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Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

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  • Raimunda Montejano-Lozoya

    (Escuela Enfermería La Fe, Valencia (Spain), adscript center of Universitat de Valencia, Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain)

  • Isabel Miguel-Montoya

    (Escuela Enfermería La Fe, Valencia (Spain), adscript center of Universitat de Valencia, Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain)

  • Vicente Gea-Caballero

    (Escuela Enfermería La Fe, Valencia (Spain), adscript center of Universitat de Valencia, Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain)

  • María Isabel Mármol-López

    (Escuela Enfermería La Fe, Valencia (Spain), adscript center of Universitat de Valencia, Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain)

  • Antonio Ruíz-Hontangas

    (Escuela Enfermería La Fe, Valencia (Spain), adscript center of Universitat de Valencia, Research Group GREIACC, Health Research Institute La Fe, 46026 Valencia, Spain)

  • Rafael Ortí-Lucas

    (Public Health Department, Catholic University of Valencia, 46001 Valencia, Spain)

Abstract

Background: Clinical safety is a crucial component of healthcare quality, focused on identifying and avoiding the risks to which patients are exposed. Among the adverse events that occur in a hospital environment, falls have a large impact (1.9–10% of annual income in acute care hospitals); they can cause pain, damage, costs, and mistrust in the health system. Our objective was to assess the effect of an educational intervention aimed at hospital nurses (systematic assessment of the risk of falls) in reducing the incidence of falls. Methods: this was a quasi-experimental study based on a sample of 581 patients in a third level hospital (Comunitat Valenciana, Spain). An educational program was given to the intervention group ( n = 303), and a control group was included for comparison ( n = 278). In the intervention group, the nurses participated in a training activity on the systematized assessment of the risk of falls. Analysis was undertaken using the Bayesian logistic regression model. Results: a total of 581 patients were studied (50.6% male, 49.4% female), with an average age of 68.3 (DT = 9) years. The overall incidence of falls was 1.2% (0.3% in the intervention group and 2.2% in the control group). Most of the falls occurred in people ≥65 years old (85.7%). The intervention group had a lower probability of falling than the control group (OR: 0.127; IC95%: 0.013–0.821). Neither the length of hospital stay, nor the age of the participants, had any relevant effect. Conclusions: the systematic assessment of the risk of a patient falling during hospital processes is an effective intervention to reduce the incidence of falls.

Suggested Citation

  • Raimunda Montejano-Lozoya & Isabel Miguel-Montoya & Vicente Gea-Caballero & María Isabel Mármol-López & Antonio Ruíz-Hontangas & Rafael Ortí-Lucas, 2020. "Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6048-:d:401459
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    References listed on IDEAS

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    1. Long Hoang Nguyen & Giang Thu Vu & Giang Hai Ha & Cuong Tat Nguyen & Hai Minh Vu & Tien Quoc Nguyen & Tung Hoang Tran & Kiet Tuan Huy Pham & Carl A. Latkin & Bach Xuan Tran & Roger C.M. Ho & Cyrus S.H, 2020. "Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    2. Manchester, Julianne & Gray-Miceli, Deanna L. & Metcalf, Judith A. & Paolini, Charlotte A. & Napier, Anne H. & Coogle, Constance L. & Owens, Myra G., 2014. "Facilitating Lewin's change model with collaborative evaluation in promoting evidence based practices of health professionals," Evaluation and Program Planning, Elsevier, vol. 47(C), pages 82-90.
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