Fall prevention education for older people being discharged from hospital: Educators’ perspectives

2021 ◽  
pp. 001789692110327
Author(s):  
Jacqueline Francis-Coad ◽  
Den-Ching A Lee ◽  
Terry P Haines ◽  
Meg E Morris ◽  
Steven M McPhail ◽  
...  
Keyword(s):  
Hospital Discharge ◽  
Fall Prevention ◽  
Older Patients ◽  
Education Programme ◽  
Prevention Strategies ◽  
Post Intervention ◽  
Prevention Education ◽  
Barriers And Enablers ◽  
Education Delivery ◽  
Fall Prevention Education

Objective: Falls are a significant problem for many older patients after hospital discharge. The purpose of this study was to evaluate the fidelity and impact of a tailored patient fall prevention education programme from the perspective of the educators who delivered the programme. Design: Qualitative sequential design. Setting: Three rehabilitation hospitals in Western Australia. Method: Three experienced physiotherapists trained as ‘educators’ to deliver a tailored fall prevention education programme to 195 older patients prior to hospital discharge, together with monthly telephone follow-up for 3 months after discharge. Educator–patient interactions were recorded in a standardised educator diary. Post-intervention, educators participated in a mini-focus group, providing their perspectives regarding education delivery and its impact on patient abilities to engage in fall prevention strategies. Data were analysed using deductive content analysis. Results: Educators followed up 184 (94%) patients, identifying multiple barriers and enablers affecting patient engagement in planned fall prevention strategies. Key barriers included unresolved medical conditions, reluctance to accept assistance on discharge, delays in assistive service provision, patient beliefs and perceptions about falls and, in some cases, patients’ absolving responsibility for recovery. Enablers were related to programme design, the completion of hospital discharge processes and support networks following discharge. Conclusion: Educators identified several barriers and enablers to programme delivery, receipt and enactment by older patients that contributed to the fidelity of the education programme. The consistent need for more patient support to enable improved enactment of plans and assist with safe recovery long after discharge warrants further attention at policy and health system levels.

Effects of multimedia‐based fall prevention education on the knowledge, attitudes, or behaviors of patients

2021 ◽  
Author(s):  
Su‐Ching Wang ◽  
De‐Chih Lee ◽  
Yi‐Hua Lee ◽  
Yuan‐Ping Chang ◽  
I‐Lien Chu
Keyword(s):  
Fall Prevention ◽  
Prevention Education ◽  
Fall Prevention Education

scholarly journals The Effect of Pediatric Inpatient Fall Prevention Education on Caregivers' Fall-related Knowledge and Preventive Behaviors

2017 ◽  
Vol 23 (4) ◽  
pp. 398-408
Author(s):  
So Yeon Park ◽  
Hyeon Ok Ju
Keyword(s):  
Fall Prevention ◽  
Picture Books ◽  
Comparison Group ◽  
Control Group ◽  
Preventive Behaviors ◽  
Prevention Education ◽  
Pediatric Inpatient ◽  
The Difference ◽  
Experimental Group ◽  
Fall Prevention Education

Purpose: This study aims to identify the effect of pediatric fall prevention education with leaflets and picture books on the fall-related knowledge and preventive behaviors in caregivers of inpatient children. Methods: This study is a non-equivalent control group non-synchronized design. It divided 62 caregivers of inpatient children aged 5 and under into an experimental group and a control group in P general hospital located in B City. Results: Fall related knowledge score in the experimental group was increased by 2 points after the intervention and the score in the comparison group was increased by 0.1 points. The difference after the intervention in fall related knowledge scores between the two groups was statistically significant (t=7.67, p<.001). The fall related prevention behavior score of the experimental group increased by 9.3 points after the intervention, and the score of the comparison group increased by 2.5 points. The difference in the scores of fall related prevention behaviors between the two groups was statistically significant (t=5.71, p<.001). Conclusion: Pediatric inpatient fall prevention education using leaflets and picture books can improve caregivers' fall-related knowledge and preventive behaviors. In turn, this can reduce children's falls in pediatric wards in general hospitals.

scholarly journals Nurses’ Knowledge, Attitude, and Fall Prevention Practices at South Korean Hospitals: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Mi-young Cho ◽  
Sun Joo Jang
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Education ◽  
Patient Falls ◽  
Prevention Activities ◽  
Nurses Knowledge ◽  
Fall Prevention Education

Abstract Background: Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals. Methods: Nurses (N= 162) from seven small- and medium-sized hospitals participated in the study. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results: Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. Conclusion: Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.

scholarly journals Tailored Education Increased Capability and Motivation for Fall Prevention in Older People After Hospitalization

2021 ◽  
Vol 9 ◽  
Author(s):  
Chiara Naseri ◽  
Steven M. McPhail ◽  
Meg E. Morris ◽  
Terry P. Haines ◽  
Christopher Etherton-Beer ◽  
...  
Keyword(s):  
Older People ◽  
Social Control ◽  
Hospital Discharge ◽  
Fall Prevention ◽  
Falls Prevention ◽  
Bivariate Analysis ◽  
Prevention Strategies ◽  
Recent Trial ◽  
Mental Test Score ◽  
The Impact

Recently hospitalized older people are at risk of falls and face barriers to undertaking fall prevention strategies after they return home from hospital. The authors examined the effects of tailored education delivered by physiotherapists on the knowledge (capability) and the motivation of older people to engage in fall prevention after hospital discharge. Utilizing data gathered from a recent trial, data was analyzed from 390 people who were 60 years and over without impaired cognition (&gt;7/10 abbreviated mental test score) and discharged from three Australian hospitals. Motivation and capability were measured at baseline in the hospital and at 6-months after hospital discharge by blinded assistants using structured surveys. Bivariate analysis using generalized linear modeling explored the impact of education on the capability and motivation. Engagement in fall prevention strategies was entered as an independent variable during analysis to determine associations with capability and motivation. The education significantly improved capability [−0.4, 95% CI (−0.7, −0.2), p &lt; 0.01] and motivation [−0.8, 95% CI (−1.1, −0.5), p &lt; 0.01] compared with social-control at the time of hospital discharge. In contrast, social-control participants gained capability and motivation over the 6-months, and no significant differences were found between groups in capability [0.001, 95% CI (−0.2, 0.2), p = 0.9] and motivation [−0.01, 95% CI (−0.3, 0.3), p = 0.9] at follow-up. Tailored fall prevention education is recommended around hospital discharge. Participants still needed to overcome barriers to falls prevention engagement post hospitalization. Thus, tailored education along with direct clinical services such as physiotherapy and social supports is warranted for older people to avoid falls and regain function following hospitalization.

scholarly journals Nurses’ knowledge, attitude, and fall prevention practices at south Korean hospitals: a cross-sectional survey

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Mi-young Cho ◽  
Sun Joo Jang
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Education ◽  
Patient Falls ◽  
Prevention Activities ◽  
Nurses Knowledge ◽  
Fall Prevention Education

Abstract Background Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals. Methods Nurses (N = 162) from seven small- and medium-sized hospitals participated in the study. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. Conclusion Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.

Engaging Community-Based Organizations in Fall Prevention Education

2011 ◽  
Vol 32 (2) ◽  
pp. 182-196 ◽  
Author(s):  
B. Josea Kramer ◽  
Rebecca L. Vivrette ◽  
Laurence Z. Rubenstein
Keyword(s):  
Fall Prevention ◽  
Community Based ◽  
Prevention Education ◽  
Community Based Organizations ◽  
Fall Prevention Education
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