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Design and Analysis for Fall Detection System Simplification
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Inpatients' experiences of falls: A qualitative meta-synthesis
Rebecca J Jarden1,2, Katherine Cherry1, Emma Sparham1
1Austin Health, Melbourne, Australia.
Journal of Advanced Nursing
|May 29, 2024
Summary
Inpatient falls stem from physiological, environmental, and help-seeking factors. Understanding patient experiences of falls can inform new prevention strategies and improve hospital safety.
Area of Science:
- Healthcare Safety
- Qualitative Research Synthesis
- Patient Experience
Background:
- Inpatient falls represent a persistent and costly challenge in healthcare safety and quality.
- Despite global prevention initiatives, inpatient falls remain a significant issue.
Purpose of the Study:
- To synthesize qualitative research on inpatient fall experiences.
- To identify novel insights into the complex problem of patient falls in hospitals.
Main Methods:
- A qualitative meta-synthesis approach was employed.
- Systematic search of multiple online databases (MEDLINE, Embase, Emcare, CINAHL, Scopus, ProQuest).
- Inductive analysis and interpretation of 10 included qualitative studies.
Main Results:
- Four themes emerged from patient fall experiences: physiological/anatomical changes, help-seeking behaviors, environmental/equipment issues, and self-blame/confidence impacts.
- Physiological factors included medical conditions and medication side effects affecting balance.
- Environmental factors involved difficulties accessing equipment and changes in surroundings.
- Psychological impacts included self-blame and reduced confidence in mobility post-fall.
Conclusions:
- Inpatient falls are influenced by a complex interplay of individual, relational, and environmental factors.
- Patient perspectives offer valuable insights for developing future fall prevention interventions.
- Strength-based approaches balancing independence and support may enhance current strategies.
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