Risk Factors Related to Caregivers in Hospitalized Children's Falls

Almış, Habip; Bucak, İbrahim Hakan; Konca, Çapan; Turğut, Mehmet

doi:10.1016/j.pedn.2016.10.006

Cited by 21 publications

(31 citation statements)

References 24 publications

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“…Parents expressed their need for information, particularly how best to support their child's mobilization following surgery or prolonged periods of bed rest. Although it is outside the scope of this study to determine why falls education and communication of risk were absent or if parents' lack of knowledge contributed to inpatient falls during the study period, studies have demonstrated an inverse relationship between knowledge and falls (Almis et al, ; Lee et al, ; Tung et al, ). Effective communication and reinforcement of risk and falls education requires focused attention to overcome knowledge gaps (Jamerson et al, ; Tung et al, ; Warda, ).…”

Section: Discussionmentioning

confidence: 99%

“…Timing of education, content of information, measures to reinforce key falls prevention messages (Fujita et al, ; Lee et al, ), and engagement of parents in the safety agenda (Berger et al, ) should be considered. The rate of inpatient falls increase over time (Almis et al, ; Fujita et al, ; Razmus et al, ) with two studies demonstrating a peak in fall rates 3 days after admission (Fujita et al, ; Jamerson et al, ). Fujita et al () suggests that falls education be delivered on day one and day three.…”

Section: Discussionmentioning

confidence: 99%

“…The rate of inpatient falls increase over time (Almis et al, 2017;Fujita et al, 2013;Razmus et al, 2006) with two studies demonstrating a peak in fall rates 3 days after admission (Fujita et al, 2013;Jamerson et al, 2014). Fujita et al (2013) suggests that falls education be delivered on day one and day three.…”

Section: Ways Of Learning About Inpatient Falls and Risksmentioning

confidence: 99%

“…The prevention of pediatric inpatient falls is a global priority (World Health Organisation, ) and a component of the Australian Council of Healthcare Standards (Australian Commission on Safety & Quality in Health Care, , ; World Health Organisation, ). Hospital falls pose a safety risk to pediatric patients, potentially causing harm (Jamerson et al, ; Wallace, ), increasing the length of stay (Almis, Bucak, Konca, & Turgut, ), health related costs, and death (Warda, ).…”

Section: Introductionmentioning

confidence: 99%

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Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Shala

Brogan

Cruickshank

et al. 2019

Specialist Pediatric Nursing

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Purpose While there has been extensive published research into adult inpatient falls, less is known about pediatric falls in Australia. Falls pose a safety risk to pediatric patients potentially causing harm, increased length of stay, and death. Parents play a central role in reducing falls‐related incidents given that, as parents, they provide care and/or oversee care delivered to their child at the bedside. Developing a better understanding of what parents and carers know about falls and associated risks, particularly those hospital‐naïve, is central to developing family centered strategies and targeted education to meet the needs of parents. Our study aimed to explore Australian parents’ knowledge and awareness of pediatric inpatient falls. Design Qualitative methods utilizing descriptive thematic analysis. Methods Parents of children and/or young people hospitalized during the last 6 months were eligible to participate. Potential participants attending the outpatient clinics of two tertiary pediatric outpatient clinics hospitals in Sydney, Australia were invited to participate in the study. Willing participants consented to complete a face to face in‐depth interview. Open‐ended questions sought to explore participants’ knowledge, knowledge acquisition, and awareness of inpatient falls. Interviews were digitally recorded and transcribed verbatim. Data familiarization and open coding were completed by researchers independently. Researchers explored and discussed emerging categories until patterns emerged and a consensus of dominant themes were agreed upon. ResultsInterviews were conducted with mothers (n = 17), fathers ( n = 4), or both parents together (n = 2) of a child or a young person who had been recently hospitalized. Four dominant themes emerged from the data namely: Supervision: falls won't happen, unexpected, parent priorities, and ways of learning about inpatient falls and risks. Despite parents' awareness of falls risk, parents were unaware that falls occur within a hospital setting and did not prioritize “falls prevention” during admission. Practice implications Findings have implications for nursing practice, particularly in the delivery, content, and timing of falls prevention education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Ways Of Learning About Inpatient Falls and Risksmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Shala

Brogan

Cruickshank

et al. 2019

Specialist Pediatric Nursing

View full text Add to dashboard Cite

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“…[22][23][24][25][26][27][28] Ülkemizde yapılan bir çalışmada ise bu popülasyondaki düşme insidansı 1000 hasta günü başına 1:23 olarak bildirilmiştir. 29 Birçok ülkede olduğu gibi ülkemizde de, hastanede kalış süresince aile üyeleri, hastaya refakat etmekte ve bakım sürecine dahil olmaktadır. Hastaya refakat eden bu kişilerin, hastayı yakından izleyerek maruz kalabileceği tehlikelerden koruyabilecekleri varsayılmaktadır.…”

