This survey aimed to illustrate factors that contribute to nurses' fear when faced with a possible human-to-human avian flu pandemic and their willingness to care for patients with avian flu in Taiwan. The participants were nursing students with a lesser nursing credential who were currently enrolled in a bachelor degree program in a private university in southern Taiwan. Nearly 42% of the nurses did not think that, if there were an outbreak of avian flu, their working hospitals would have sufficient infection control measures and equipment to prevent nosocomial infection in their working environment. About 57% of the nurse participants indicated that they were willing to care for patients infected with avian influenza. Nurses' fear about an unknown infectious disease, such as the H5N1 influenza virus, could easily be heightened to levels above those occurring during the 2003 severe acute respiratory syndrome outbreak in Taiwan.
This exploratory study identified the extrinsic risk factors for inpatient falls in hospital rooms both from incident reports and from nurse and nursing attendant interviews. An attributional theory of success and failure was adopted, and a proposed typology was used to elicit data, including 3 dimensions as follows: (a) patient room setting and design, (b) hospital equipment, and (c) manpower concerns.
There is an urgent need to prioritize the risk factors for injurious falls and effective interventions in nursing practice. Registered nurses perceived that the most frequently observed risk factors were confusion, gait problems, Alzheimer disease, disorientation, and inability to follow safety instructions. The most effective interventions were keeping hospital bed brakes locked, keeping floor surfaces clean/dry, using appropriate footwear for patients, maintaining a call light within reach, and reducing tripping hazards.
Inpatients use call lights to seek nurses' assistance. Although implied in patient safety, no studies have analyzed data related to the use of or response time to call lights collected by existing tracking mechanisms monitoring nursing practice. This study used archived hospital data to determine the correlation of the call light use rate and the average call light response time with the fall rate, injurious fall rate, and patient satisfaction scores in acute inpatient care settings.
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