation. Staff views were examined across five domains: (1)Care quality, (2)Workload, (3)Worthiness of extra work, (4)Training sufficiency, and (5)Personal benefits. Staff strongly endorsed this CQI, with 92–100% agreeing that the initiative improved care quality. Workload implications were acknowledged by 58–65%, though only 6–14% strongly viewed this as burdensome. Despite added tasks, 84–93% felt the effort worthwhile given care improvements. Training gaps emerged, with only 28–42% strongly agreeing they were sufficiently prepared for their pilot implementation. Perceived personal benefits from training ranged widely, from 46% to 87%. The Fall Prevention collaborative was regarded as meaningful and impactful, balancing challenges with a strong sense of value. Sustaining long-term success will require addressing workload pressures and strengthening training support, while preserving the collaborative ethos that motivated staff engagement.

Authors:
Sabrina Toh, Agency of Integrated Care, Singapore
Chin Jong Leong, Agency of Integrated Care, Singapore
Heidi Rafman, Agency of Integrated Care, Singapore
Lay Hoon Lim, Agency of Integrated Care, Singapore

About the Presenter(s)
Dr. Sabrina Toh is a MD with special interests in elderly, nursing home and community care, dedicated to training staff and advancing sustainable, patient-centred models to improve older adults’ wellbeing.

See this presentation on the full schedule – Tuesday Schedule

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