Actions of the fall prevention protocol: mapping with the classification of nursing interventions

Abstract

Objective:to analyze the correspondence between the actions contained in the fall prevention protocol of the Ministry of Health and the Nursing Interventions Classification (NIC) by a cross-mapping. Method:this is a descriptive study carried out in four stages: protocol survey, identification of NIC interventions related to nursing diagnosis, the risk of falls, cross-mapping, and validation of the mapping from the Delphi technique. Results:there were 51 actions identified in the protocol and 42 interventions in the NIC. Two rounds of mapping evaluation were carried out by the experts. There were 47 protocol actions corresponding to 25 NIC interventions. The NIC interventions that presented the highest correspondence with protocol actions were: fall prevention, environmental-safety control, and risk identification. Regarding the classification of similarity and comprehensiveness of the 47 actions of the protocol mapped, 44.7% were considered more detailed and specific than the NIC, 29.8% less specific than the NIC and 25.5% were classified as similar in significance to the NIC. Conclusion:most of the actions contained in the protocol are more specific and detailed, however, the NIC contemplates a greater diversity of interventions and may base a review of the protocol to increase actions related to falls prevention..

Patient experience in co-production of care: perceptions about patient safety protocols

“…In a national study about this care, there are no aspects on the involvement of the patient and family in the prevention of falls (30) . On the other hand, we found the description of 11 actions to prevent falls, with the participation of the patient and family in it (31) . The implementation of an intervention, to promote the participation of the patient and family in the fall reduction plan, resulted in a significant reduction in falls in general and falls with damages (32) .…”

Segurança do paciente idoso hospitalizado: uma análise do risco de quedas

“…Given the characteristics of the studied population and the expressive number of people at high risk of falls, it is understood that the nursing team must adopt practices which are capable of preventing the occurrence of this event, such as: effective communication between health professionals and professional/patient; identification of the high-risk patient by means of a notice at the bedside or a bracelet with a different color; greater attention when moving patients; allocating patients at high risk for falls in beds closer to the nursing station; and support for personal hygiene care (27) .…”

“…The Nursing Diagnosis "Risk of falls" has more than 40 interventions described in the Nursing Interventions Classification (NIC), showing the existence of innumerable care actions which nurses can perform supported by a scientific basis and which already have standardized language through a comprehensive international tool (27) . The adoption of this tool can then benefit communication and minimize the occurrence of adverse events, reinforcing the importance of nurses as promoters of patient safety actions.…”

Practice challenges in patient safety

“…However, it is worth remembering that some practices, especially those for AE prevention, are not dependent on equipment and inputs, and can be developed with excellence by the professional team, in settings with scarce resources. As an example, nursing interventions in the area of risk prevention, since many care does not require the use of materials, but rather the commitment of all team members to develop and implement preventive care, interdisciplinary approach (26)(27) .…”