Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

Guo, Xiaobei; Wang, Ying; Wang, Lei; Yang, Xueke; Yang, Weimei; Lu, Zhihui; He, Mei

doi:10.1002/nop2.1379

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Patient education was identified as one of the most effective methods of reducing falls and injuries, particularly when hospital procedures were implemented to foster close collaboration between patients, families and health professional teams [ 56 , 70 , 71 ]. When staff implement patient education very soon after hospital admission, patient engagement in falls prevention is enhanced [ 11 , 56 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

Hospital falls clinical practice guidelines: a global analysis and systematic review

McKercher,

Peiris,

Hill

et al. 2024

Age and Ageing

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Background Hospital falls continue to be a persistent global issue with serious harmful consequences for patients and health services. Many clinical practice guidelines now exist for hospital falls, and there is a need to appraise recommendations. Method A systematic review and critical appraisal of the global literature was conducted, compliant with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Web of Science, Embase, CINAHL, MEDLINE, Epistemonikos, Infobase of Clinical Practice Guidelines, Cochrane CENTRAL and PEDro databases were searched from 1 January 1993 to 1 February 2024. The quality of guidelines was assessed by two independent reviewers using Appraisal of Guidelines for Research and Evaluation Global Rating Scale and Appraisal of Guidelines of Research and Evaluation Recommendation Excellence (AGREE-REX). Certainty of findings was rated using Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative Research. Data were analysed using thematic synthesis. Results 2404 records were screened, 77 assessed for eligibility, and 20 hospital falls guidelines were included. Ten had high AGREE-REX quality scores. Key analytic themes were as follows: (i) there was mixed support for falls risk screening at hospital admission, but scored screening tools were no longer recommended; (ii) comprehensive falls assessment was recommended for older or frail patients; (iii) single and multifactorial falls interventions were consistently recommended; (iv) a large gap existed in patient engagement in guideline development and implementation; (v) barriers to implementation included ambiguities in how staff and patient falls education should be conducted, how delirium and dementia are managed to prevent falls, and documentation of hospital falls. Conclusion Evidence-based hospital falls guidelines are now available, yet systematic implementation across the hospital sector is more limited. There is a need to ensure an integrated and consistent approach to evidence-based falls prevention for a diverse range of hospital patients.

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Section: Discussionmentioning

confidence: 99%

Hospital falls clinical practice guidelines: a global analysis and systematic review

McKercher,

Peiris,

Hill

et al. 2024

Age and Ageing

View full text Add to dashboard Cite

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“…Falls are not caused by a single factor. For high‐risk older adults with multiple modifiable risk factors, this fall assessment strategy enables nurses to develop personalized measures based on fall risk factors in different older adults (Guo et al, 2023; Phelan et al, 2015). This also builds a positive work environment through efficient resource allocation to deliver safe patient care and higher patient satisfaction with day surgery care (Zhang et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study

Wang,

Dai,

Ou‐yang

et al. 2023

Japan Journal Nursing Sci

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AimThis study aimed to evaluate the use of a concise fall risk stratification in assessing and predicting falls compared with the Morse Falls Scale among older adults with cataracts in day surgery settings.MethodsA historically controlled study conducted from July 2020 to June 2022 was used in a municipal ophthalmic hospital in China. The concise fall risk stratification which directly graded fall risk by multifactorial judgment was used during the intervention period, while the Morse Falls Scale which graded fall risk by scale scores was used during the control period. The fall risk levels, fall assessment time, fall rates, fall‐related injuries, predictive validity, and patient satisfaction with day surgery care were extracted. Propensity score matching was performed to balance baselines.ResultsAfter matching, 4132 patients were included in the final analysis. Compared with the control group, the intervention group had significantly higher assessment results for fall risk level, a significantly shorter (by 48.15%) fall assessment time, and higher patient satisfaction. There were no differences in fall rates and fall‐related injuries. Compared with the Morse Falls Scale, the concise fall risk stratification had higher sensitivity and negative predictive validity, and lower specificity and positive predictive validity, while the area under curve did not differ significantly.ConclusionThe use of the concise fall risk stratification reduced fall assessment time, improved patient satisfaction, and is unlikely to impact falls with an overall predictive performance comparable to that of the Morse Falls Scale for older cataract adults in day surgery settings.

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Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

Guo

Wang

et al. 2022

Nursing Open

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Aim To explore the effect of a fall prevention strategy on older patients based on the Patient Engagement Framework. Design A longitudinal quasi‐experimental quantitative design. Methods Older patients who met the inclusion criteria were recruited from geriatric, oncology, neurology and cardiology departments of a teaching general hospital in China. Development of a fall prevention intervention strategy for older patients was based on the Patient Engagement Framework. Patients in the intervention group were given this fall prevention strategy (N = 58), and those in the control group were given conventional measures (N = 58). The following indicators were compared between the two groups after intervention: (a) number of falls; (b) Knowledge‐Attitude‐Practice (KAP) score; (c) Modified Fall Efficacy Scale score. Results After the implementation of an intervention strategy in older patients, the number of falls decreased from 3 to 0; the score of KAP and Modified Fall Efficacy Scale was promoted (p < .05).

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Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

Cited by 4 publications

References 37 publications

Hospital falls clinical practice guidelines: a global analysis and systematic review

Hospital falls clinical practice guidelines: a global analysis and systematic review

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study

Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

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