Background: In-hospital falls are a significant clinical, legal, and regulatory problem, moreover, is considered one of the nursing-sensitive quality indicators and essential goal of international patient safety goals IPSG. In hospital falls well-thought-out to be any unintentional positional change that results in the person coming to rest on the ground, floor, or other lower surface. Falls are the most frequently reported incidents among hospitalized patients. It is considered a challenge for healthcare workers because information on effective fall reduction is lacking. The study aimed to determine the effect of implementing fall prevention strategies on nurses' performance at Neurological Intensive Care Units.