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Development of an evidence-based care bundle protocol for preventing falls in hospitalized children: Delphi study and
Lixia Chen1,2,3, Wenjing Liu3, Hong Li1,2,4
1Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.
Insights
This study developed an evidence-based care bundle protocol to prevent falls in hospitalized children. The final protocol includes 4 dimensions and 20 items, enhancing patient safety.
Area of Science:
- Pediatric Nursing
- Patient Safety
- Evidence-Based Practice
Background:
- Hospitalized children are at risk for falls.
- Existing fall prevention strategies require refinement.
- A standardized, evidence-based approach is needed.
Purpose of the Study:
- To develop an evidence-based care bundle protocol for preventing falls in hospitalized children.
- To create a comprehensive and actionable fall prevention strategy.
Main Methods:
- Literature review and adaptation of existing protocols.
- Utilized the Delphi method for expert consensus.
- Incorporated trial testing for refinement.
Main Results:
- Initial draft comprised 4 dimensions and 21 items.
- Two-round Delphi process resulted in item removal and adjustment.
- Final protocol consists of 4 dimensions and 20 items.
Conclusions:
- The developed care bundle protocol provides a structured framework for fall prevention in pediatric hospital settings.
- This evidence-based protocol aims to reduce fall incidence and improve outcomes for hospitalized children.
Aim:
The aim of the study was to develop an evidence-based care bundle protocol for preventing falls in hospitalized children.
Design:
Delphi method.
Methods:
Based on the four basic concepts of nursing, the theoretical dimension and item pool of the care bundle first draft were constructed by searching evidence and referring to the care bundle for preventing inpatient fall issues by the China Nursing Quality Promotion Alliance. The Delphi method and trial tests were used to select and adjust items of the care bundle to form the care bundle protocol for preventing falls in hospitalized children.
Results:
The first draft care bundle for preventing falls in hospitalized children included 4 dimensions and 21 items. In the 2-round Delphi study, one item was removed, and three items were adjusted. One item was adjusted by trial test. Finally, the care bundle protocol for preventing falls in hospitalized children consisted of 4 dimensions and 20 items.
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