2022, Number 1
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salud ciencia tec 2022; 2 (1)
Evidence-based nursing practice and prevention of falls in hospitalized patients
Oporto LN
Language: Spanish
References: 32
Page:
PDF size: 283.09 Kb.
ABSTRACT
Background: the risk of falls in hospitalized adult patients is a very important topic to develop and investigate since a fall can produce irreparable harm. Every hospitalized patient can suffer a fall which can produce an adverse event.
Aim: to analyze the relationship between the evidence-based nursing practice environment and its relationship with knowledge about fall prevention in hospitalized patients.
Methods: an observational, descriptive, cross-sectional study was conducted. The sample consisted of 73 nurses.
Results: the sample consisted of 80,8 % female nurses. The average age was 37,7 ± 8,4. The average age was 37,7 ± 8,4. 50,7 % of the sample had a Professional Nursing degree. The mean score of the health personnel knowledge survey on fall prevention was 15,1 ± 7,8 points (95 % CI: 13,2444 to 16,8926). No relationship was found between evidence-based nursing practice setting and health care staff knowledge of falls prevention (p=0,2742).
Conclusions: adequate levels of both evidence-based nursing practice setting and health care staff knowledge of falls prevention were found. Both indicators were independent and no relationship was found between them or with sociodemographic variables. Therefore, it cannot be affirmed that the level of knowledge regarding falls is a factor that affects the intention to behave in accordance with the implementation of evidence-based practice.
REFERENCES
García-Huete ME, Sebastián-Viana T, Lema-Lorenzo I, Granados-Martín M, Buitrago-Lobo N, Heredia-Reina M del P, et al. Las caídas hospitalarias, estrategia de mejora para disminuir su incidencia. Enfermería Clínica 2016;26:96-101. https://doi.org/10.1016/j.enfcli.2016.01.002.
Rivas-Espinosa JG, Verde-Flota EE de J, Ramírez-Villegas RM, Guerra-Escamilla LM, Ramírez-Espinosa L. Cumplimiento de las metas internacionales para la seguridad del paciente. Rev Enferm IMSS 2015;23:135-42.
Severo IM, Kuchenbecker R de S, Vieira DFVB, Lucena A de F, Almeida M de A. Factores de riesgo para caídas en pacientes adultos hospitalizados: un estudio caso-control. Rev Latino-Am Enfermagem 2018;26:e3026. https://doi.org/10.1590/1518-8345.2460.3016.
Mijangos ADS, la Cruz PG de, Alfaro LIS, Ribón TS, Mijangos ADS, la Cruz PG de, et al. Factores de riesgo de caídas e índice de masa corporal en el adulto mayor hospitalizado. Revista Cuidarte 2019;10:e621. https://doi.org/10.15649/cuidarte.v10i1.621.
Hernández-Herrera D, Aguilera-Elizarraraz N, Vega-Argote M, González-Quirarte N, Castañeda-Hidalgo H, Isasi-Hernández L. Aplicación de las actividades de la intervención de enfermería Prevención de caídas en adultos hospitalizados. Enfermería Universitaria 2017;14:118-23. https://doi.org/10.1016/j.reu.2017.02.007.
Tonial Pauletto T, Almeida Oliveira Reiners A, Capriata de Souza Azevedo R, Teixeira Cunha CR, Dieli Ribeiro Dalla Vechia A, Nina Mamani AR, et al. Prácticas de enfermeras en la prevención de caídas de mayores hospitalizados asociadas al conocimiento y actitudes. Gerokomos 2021;32:12-6. https://doi.org/10.4321/s1134-928x2021000100004.
Liu H, Shen J, Xiao LD. Effectiveness of an educational intervention on improving knowledge level of Chinese registered nurses on prevention of falls in hospitalized older people—A randomized controlled trial. Nurse Education Today 2012;32:695-702. https://doi.org/10.1016/j.nedt.2011.09.009.
Tzeng H-M, Yin C-Y. Inpatient falls: the impact of family and personal caregivers. Applied Nursing Research 2009;22:159-65. https://doi.org/10.1016/j.apnr.2007.09.002.
DiGerolamo KA, Chen-Lim ML. An Educational Intervention to Improve Staff Collaboration and Enhance Knowledge of Fall Risk Factors and Prevention Guidelines. Journal of Pediatric Nursing 2021;57:43-9. https://doi.org/10.1016/j.pedn.2020.10.027.
de Pedro-Gómez J, Morales-Asencio JM, Abad AS, Veny MB, Vives GA, Campaner CP. Entorno de práctica de los profesionales de enfermería y competencia para la incorporación de la evidencia a las decisiones: situación en las Islas Baleares. Gaceta Sanitaria 2011;25:191-7. https://doi.org/10.1016/j.gaceta.2010.11.007.
