Perspectives of Recently Discharged Patients on Hospital Fall-Prevention Programs

“…Patients 65 years and older who were recently discharged from a United States hospital expressed a need for nurses to give and repeat directives about fall prevention 1. These patients found that when the nurse left a brochure on the topic, but did not provide any (or limited) verbal explanations about the content or importance of the information, the patient felt that the information was insufficient 1.…”

Section: Introductionmentioning

confidence: 99%

“…These patients found that when the nurse left a brochure on the topic, but did not provide any (or limited) verbal explanations about the content or importance of the information, the patient felt that the information was insufficient 1. Patients are entitled to receive quality fall prevention care tailored to their risk for falling, and such patient centeredness could lead to safe hospital stays 2.…”

Section: Introductionmentioning

confidence: 99%

i Engaging as an innovative approach to engage patients in their own fall prevention care

Tzeng¹,

Yin²

2014

PPA

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Decreasing patient fall injuries during hospitalization continues to be a challenge at the bedside. Empowering patients to become active participants in their own fall prevention care could be a solution. In a previous study, elderly patients recently discharged from a United States hospital expressed a need for nurses to give and repeat directives about fall prevention; when the nurse left a brochure on the topic, but did not provide any (or limited) verbal explanations about the content or the importance of the information, the patient felt that the information was insufficient. To address patients’ needs, we developed “i Engaging”, a Web-based software application for use at the bedside. i Engaging is an innovative approach that is used to engage patients in their own fall prevention care during hospital stays. The application was designed based on the assumption that patients are the best and most critical sources of information about their health status. i Engaging has not yet been tested in clinical trials.

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“…24 Nurses identified cognitive impairment, Alzheimer's, disorientation, patient inability to follow safety instruction, and imbalance/gait problems as the most frequently observed risk factors for patient falls. 25 A well designed education program with visual cues that engaged the patient and more frequent repetition of fall prevention messages from nurses were recommended improvements.…”

Section: Factors Related To Risk Of Falling When Hospitalizedmentioning

confidence: 99%

“…22,23 Environmental risk factors included a higher percentage of falls occurring in the evening hours, lack of access to ambulatory assistive devices, absence of clear pathways in the hospital room, failing to keep the bed height in the low position, failure to apply brakes on the bed, lack of proper footwear, good lighting, and prompt call bell responses by nursing personnel. 18,24,25 Insights from patients and caregivers on fall prevention…”

Section: Factors Related To Risk Of Falling When Hospitalizedmentioning

confidence: 99%

Preventing Falls in an Acute Care Setting Through Patient and Family Education

Hahn¹

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Patient falls are of particular interest to hospitals as they are the leading cause of adverse events in this setting and the Center for Medicare and Medicaid no longer reimburses hospitals for care related to serious injury from a patient fall. Evidence based protocols and the literature support multifaceted fall prevention interventions, one of which is falls prevention education to patients and their families. A gap was found in the availability of evidence based falls prevention education.The study sought to determine if falls and falls with injury rates are decreased in older adults when patients and family support are provided an educational video on falls prevention based on the theory of planned behavior and social support theory. A 36 bed medical unit in a 238 bed community hospital provided a sample of convenience for this quasi-experimental two group design study with a comparison group (N = 100) receiving usual care and education brochure and intervention group (N = 92) receiving usual care, education brochure, and video with teach-back.The study was unable to reinforce social support due to the small numbers of family viewing the video (N = 7). No statistical difference between groups was found based on rates of falls per 1000 patient days, 2(1, N = 192) = 1.86, p = .270 due to the small number of falls. However, a statistically significant difference was demonstrated between groups in the proportion of patients receiving any falls education intervention based on the study phase, 2(1, N = 192) =0.20, p < .001 and exceeded convention for medium effect size. This statistical difference between groups for fidelity of education intervention supports clinically significant findings when comparing the frequency of fall rates between groups (Phase 1 = 6.01 vs. Phase 2 = 0.0). Interestingly, 3 70% of intervention participants viewed a falls education video and 94% of these participants received follow up by way of teach-back by the Registered Nurse. The results of this study provide clinically significant support for previous study's findings for the use of multimedia education and teach-back.Keywords: falls, education, hospital, acute care, older, education, and planned behavior. IntroductionFalling is a serious public health problem which can reduce quality of life and cause death. According to a report from the Center for Disease Control and Prevention (CDCP) falls in older adults, 65 years of age and older, are the leading cause of injury death and the most common cause of hospital admissions for trauma (CDCP, 2005).Further, traumatic brain injury accounted for 46% of fall injury deaths in 2000 and predicts that without intervention, there will be 500,000 hip fractures per year related to falls by 2040. In addition, hip fractures may cause significant functional impairment, require nursing home placement, and one in five hip fractures result in death (CDCP, 2005).The United States Department of Health and Human Services has promoted interest in falls prevention in the Healthy People campai...

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Perspectives of Recently Discharged Patients on Hospital Fall-Prevention Programs

Cited by 24 publications

References 10 publications

Efectividad de las intervenciones para la prevención de caídas en ancianos: revisión sistemática

Efectividad de las intervenciones para la prevención de caídas en ancianos: revisión sistemática

i Engaging as an innovative approach to engage patients in their own fall prevention care

Preventing Falls in an Acute Care Setting Through Patient and Family Education

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