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Related Experiment Videos

Inpatient fall prevention from the patient's perspective: A qualitative study.

Bethany Radecki1, Staci Reynolds2, Areeba Kara1

  • 1Indiana University Health Methodist Hospital, 1701 North Senate Blvd, Indianapolis, IN 46202, USA.

Applied Nursing Research : ANR
|September 18, 2018
PubMed
Summary

Understanding patient perspectives on hospital fall prevention is crucial. Shifting to patient-centered strategies can improve safety and reduce reliance on alarms.

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Qualitative health research

Background:

  • Falls are a common adverse event in hospitals, causing patient harm and increasing costs.
  • Limited research exists on patient perspectives regarding fall risk and prevention strategies.
  • Understanding patient views is essential for developing effective fall prevention programs.

Purpose of the Study:

  • To explore and describe the patient's perspective on fall prevention within an acute care setting.
  • To inform the design of patient-centered fall prevention strategies.
  • To identify patient beliefs and barriers related to fall prevention.

Main Methods:

  • Conducted semi-structured interviews with twelve patients at an academic healthcare center.
Keywords:
Fall preventionFallsNurse-patient relationshipPatient centeredPerception

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  • Employed qualitative analysis to identify key themes from patient narratives.
  • Focused on understanding patient self-perception, views on interventions, and participation barriers.

    • Main Results:

    • Identified three major themes: "How I see myself" (awareness, acceptance, emotions, personal plan), "How I see the interventions" (alarms, equipment usefulness), and "How I see us" (barriers to participation).
    • Patients' beliefs about their own fall risk significantly influence their engagement with prevention strategies.
    • Barriers to participating in fall prevention plans were identified from the patient's viewpoint.

    Conclusions:

    • Current fall prevention programs are often clinician-led, necessitating a shift towards patient-centered approaches.
    • Nurses building relationships with patients can enhance understanding and tailor interventions to individual needs.
    • Patient-centered strategies may reduce over-reliance on bed alarms and address modifiable risk factors more effectively.