Sastre-Fullana P, De Pedro-Gómez JE, Bennasar-Veny M, Fernández-Domínguez JC, Sesé-Abad AJ, Morales-Asencio JM. Consenso sobre competencias para la enfermería de práctica avanzada en España. Enfermería Clínica 2015;25:267-75. https://doi.org/10.1016/j.enfcli.2015.06.007.
Lake ET. Development of the practice environment scale of the nursing work index†‡. Research in Nursing & Health 2002;25:176-88. https://doi.org/10.1002/nur.10032.
Gómez JE de P, Asencio JMM, Abad AS, Veny MB, Vives GA, Beltrán JP. Validación y adaptación al español de la escala del entorno de práctica enfermera del Nursing Work Index. Metas de enfermería 2009;12:65-75.
López Corea EJ. Conocimiento del personal de salud sobre prevención de caídas del Hospital Militar Escuela Dr. Alejandro Dávila Bolaños año 2014. Tesis de Maestría. Universidad Nacional Autónoma de Nicaragua, 2014.
King B, Pecanac K, Krupp A, Liebzeit D, Mahoney J. Impact of Fall Prevention on Nurses and Care of Fall Risk Patients. Gerontologist 2018;58:331-40. https://doi.org/10.1093/geront/gnw156.
Park Y, Yun H-J. A Multilevel Investigation of Fall Prevention Behavior Among Nursing Staff of South Korean Geriatric Hospitals. Global Journal of Health Science 2020;12:97-106. https://doi.org/10.5539/gjhs.v12n10p97.
Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet 2005;366:1885-93. https://doi.org/10.1016/S0140-6736(05)67604-0.
Turner K, Staggs V, Potter C, Cramer E, Shorr R, Mion LC. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf 2020;29:1000-7. https://doi.org/10.1136/bmjqs-2019-010642.
Joint Commission. Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert 2015:1-5.
Nelson E, Reynolds P. Inpatient Falls: Improving assessment, documentation, and management. BMJ Qual Improv Rep 2015;4:u208575.w3781. https://doi.org/10.1136/bmjquality.u208575.w3781.
Acosta-Romo MF, Maya-Pantoja GJ. Competencias clínicas y carga laboral del profesional de Enfermería en la Unidad de Cuidado Intensivo adulto. Revista Ciencia y Cuidado 2020;17:22-32. https://doi.org/10.22463/17949831.1698.
Camargo FC, Iwamoto HH, Galvão CM, Pereira G de A, Andrade RB, Masso GC. Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review. Rev Bras Enferm 2018;71:2030-8. https://doi.org/10.1590/0034-7167-2016-0617.
Cho M-Y, Jang SJ. Nurses’ knowledge, attitude, and fall prevention practices at south Korean hospitals: a cross-sectional survey. BMC Nurs 2020;19:108. https://doi.org/10.1186/s12912-020-00507-w.
Oliver D. Preventing falls and fall injuries in hospital: a major risk management challenge. Clinical Risk 2007;13:173-8. https://doi.org/10.1258/135626207781572693.
Oliver D, Daly F, Martin FC, McMurdo MET. Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age Ageing 2004;33:122-30. https://doi.org/10.1093/ageing/afh017.
Bowden V, Bradas C, McNett M. Impact of level of nurse experience on falls in medical surgical units. J Nurs Manag 2019;27:833-9. https://doi.org/10.1111/jonm.12742.
Lee IK, Choi JY. Factors Associated with Nurses’ Activities for Hospital Fall Prevention. The Korean Journal of Rehabilitation Nursing 2013;16:55-62. https://doi.org/10.7587/kjrehn.2013.55.
Cho E, Choi M, Kim E-Y, Yoo IY, Lee N-J. Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses. J Korean Acad Nurs 2011;41:325-32. https://doi.org/10.4040/jkan.2011.41.3.325.
Nantsupawat A, Kunaviktikul W, Nantsupawat R, Wichaikhum O-A, Thienthong H, Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International Nursing Review 2017;64:91-8. https://doi.org/10.1111/inr.12342.
Cho E, Chin DL, Kim S, Hong O. The Relationships of Nurse Staffing Level and Work Environment With Patient Adverse Events. Journal of Nursing Scholarship 2016;48:74-82. https://doi.org/10.1111/jnu.12183.
Luzia M de F, Argenta C, Almeida M de A, Lucena A de F. Conceptual definitions of indicators for the nursing outcome «Knowledge: Fall Prevention». Rev Bras Enferm 2018;71:431-9. https://doi.org/10.1590/0034-7167-2016-0686.
Weinberg J, Proske D, Szerszen A, Lefkovic K, Cline C, El-Sayegh S, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf 2011;37:317-25. https://doi.org/10.1016/s1553-7250(11)37040-7.