Fall Prevention at Acute Care Hospitals in Singapore: A Strategy for Implementation of Clinical Practice Guidelines

2.50
Hdl Handle:
http://hdl.handle.net/10755/156218
Type:
Presentation
Title:
Fall Prevention at Acute Care Hospitals in Singapore: A Strategy for Implementation of Clinical Practice Guidelines
Abstract:
Fall Prevention at Acute Care Hospitals in Singapore: A Strategy for Implementation of Clinical Practice Guidelines
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Koh, Serena Siew Lin, BSc, (Hons), Adv, Dip, (Midwifery), RN
P.I. Institution Name:KK Women's and Children's Hospital
Title:Assistant Director of Nursing
Co-Authors:Elizabeth Manias, RN, MPharm, PhD; Alison M. Hutchinson, PhD; Linda Johnston, PhD, BSc, Dip, N, RN
[Research Paper or Poster Presentation] INTRODUCTION: This study sought to develop and evaluate the effectiveness of a tailored, multifaceted strategy with targeted interventions to support the implementation of a Fall Prevention Clinical Practice Guideline (CPG), as measured by a reduction in falls incidence and increased application of fall prevention practices in the five acute care hospitals in Singapore. METHODS: This æcontrolled before-and-after' study was conducted in four phases û a retrospective baseline audit on falls incidence and fall prevention practices; followed by administration of a questionnaire to elicit perceived barriers to implementation in five acute care hospitals; the conduct of a comparative study to evaluate the implementation strategy in a control hospital and intervention hospital; and a repeat follow-up audit on falls incidence and fall prevention practices at five acute care hospitals in Singapore. RESULTS: Mean post-knowledge test scores at 6 months post intervention were statistically significantly higher [t(516) = -3.33, p<0.01] at the intervention hospital (10.3 +/- 2.3) compared to the control hospital (9.8 +/- 1.8). Following implementation of the Fall Prevention CPG, there was no significant reduction in fall rate (0.67 û 1.36 per 1000 patient days), across the five hospitals. Findings indicated no significant difference between the intervention and the other hospitals in fall risk assessment practices following the multifaceted strategy with tailored interventions for the implementation of the CPG. There was approximately 99% compliance across the five hospitals on the documentation of fall risk assessment after implementation of CPG. CONCLUSION: An implementation strategy involving targeted multifaceted interventions for the implementation of the fall prevention CPG increased nurses' knowledge in fall prevention strategies and, though not statistically significant, was associated with a reduction in the incidence of falls. Additionally, following the implementation of the CPG, change in nurses fall prevention practice was evident across the five acute care 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 Acute Care Hospitals in Singapore: A Strategy for Implementation of Clinical Practice Guidelinesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156218-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Fall Prevention at Acute Care 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">2008</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">KK Women's and Children's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Director of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Serena.Koh.SL@kkh.com.sg</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Elizabeth Manias, RN, MPharm, PhD; Alison M. Hutchinson, PhD; Linda Johnston, PhD, BSc, Dip, N, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] INTRODUCTION: This study sought to develop and evaluate the effectiveness of a tailored, multifaceted strategy with targeted interventions to support the implementation of a Fall Prevention Clinical Practice Guideline (CPG), as measured by a reduction in falls incidence and increased application of fall prevention practices in the five acute care hospitals in Singapore. METHODS: This &aelig;controlled before-and-after' study was conducted in four phases &ucirc; a retrospective baseline audit on falls incidence and fall prevention practices; followed by administration of a questionnaire to elicit perceived barriers to implementation in five acute care hospitals; the conduct of a comparative study to evaluate the implementation strategy in a control hospital and intervention hospital; and a repeat follow-up audit on falls incidence and fall prevention practices at five acute care hospitals in Singapore. RESULTS: Mean post-knowledge test scores at 6 months post intervention were statistically significantly higher [t(516) = -3.33, p&lt;0.01] at the intervention hospital (10.3 +/- 2.3) compared to the control hospital (9.8 +/- 1.8). Following implementation of the Fall Prevention CPG, there was no significant reduction in fall rate (0.67 &ucirc; 1.36 per 1000 patient days), across the five hospitals. Findings indicated no significant difference between the intervention and the other hospitals in fall risk assessment practices following the multifaceted strategy with tailored interventions for the implementation of the CPG. There was approximately 99% compliance across the five hospitals on the documentation of fall risk assessment after implementation of CPG. CONCLUSION: An implementation strategy involving targeted multifaceted interventions for the implementation of the fall prevention CPG increased nurses' knowledge in fall prevention strategies and, though not statistically significant, was associated with a reduction in the incidence of falls. Additionally, following the implementation of the CPG, change in nurses fall prevention practice was evident across the five acute care hospitals in Singapore.</td></tr></table>en_GB
dc.date.available2011-10-26T14:34:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:34:11Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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