Table 1

Examples of effective three-way interactions between patients, staff and environment which promoted engagement in falls prevention behaviours

Educator rolePatientStaffEnvironment (mediated by staff and patient)
Patient individually educated on reasons why and how to take relevant action of ringing bell: educator advocates to staff about building patient confidence to ring bellAvoids risk taking behaviour—rings bell for assistancePatient encouraged to ring bell: bell answered in timely mannerBell working and in reach at all times
Patient individually educated on reasons why and how to take relevant action of using mobility aid: educator clarifies with both staff and patient to eliminate differing perceptions of mobility levelsAvoids risk taking behaviour—uses mobility aid correctlyStaff consistent on their instruction about use of mobility aid and the level of assistance they provide to patientsMobility aid available, correctly prescribed and in reach at all times