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Perspectives of Inpatients With Cancer on Engagement in Fall Prevention
K Renee Twibell1, Debra Siela1, Lori Delaney2
1Ball State University.
Hospitalized cancer patients sometimes bypass fall prevention plans to maintain independence and avoid incontinence when needing to use the bathroom. Nurses should build trust and involve patients in personalized toileting strategies.
Area of Science:
- Oncology Nursing
- Patient Safety
- Qualitative Research
Background:
- Hospitalized cancer patients are at increased risk for falls.
- Effective fall prevention strategies require patient engagement.
- Understanding patient perspectives is crucial for improving interventions.
Purpose of the Study:
- To explore hospitalized cancer patients' perspectives on engaging with fall prevention plans.
- To identify factors influencing patient decisions regarding fall prevention.
- To compare perspectives between patients who have fallen and those who have not.
Main Methods:
- A descriptive exploratory qualitative approach was used.
- Data were collected through interviews with 30 inpatients with cancer.
- Thematic analysis was applied to identify key themes.
Main Results:
- Six themes emerged regarding engagement in fall prevention.
- Patients' need to mobilize for toileting could lead to disengagement from plans.
- Decisions to mobilize independently were influenced by perceived mobilization capacity and nurses' behaviors.
- Concerns about incontinence, privacy, and independence were key drivers.
Conclusions:
- Nurses can enhance patient engagement by building trusting relationships.
- Involving patients in fall risk assessment is important.
- Tailoring toileting plans to ensure continence is a key nursing implication.
- Patient-centered approaches are vital for effective fall prevention in oncology.
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