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Related Experiment Videos

CE: Original Research: Exploring Clinicians' Perceptions About Sustaining an Evidence-Based Fall Prevention Program.

Rebecca B Porter1, Laura Cullen, Michele Farrington

  • 1Rebecca B. Porter is a nursing practice leader and a clinical ethics resource nurse at the University of Iowa Hospitals and Clinics, Iowa City, where Laura Cullen is an evidence-based practice scientist, Michele Farrington is a clinical health care research associate, and Grace Matthews is a nursing practice leader. Sharon Tucker is the Grayce Sills Endowed Professor in psychiatric mental health nursing and director of the Translational Research Core at the Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare at the Ohio State University College of Nursing, Columbus; at the time of this writing, she was the director of nursing research, evidence-based practice and quality at the University of Iowa Hospitals and Clinics. Partial funding for this study was provided by the DAISY Foundation's J. Patrick Barnes Grant for Nursing Research and Evidence-Based Practice Projects. Contact author: Rebecca B. Porter, rebecca-b-porter@uiowa.edu. The authors and planners have disclosed no other potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|April 18, 2018
PubMed
Summary

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This summary is machine-generated.

Implementing evidence-based fall prevention in hospitals requires effective interprofessional communication and organizational support. While nurses are seen as primary leaders, a team approach is crucial for sustaining these vital patient safety practices.

Area of Science:

  • Healthcare Quality and Safety
  • Patient Fall Prevention
  • Interprofessional Collaboration

Background:

  • Hospitalized patients face significant risks of falls, necessitating effective prevention strategies.
  • A gap exists in understanding how to sustain evidence-based fall prevention practices.
  • The perspectives of the interprofessional healthcare team are vital for successful implementation.

Purpose of the Study:

  • To explore interprofessional healthcare team perspectives on implementing and sustaining evidence-based fall prevention practices.
  • To identify barriers and facilitators to the sustainability of fall prevention programs in hospitals.

Main Methods:

  • Qualitative study utilizing semistructured focus groups and individual interviews.
  • Conducted with 20 clinicians from various disciplines at a midwestern academic medical center.

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  • Data analyzed using inductive qualitative analysis.

    • Main Results:

    • Two primary themes emerged: interprofessional communication patterns and hospital organizational influences on sustainability.
    • Nursing staff were perceived as having primary responsibility for fall risk assessment and prevention.
    • Subthemes highlighted the impact of individual perceptions and organizational factors.

    Conclusions:

    • Sustainability of evidence-based fall prevention is influenced by professional practices and organizational characteristics.
    • Effective interprofessional communication and organizational support are key to sustaining fall prevention programs.
    • A collaborative, team-based approach is superior to labeling quality indicators as "nursing sensitive".