Inpatient fall prevention from the patient's perspective: A qualitative study

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

“…Despite the abundance of research findings, the implementation of evidence-based fall prevention programs is still slow and limited [3, 4, 6, 36]; there is also evidence to suggest that these interventions do not reduce incidence of falling [3, 14, 15, 36, 37]. Therefore, researchers [3, 39–42] have underscored the need to bridge the gap between research-based knowledge and practice in the field of fall prevention in order to enhance the implementation of evidence-based fall prevention programs.…”

A Patient-Centered Approach to Fall Prevention

“…The problem of patient falls and the challenge with fall prevention strategies are grounded in the lack of person-centeredness. The most common reason for a patient's fall in the acute care setting is the patients' reluctance to call for assistance that is influenced by a perception that nurses are too busy Radecki, Reynolds, & Kara, 2018). This negative perception by patients arise from the nurses' lack of effective interpersonal skills in conveying a genuine sense of caring and commitment to providing the best patient care (Caroll, .…”

Reducing Patient Falls Through Purposeful Hourly Rounding

“…For example, patients in Australia experienced 1,330 falls and 418 falls injuries from 27,026 hospital admissions, yielding 3.6% of patients involved in at least one fall and 1.2% in at least one fall with injury (Morello, 2015). In 2018, hospitals in the United States reported approximately 700,000 to 1,000,000 patient falls annually, with up to half resulting in injury (Radecki et al, 2018). These numbers mirror the global trend as patients in adult medical and surgical units have fall rates at 3.56 times per 1000 patient days, with 26.1% of falls resulting in patient injuries (Walsh et al, 2018).…”

“…Structured PHR, using an interdisciplinary care team and including specific nursing actions, aims to meet patient needs proactively, thereby decreasing falls (Olrich et al, 2012;Radecki et al, 2018). In seven hospitals throughout the country, that participated in a study using pilot units to reduce patient falls, purposeful rounding reduced falls by 62% over a 1-year period (The Health Research & Educational Trust, 2018).…”

“…When a multifaceted fall prevention program was employed over 11.5 years, the result was a 27.7% reduction in falls. Structured PHR aims to proactively meet patients' needs, however, no one exact method has proven to consistently decrease falls (Radecki et al, 2018).…”