Fall Prevention at General Hospitals in Singapore - A Strategy for Implementation of Clinical Practice Guidelines

2.50
Hdl Handle:
http://hdl.handle.net/10755/151293
Type:
Presentation
Title:
Fall Prevention at General Hospitals in Singapore - A Strategy for Implementation of Clinical Practice Guidelines
Abstract:
Fall Prevention at General Hospitals in Singapore - A Strategy for Implementation of Clinical Practice Guidelines
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Koh, Serena Siew Lin, BSc, (Hons), Adv, Dip, (Midwifery), RN
P.I. Institution Name:University of Melbourne
Title:PhD Candidate
Co-Authors:Elizabeth Manias, RN, CertCritCare, BPharm, MNStud, PhD, FRCNA; Alison M. Hutchinson, PhD and Linda Johnston, PhD, BSc, Dip, N, RN
[Evidence-based Presentation] SUMMARY: Falls are identified as a significant issue for patient safety in hospital settings. There is an imperative to effectively implement the Ministry of Health (MOH, Singapore) Fall Prevention Clinical Practice Guidelines (CPG). Implementation of CPGs requires a multi-faceted and tailored approach, recognizing both barriers to, and facilitators for, success. AIMS:The aims of the study are: (1) to determine incidence of falls and explore fall prevention practices; and (2) to elicit nurses' opinions regarding barriers to, and facilitators for implementation of clinical practice guidelines in their acute care practice settling. áMETHODS: A retrospective audit to collect baseline data on (1) incidence of falls (patient fall rates and fall injury rates) and (2) fall prevention practices, was conducted in five general hospitals in Singapore.á A survey was then conducted to assess nurses' perception of barriers to change in their practice setting, using a validated self-administered questionnaire.áRESULTS: Number of fallers for all the hospitals was n=824. Analysis showed that patient fall rates ranged from 0.68 - 1.44 per 1000 patient days and fall-associated injury rates ranged from 24.4 - 71.7%. Use of a fall risk assessment tool by nurses was recorded in 76.9% of all nursing records.áThe highest percentage of barriers identified were: knowledge & motivation (85.4%); education (54.2%), supporting staff (81.4%) and facilities (72.3%). CONCLUSION: This study has laid the foundation for further research for fall prevention in Singapore by describing current fall incidence, fall-associated injury rates and the status of fall prevention practices in acute care settings. The results of this study are being used to inform the development of a multifaceted strategy with tailored interventions to support the implementation of clinical practice guidelines. Implementation of CPGs using an evidence-based approach should result in minimising the incidence of falls in acute hospitals in Singapore.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFall Prevention at General Hospitals in Singapore - A Strategy for Implementation of Clinical Practice Guidelinesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151293-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Fall Prevention at General Hospitals in Singapore - A Strategy for Implementation of Clinical Practice Guidelines</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Koh, Serena Siew Lin, BSc, (Hons), Adv, Dip, (Midwifery), RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Melbourne</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">PhD Candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">s.koh2@pgrad.unimelb.edu.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Elizabeth Manias, RN, CertCritCare, BPharm, MNStud, PhD, FRCNA; Alison M. Hutchinson, PhD and Linda Johnston, PhD, BSc, Dip, N, RN</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] SUMMARY: Falls are identified as a significant issue for patient safety in hospital settings. There is an imperative to effectively implement the Ministry of Health (MOH, Singapore) Fall Prevention Clinical Practice Guidelines (CPG). Implementation of CPGs requires a multi-faceted and tailored approach, recognizing both barriers to, and facilitators for, success. AIMS:The aims of the study are: (1) to determine incidence of falls and explore fall prevention practices; and (2) to elicit nurses' opinions regarding barriers to, and facilitators for implementation of clinical practice guidelines in their acute care practice settling. &aacute;METHODS: A retrospective audit to collect baseline data on (1) incidence of falls (patient fall rates and fall injury rates) and (2) fall prevention practices, was conducted in five general hospitals in Singapore.&aacute; A survey was then conducted to assess nurses' perception of barriers to change in their practice setting, using a validated self-administered questionnaire.&aacute;RESULTS: Number of fallers for all the hospitals was n=824. Analysis showed that patient fall rates ranged from 0.68 - 1.44 per 1000 patient days and fall-associated injury rates ranged from 24.4 - 71.7%. Use of a fall risk assessment tool by nurses was recorded in 76.9% of all nursing records.&aacute;The highest percentage of barriers identified were: knowledge &amp; motivation (85.4%); education (54.2%), supporting staff (81.4%) and facilities (72.3%). CONCLUSION: This study has laid the foundation for further research for fall prevention in Singapore by describing current fall incidence, fall-associated injury rates and the status of fall prevention practices in acute care settings. The results of this study are being used to inform the development of a multifaceted strategy with tailored interventions to support the implementation of clinical practice guidelines. Implementation of CPGs using an evidence-based approach should result in minimising the incidence of falls in acute hospitals in Singapore.</td></tr></table>en_GB
dc.date.available2011-10-26T10:57:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:57:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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