Citation

Baris VK, Intepeler SS. J. Clin. Nurs. 2019; 28(3-4): 615-628.

Affiliation

Nursing Faculty, Nursing Management Department, Dokuz Eylul University, Izmir, Turkey.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/jocn.14656

PMID

30182477

Abstract

AIMS AND OBJECTIVES: This study aimed to examine the views and suggestions of healthcare professionals, patients, and family members on the causes of inpatient falls and fall-prevention practices.

BACKGROUND: Patient falls are one of the most prevalent medical errors in the hospitals. In order to prevent patient falls, it is necessary to identify and classify the situations causing falls in detail and preventive interventions for these situations need to be developed.

DESIGN: The study was designed using a descriptive qualitative research method.

METHOD: The semi-structured interviews were conducted with 4 physicians, 4 charge nurses, 12 nurses, 4 support staff members, 8 patients, and 8 family members of patients in the palliative, internal disease, surgery, and orthopedics clinics in a training and research hospital between March 2017 and May 2017. Thematic analysis method was used to analyze data. The defined themes were classified based on the International Classification of Functioning, Disability and Health Core Set for Falls in Acute Rehabilitation Settings.

RESULTS: In this research, 71 themes related to situations causing falls and 30 themes related to prevention-interventions were determined. Defined themes were linked with 44 categories under five International Classification of Functioning, Disability and Health domains and organized accordingly. Among the categories included in the International Classification of Functioning, Disability and Health Core Set for Falls in Acute Rehabilitation Settings, 65% were verified, while 22 new categories that were not included in the original core set were defined.

CONCLUSION: In accordance with this result, evaluating the opinions of all stakeholders on the research and development of fall-prevention programs will increase the effectiveness of fall prevention in hospitals. The ICF model can be used to classify the causes of falls and fall-prevention interventions to create a common language about this topic. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.

Language: en

Keywords

Disability and Health; International Classification of Functioning; Patient falls; fall prevention; hospitals; nurses; patient safety; quality; stakeholders