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Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

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Related Experiment Video

Updated: Jul 3, 2026

Design and Analysis for Fall Detection System Simplification
08:05

Design and Analysis for Fall Detection System Simplification

Published on: April 6, 2020

Patient falls: acute care nurses' experiences.

Kathy L Rush1, Cathy Robey-Williams, Laura Michelle Patton

  • 1Faculty of Health and Social Development, School of Nursing, University of British Columbia Okanagan, Kelowna, BC, Canada. kathy.rush@ubc.ca

Journal of Clinical Nursing
|July 24, 2008
PubMed
Summary

Acute care nurses experience patient falls as a failure in "knowing the patient as safe." This knowledge is crucial for preventing falls, and when it fails, nurses experience significant stress and employ coping mechanisms.

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Published on: September 30, 2020

Area of Science:

  • Nursing
  • Patient Safety
  • Qualitative Research

Background:

  • Patient falls remain a significant challenge in acute care settings.
  • Nurses' perspectives on patient falls are under-explored despite extensive research on fall prevention.

Purpose of the Study:

  • To explore and describe the experiences of acute care nurses regarding patient falls.
  • To understand the strategies nurses use and the impact of falls on their practice.

Main Methods:

  • A qualitative descriptive design was employed.
  • Focus groups were conducted with nurses across various inpatient acute care settings.
  • Thematic analysis was used to analyze transcribed discussions.

Main Results:

  • Nurses define their experience with falls through
  • knowing the patient as safe
  • which involves assessment, monitoring, and communication.
  • Failures in this
  • knowing
  • led to stress and the use of coping strategies.
  • Environmental and situational factors influenced the effectiveness of nurses' strategies.

Conclusions:

  • The concept of
  • knowing the patient as safe
  • can balance patient safety and independence.
  • Nursing activities in fall prevention need to encompass patient perspectives and systemic factors like staffing and environment.
  • A multi-faceted approach, involving individual nurses and institutional support, is essential for effective fall prevention.