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Participants could also nominate barriers in the 'other' category.
Studies have found that older adults have low awareness of effective falls prevention strategies, nominate barriers to engagement in such strategies and may perceive these strategies to be relevant to other older people, not themselves [ 6- 10].
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Other frequently nominated barriers were skin irritations, lack of availability of hand hygiene products/sinks, and a lack of education and understanding about infection control.
The most frequently nominated barrier to getting help was not wanting to be a burden to others, followed by having distanced one's self from everyone, a tendency to bottle up feelings and a sense that everything seemed pointless (table 3).
Requiring staff assistance and waiting for help from hospital staff were also nominated as barriers.
The focus group participants nominated perceived barriers in engaging the audience in the presentations, which they reflected could possibly contribute to the audience's willingness to take on the falls prevention message.
'Education' was in the top five barriers nominated by nurses at four hospitals.
'Knowledge and motivation', 'supporting staff', and 'facilities' were in the top three barriers nominated by nurses at each of the five hospitals.
Specifically, care provider characteristics, such as knowledge and motivation, were nominated as important barriers to implementation of guidelines by 82.4% of nurses, which is similar to the findings of other international studies [ 51, 52].
Participants were asked to nominate which of the barriers were 'main factors that prevent/stop' them from engaging in physical activity.
The 'poor integration between general practice/primary care and other providers' is a barrier nominated by a large proportion of the stakeholders (70.7%; 195/276).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com