Section: Introductionunclassified

Pediatrik Hasta Popülasyonundaki Düşme Riskine Yönelik Refakatçi Ebeveynlerin Farkındalık ve Uygulamaları

Kısacık

Firin

2019

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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ÖzAmaç: Bu çalışma refakatçi ebeveynlerin, pediatrik popülasyondaki düşmeler ve alınması gereken önlemler konusundaki farkındalık ve uygulamalarını belirlemek amacıyla yapıldı. Yöntem: Tanımlayıcı ve kesitsel tipteki bu çalışma 01.01.2019-01.04.2019 tarihleri arasında Afyonkarahisar'daki bir kamu hastanesinin pediatri kliniklerinde refakatçi olarak bulunan 350 ebeveyn ile yürütülmüştür. Araştırma verileri, üç bölümden oluşan veri toplama formu ve Harizmi Düşme Riski Ölçeği ile elde edilmiştir. Bulgular: Refakatçi ebeveynlerin çoğunluğunun kadın (%92,8) ve rekafat ettiği çocuğun annesi (%82,6) olduğu saptanmıştır. Refakat eden ebeveynlerin sadece %61,4'ünün hastaneye yattığında kliniğe ve hasta odasına uyuma yönelik klinik hemşireleri tarafından bilgilendirildiği,%42,3'ünün refakat ettiği çocukta düşme riskinin önlenmesine yönelik bilgilendirilmediği belirlenmiştir. Refakat edilen çocuk hastaların %58,9'unun yüksek düşme risk grubunda bulunduğu, düşme riski puan ortalamalarının 22,43±5,07 olduğu belirlenmiştir. Refakatçi ebeveynlerin, hastane ortamından kaynaklanabilecek risk faktörlerine ilişkin farkındalıklarının ve uygulamalarının daha yüksek olduğu, çocuk ile ilişkili bireysel düşme risk faktörlerine ve ebeveyn ile ilişkili önleyici davranışlara yönelik uygulamalarının yeterli olmadığı saptanmıştır. Sonuç: Pediatrik yaş grubundaki hastalara refakat eden ebeveynlerin çocuklarda düşmeye neden olabilecek risk faktörlerine yönelik farkındalık ve uygulamalarının istendik düzeyde olmadığı ve eğitim gereksinimlerinin bulunduğu sonucuna ulaşılmıştır. AbstractObjective: This study was implemented for the purpose of determining the awareness and applications of attendant parents concerning the falls in pediatric population and precautions to be taken. Methods: The descriptive and cross-sectional study was carried out with 350 attendant parents in pediatry clinics of a public hospital in Afyonkarahisar between 01.01.2019-01.04.2019. The data were gathered via data collection form consisting of three parts and Harizmi Fall Risk Scale. Results: It was determined that majority of the attendant parents were women (92.8%) and mothers of the pediatric patients (82.6%). It was determined that only 61.4% of the attendant parents had been informed by clinical nurses on adaptation to clinic and patient room in case of hospitalization, whereas 42.3% had not been informed on the prevention of the risk of fall in the child attended. It was found that 58.9% of the pediatric patients who were attended had a higher risk of fall and their score average of the risk of fall was 22.43±5.07. It was determined that the attendant parents had higher awareness and applications concerning risk factors which could arise from the hospital environment and there were nonsufficient applications aimed at individual risk factors of fall concerning children and parent-related preventive behaviors. Conclusion: It was concluded that parents attending pediatric patients did not have sufficient levels of awareness and applications concerning risk factors tha...

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Development of an evidence‐based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test

Chen

Liu

2022

Nursing Open

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Aim The aim of the study was to develop an evidence‐based care bundle protocol for preventing falls in hospitalized children. Design Delphi method. Methods Based on the four basic concepts of nursing, the theoretical dimension and item pool of the care bundle first draft were constructed by searching evidence and referring to the care bundle for preventing inpatient fall issues by the China Nursing Quality Promotion Alliance. The Delphi method and trial tests were used to select and adjust items of the care bundle to form the care bundle protocol for preventing falls in hospitalized children. Results The first draft care bundle for preventing falls in hospitalized children included 4 dimensions and 21 items. In the 2‐round Delphi study, one item was removed, and three items were adjusted. One item was adjusted by trial test. Finally, the care bundle protocol for preventing falls in hospitalized children consisted of 4 dimensions and 20 items.

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Risk Factors Related to Caregivers in Hospitalized Children's Falls

Cited by 21 publications

References 24 publications

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Pediatrik Hasta Popülasyonundaki Düşme Riskine Yönelik Refakatçi Ebeveynlerin Farkındalık ve Uygulamaları

Development of an evidence‐based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test

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