Patient, Nurse, and Organizational Factors That Influence Evidence‐Based Fall Prevention for Hospitalized Oncology Patients: An Exploratory Study.
Background: Hospital falls remain common despite decades of studies and guidelines to reduce their rate. Research evidence alone is insufficient, and integration of patient values and preferences, clinician expertise and experiences, and organizational culture is needed to ensure sustainable practic...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 16; no. 2; pp. 111 - 121 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135861228&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135861228 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Apr2019 vid: 16 iid: 2 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 135861228 135861228 135861228 10.1111/wvn.12353 135861228 ppf: 111 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Patient, Nurse, and Organizational Factors That Influence Evidence‐Based Fall Prevention for Hospitalized Oncology Patients: An Exploratory Study. aug: au: Tucker, Sharon Sheikholeslami, Deborah Farrington, Michele Picone, Debra Johnson, Janis Matthews, Grace Evans, Rhonda Gould, Renee Bohlken, Deborah Comried, Lynn Petrulevich, Kelly Perkhounkova, Elena Cullen, Laura affil: Translational Research Core, Helene Fuld Health Trust National Institute for EBP in Nursing & Healthcare, College of Nursing, The Ohio State University, Columbus OH, USA sug: subj: Nursing Practice, Evidence-Based Accidental Falls Prevention and Control Patient Safety Hospitalization Cancer Patients Psychosocial Factors Nursing Staff, Hospital Psychosocial Factors Organizational Culture Human Exploratory Research Quality Improvement Descriptive Research Academic Medical Centers Midwestern United States Interviews Questionnaires Descriptive Statistics Narratives Confidence Nursing Knowledge Convenience Sample Summated Rating Scaling Scales Self-Efficacy Open-Ended Questionnaires Patient Attitudes Health Knowledge Oncology Nursing ab: Background: Hospital falls remain common despite decades of studies and guidelines to reduce their rate. Research evidence alone is insufficient, and integration of patient values and preferences, clinician expertise and experiences, and organizational culture is needed to ensure sustainable practice changes. Little is known about the best strategies for integrating these constructs to sustain effective fall prevention programs. Aims: Guided by the Comprehensive Framework for Implementation Research (CFIR), this study aimed to identify patient, nursing staff, and organizational‐level factors that influence effective and sustainable fall prevention strategies with the goal of identifying variables amenable to targeted interventions. Methods: A descriptive research design engaged four oncology units in a Midwestern academic medical center and included patients (N = 39) and nursing staff (N = 70). Questionnaire data were collected from patients with interview assistance, and nursing staff completed a demographic form and two standardized instruments adapted for the study. Data were analyzed using descriptive statistics and narrative summaries. Results: Findings indicated two‐thirds of patients did not see themselves at risk for falling, despite nearly half having a fall history. Nursing staff indicated knowledge gaps related to specific known risks and interventions, and confidence in fall prevention management was lowest for team communication about patient risks and engaging patients and families in preventing falls. Linking Evidence to Action: Engagement of patients in fall risk assessment and management, clear and routine communication among team members, and creating a culture of true engagement with appropriate leadership and resources can potentially improve the sustainability of successful fall prevention programs. The CFIR can guide the planning of fall prevention and other evidence‐based practice changes to become hardwired and sustainable over time even with the ongoing introduction of new initiatives. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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