Exploring the influence of hospital context on acute care physical therapy fall prevention practice: A qualitative study.
Background: Falls are a significant concern for hospitals and patients. The risk of falls is particularly heightened around the period of hospitalization. Physical therapy (PT) is commonly consulted for hospitalized patients at-risk for falls, yet it is unknown how the hospital context influences fa...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 8; pp. 1675 - 1694 |
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| Autores principales: | , , , , , |
| Formato: | glossary research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2025
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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=187097471&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187097471 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Aug2025 vid: 41 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 187097471 182089634 187097471 187097471 10.1080/09593985.2024.2447923 187097471 ppf: 1675 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring the influence of hospital context on acute care physical therapy fall prevention practice: A qualitative study. aug: au: Crick, James P. Hewitt, Gideon Juckett, Lisa Salsberry, Marka Quatman, Carmen E. Quatman-Yates, Catherine C. affil: University Hospitals, The Ohio State University Wexner Medical Center, Columbus, OH, USA sug: subj: Acute Care Physical Therapy Accidental Falls Prevention and Control Hospitals Physical Therapist Attitudes Evaluation Practice Patterns Treatment Outcomes Human Prospective Studies Qualitative Studies Collaboration Interviews Physical Mobility Multidisciplinary Care Team Nursing Staff, Hospital Personnel Staffing and Scheduling Built Environment Convenience Sample Semi-Structured Interview Interview Guides Thematic Analysis Coding Adult Middle Age Aged Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Background: Falls are a significant concern for hospitals and patients. The risk of falls is particularly heightened around the period of hospitalization. Physical therapy (PT) is commonly consulted for hospitalized patients at-risk for falls, yet it is unknown how the hospital context influences fall prevention practice among physical therapists. Purpose: To explore the perspectives of acute care physical therapists on fall prevention practices within hospital settings and examine how specific contextual factors influence their practice patterns and the effectiveness ofPT interventions. Methods: A prospective qualitative study using collaborative qualitative data analysis was conducted through semi-structured interviews with acute care physical therapists nationwide. Interviews focused on therapists' perceptions of fall prevention practices, PT intervention effectiveness, and the influence of hospital context. Results: We derived three primary themes and ten subthemes. First, mobility promotion was identified as central to fall prevention, requiring a system-wide culture involving multidisciplinary teams, particularly nursing staff. Second, systemic factors, such as time constraints, institutional priorities, high patient volumes, staff availability, equipment availability, and the physical environment, were found to limit optimal PT practice for fall prevention. Third, the effectiveness of PT interventions was context-dependent, with therapists adapting their practices to maximize impact within systemic constraints. Notably, clinical experience seemed to mitigate some practice limitations. Conclusions: Despite the acknowledged benefits of PT, systemic factors often prevent therapists from implementing effective fall prevention interventions. Addressing these contextual barriers and developing standards of practice may enhance patient safety and the overall success of fall prevention efforts in hospitals. pubtype: Academic Journal doctype: glossary research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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