Interventions to Prevent Falls and Injuries in Inpatient Oncology Units: A Scoping Review.

Area of Science:

• Oncology Nursing
• Patient Safety
• Quality Improvement

Background:

• Hospitalized cancer patients are at increased risk for falls and injuries.
• Falls pose a significant threat to patient well-being during cancer treatment.

Purpose of the Study:

• To systematically review and assess the efficacy of fall prevention strategies in inpatient oncology settings.
• Evaluate existing literature on interventions to reduce falls among cancer patients.

Main Methods:

• Systematic literature search across 5 databases following PRISMA guidelines.
• Screening of 1039 studies by independent reviewers.
• Methodological quality assessment using the Quality Improvement Minimum Quality Criteria Set.

Main Results:

• Ten quality improvement studies were included, all employing multifactorial interventions.
• Most interventions were staff-focused, based on assessments, with limited cancer-specific targeting.
• Few interventions actively incorporated patient input.

Conclusions:

• Individualized assessments and interventions improve care when aligned between care teams and patients.
• Nurse rounding and patient engagement enhance communication, self-assessment, satisfaction, and adherence.
• Further research and technological advancements are recommended for fall prevention.