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Journal of advanced nursing
Aug, 2022;78 (8): 2472-2481.

Gap between risk factors and prevention strategies? A nationwide survey of fall prevention among medical and surgical patients.

Lixia Xia, Yining Zheng, Zheng Lin, Peng Chen, Kewen Mei, Jing Zhao, Yilan Liu, Baoyun Song, Hongmei Gao, Chao Sun, Hui Yang, Ying Wang, Kuiqi Song, Yan Yang, Xiaorong Luan, Xianxiu Wen, Xin Yin, Adan Fu, Yinghua Cai, Liling Xie, Yaling Li, Jieyu Lu, Xinjuan Wu, Rong Wang, Zejuan Gu
Author Information
  1. Lixia Xia: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China. ORCID
  2. Yining Zheng: Chinese Nursing Association, Beijing, China.
  3. Zheng Lin: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
  4. Peng Chen: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
  5. Kewen Mei: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
  6. Jing Zhao: China-Japan Friendship Hospital, Beijing, China.
  7. Yilan Liu: Wuhan Union Hospital, Wuhan, China.
  8. Baoyun Song: Henan Provincial People's Hospital, Zhengzhou, China.
  9. Hongmei Gao: Xiangya Hospital Central South University, Changsha, China.
  10. Chao Sun: Beijing Hospital, Beijing, China.
  11. Hui Yang: First Hospital of Shanxi Medical University, Taiyuan, China.
  12. Ying Wang: Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
  13. Kuiqi Song: Anhui Provincial Hospital, Hefei, China.
  14. Yan Yang: Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
  15. Xiaorong Luan: Shandong University Qilu Hospital, Jinan, China.
  16. Xianxiu Wen: Sichun Provincial People's Hospital, Chengdu, China.
  17. Xin Yin: Jilin University First Hospital, Changchun, China.
  18. Adan Fu: The Central Hospital of Wuhan, Wuhan, China.
  19. Yinghua Cai: Wuxi People's Hospital, Wuxi, China.
  20. Liling Xie: The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. ORCID
  21. Yaling Li: The Affiliated Hospital of Guizou Medical University, Guiyang, China.
  22. Jieyu Lu: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
  23. Xinjuan Wu: Chinese Nursing Association, Beijing, China.
  24. Rong Wang: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
  25. Zejuan Gu: Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
PMID: 35293033 DOI: 10.1111/jan.15177

Abstract

AIMS: This study aimed to determine the extent to which nurses report assessing evidence-based falls risk factors and implementing targeted prevention for medical and surgical patients in China.
DESIGN: This study was a national online survey.
METHODS: The respondents were registered nurses working in medical and surgical units in 662 Chinese hospitals. The data concerning the falls risk factor assessments and targeted interventions implemented by nurses were collected online by the Nursing Management Committee of the Chinese Nursing Association in China in 2019.
RESULTS: In total, 68 527 valid questionnaires were returned (95.0%). In medical and surgical units, nurses were most likely to report assessing balance, mobility and strength (81.6%) and orthostatic hypotension (76.4%) in falls patients and least likely to report assessing continence (61.3%) and feet and footwear (55.8%). Ensuring the use of appropriate footwear (79.3%) and managing syncope, dizziness and vertigo (73.8%) were the most common multiple interventions, while managing postural hypotension (48.8%) and cognitive impairment (48.4%) was the least common. Nine falls risk factors with clearly matched multifactorial interventions were identified in medical and surgical units (68.2%-97.1%).
CONCLUSIONS: The implementation of multifactorial interventions in medical and surgical wards is inconsistent as reported by nurses in medical and surgical wards. Throughout China, nurses are generally concerned about falls risk factors and prevention for their patients; however, limited attention has been focused on continence, feet and footwear assessment and the management of cognitive impairment. Evidence-based falls prevention should be further tailored to the specific risk factors of each patient.
IMPACT: Best practice guidelines for falls prevention in hospitals have been developed and published, and it is important for nurses to use these guidelines to guide practice. Our findings identify that in routine care, healthcare providers and hospitals can prevent falls.

Keywords

assessment falls prevention hospital medical and surgical units nurse risk factors

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Grants

  1. /Nursing Management Committee of Chinese Nursing Association

MeSH Term

Health Personnel
Hospitals
Humans
Risk Factors
Surveys and Questionnaires
Journal Article
Article has an altmetric score of 1

Word Cloud

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