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Nurse-led fall prevention programs in acute care settings: An integrative review
Sahar Abdulkarim AlGhareeb1, Nora Ghalib AlOtaibi2, Lujain Adel Sallam3
1Fundamentals of Nursing Department, Imam Abdulrahman Bin Faisal University, College of Nursing, Dammam, Saudi Arabia.
International Journal of Nursing Studies Advances
|November 17, 2025
Summary
Nurse-led programs significantly reduce inpatient falls in acute care settings. Combining multiple fall prevention strategies is more effective than using a single approach for minimizing fall incidents.
Area of Science:
- Nursing Research
- Patient Safety
- Healthcare Management
Background:
- Falls in acute care settings lead to adverse patient outcomes and increased healthcare costs.
- There is a lack of comprehensive reviews on nurse-led fall prevention programs in acute care.
Purpose of the Study:
- To synthesize evidence on nurse-led programs for preventing falls in adult inpatients.
- To identify effective strategies for fall prevention in acute care settings.
Main Methods:
- Integrative review using Whittemore and Knafl's framework.
- Systematic literature search (2016-2024) across major databases.
- Data extraction and quality appraisal using Mixed Methods Appraisal Tool.
Main Results:
- 23 studies were included from 873 screened articles.
- Identified themes: fall prevention strategies, nursing education, fall rate outcomes, organizational factors.
- Multiple intervention strategies were more effective than single strategies.
Conclusions:
- Nurse-led interventions are crucial for reducing inpatient falls.
- Future research should focus on enhancing and recommending multiple intervention strategies.
- Combining strategies improves effectiveness in minimizing fall incidents.
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