2.50
Hdl Handle:
http://hdl.handle.net/10755/182045
Category:
Abstract
Type:
Presentation
Title:
Understanding Fall Risk from the Medical-Surgical Patients Perspective: A Qualitative Study
Author(s):
Redmond, Margaret
Author Details:
Margaret Redmond, BSN, RN, OCN, Operations Coordinator, Ochsner Medical Center, New Orleans, Louisiana, USA, email: mredmond@ochsner.org
Abstract:
Poster presentation, ANCC National Magnet Conference: Inpatient falls and fall-related injuries remain a persistent challenge for nursing. Falls lead to adverse outcomes, including 30% of hospital injuries, at an estimated cost of $19 billion annually. At this institution, adverse outcome report data identified "instructions disregarded" as a major contributor for falls. Awareness of ones belief about health-related behaviors is essential to determine the effect beliefs have on behavior. However, a knowledge gap exists regarding how patients' perceptions about individual risk and understanding of safety instructions impacts inpatient fall reduction. The purpose of this qualitative study was to uncover fundamental information about medical-surgical patients' perceptions of their fall risk and factors impacting their risk for falling. The purposive sample included medical-surgical patients hospitalized at a 540-bed tertiary teaching hospital. Open-ended interview questions were used to answer the research questions: Do patients perceive that they were informed of their individual fall risk? Can patients verbalize fall-related safety instructions? What factors impact their ability to wait for help? Redundancy was achieved with 37 participants. Content analysis revealed three themes: nursing issues, patients' physical condition and personality traits. Researchers discovered that most participants did not perceive they were given adequate instructions about risk and prevention, some indicated they would never call for assistance irrespective of instructions, and others will not wait for help more than five minutes. These findings suggests a need for individual daily fall-risk education, daily assessment of safety instruction understanding/adherence and tolerance to wait for help, and reinforcement of instructions using multiple modalities in this patient group.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUnderstanding Fall Risk from the Medical-Surgical Patients Perspective: A Qualitative Studyen_GB
dc.contributor.authorRedmond, Margareten_US
dc.author.detailsMargaret Redmond, BSN, RN, OCN, Operations Coordinator, Ochsner Medical Center, New Orleans, Louisiana, USA, email: mredmond@ochsner.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182045-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: Inpatient falls and fall-related injuries remain a persistent challenge for nursing. Falls lead to adverse outcomes, including 30% of hospital injuries, at an estimated cost of $19 billion annually. At this institution, adverse outcome report data identified "instructions disregarded" as a major contributor for falls. Awareness of ones belief about health-related behaviors is essential to determine the effect beliefs have on behavior. However, a knowledge gap exists regarding how patients' perceptions about individual risk and understanding of safety instructions impacts inpatient fall reduction. The purpose of this qualitative study was to uncover fundamental information about medical-surgical patients' perceptions of their fall risk and factors impacting their risk for falling. The purposive sample included medical-surgical patients hospitalized at a 540-bed tertiary teaching hospital. Open-ended interview questions were used to answer the research questions: Do patients perceive that they were informed of their individual fall risk? Can patients verbalize fall-related safety instructions? What factors impact their ability to wait for help? Redundancy was achieved with 37 participants. Content analysis revealed three themes: nursing issues, patients' physical condition and personality traits. Researchers discovered that most participants did not perceive they were given adequate instructions about risk and prevention, some indicated they would never call for assistance irrespective of instructions, and others will not wait for help more than five minutes. These findings suggests a need for individual daily fall-risk education, daily assessment of safety instruction understanding/adherence and tolerance to wait for help, and reinforcement of instructions using multiple modalities in this patient group.en_GB
dc.date.available2011-10-28T15:06:35Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:06:35Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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