Bedside Nurses Leading the Way for Falls Prevention: An Evidence-Based Approach

Cangany, Marty; Back, D L; Hamilton-Kelly, Tori; Altman, Marian; Lacey, Susan R.

doi:10.4037/ccn2015414

Cited by 15 publications

(29 citation statements)

References 5 publications

(3 reference statements)

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“…The remaining investigations reported multifactorial falls prevention programs that included a patient education component. Broadly, the falls education interventions could be categorised as (i) direct education of the patient about falls mitigation via face-to-face discussions that could include the use of videotapes [28-31, 33-36, 38, 52, 53, 55, 58, 61-64, 66, 68-75]; (ii) educational tools such as posters on walls to prevent falls [32,33,67,69,76]; (iii) consumer materials such as pamphlets and written guides for patients and families [28-33, 35, 38, 54-58, 61, 62, 64, 65, 68, 70-72, 74-76]; and (iv) hospital falls prevention systems, policies or procedures that included an element of patient education [32,33,36,54]. Footnote: Mutifactorial refers to two or more of the following: patient education, falls risk assessments, environmental modifications, devices, personal supervision, multidisciplinary reviews, medication reviews, falls risk communication aids, allied health and nursing input, rounding, staff training…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Another two reported engaging the patient to identify their own falls risk [30,33]. Some reports did not provide enough description of the content of the education program to enable replication of exact elements [30,52,57,69,70,75].…”

Section: Content Of Patient Falls Education Programsmentioning

confidence: 99%

“…Others used videotapes [62], handouts [32,54,57,65] or fall prevention posters [67] as single modalities. Some combined face to face discussions with handouts [28,29,56,68,71,74,75], videotapes [61,63], posters [69,72], or a combination of videotapes and handouts [30,31,38]. Yet others combined handouts with videotaped education [55,70], posters [76], or with posters and videotapes [33].…”

Section: Education Delivery Modementioning

confidence: 99%

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Hospital falls prevention with patient education: a scoping review

et al. 2020

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Background: Hospital falls remain a frequent and debilitating problem worldwide. Most hospital falls prevention strategies have targeted clinician education, environmental modifications, assistive devices, hospital systems and medication reviews. The role that patients can play in preventing falls whilst in hospital has received less attention. This critical review scopes patient falls education interventions for hospitals. The quality of the educational designs under-pinning patient falls education programmes was also evaluated. The outcomes of patient-centred falls prevention programs were considered for a range of hospital settings and diagnoses. Methods: The Arksey and O'Malley (2005) framework for scoping reviews was adapted using Joanna Briggs Institute and PRISMA-ScR guidelines. Eight databases, including grey literature, were searched from January 2008 until February 2020. Two reviewers independently screened the articles and data were extracted and summarised thematically. The quality of falls prevention education programs for patients was also appraised using a modified quality metric tool. Results: Forty-three articles were included in the final analysis. The interventions included: (i) direct face-to-face patient education about falls risks and mitigation; (ii) educational tools; (iii) patient-focussed consumer materials such as pamphlets, brochures and handouts; and (iv) hospital systems, policies and procedures to assist patients to prevent falls. The included studies assessed falls or education related outcomes before and after patient falls prevention education. Few studies reported incorporating education design principles or educational theories. When reported, most educational programs were of low to moderate quality from an educational design perspective. Conclusions: There is emerging evidence that hospital falls prevention interventions that incorporate patient education can reduce falls and associated injuries such as bruising, lacerations or fractures. The design, mode of delivery and quality of educational design influence outcomes. Well-designed education programs can improve knowledge and self-perception of risk, empowering patients to reduce their risk of falling whilst in hospital.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Content Of Patient Falls Education Programsmentioning

confidence: 99%

Section: Education Delivery Modementioning

confidence: 99%

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Hospital falls prevention with patient education: a scoping review

et al. 2020

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“…[19][20][21][22][23][24][25][26][27][28] Venues have included the AACN National Teaching Institute & Critical Care Exposition, the Society of Critical Care Medicine Congress, the Institute for Healthcare Improvement annual conference, and the American Organization of Nurse Executives annual conference. Local print and broadcast media also picked up success stories, and creative solutions have been uploaded to YouTube.…”

Section: Disseminationmentioning

confidence: 99%

“…Local print and broadcast media also picked up success stories, and creative solutions have been uploaded to YouTube. 19,21,25,27,[29][30][31] One CSI nurse participated in the Nurses in Washington Institute, which is a program that provides nurses with an opportunity to learn advocacy strategies to further professional nursing and health care concerns through the legislative and regulatory processes. The CSI nurse met with a staffer for her house representative and 2 senators.…”

Section: Disseminationmentioning

confidence: 99%

Driving Organizational Change From the Bedside: The AACN Clinical Scene Investigator Academy

Lacey

Goodyear-Bruch

Olney

et al. 2017

Critical Care Nurse

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Background Staff nurses are pivotal in leading change related to quality improvement efforts, although many lack skills to steer change from the bedside. The American Association of Critical-Care Nurses (AACN) staff nurse leadership program, Clinical Scene Investigator (CSI) Academy, teaches and empowers staff nurses in leadership skills and change concepts to translate evidence into practice affecting patient outcomes. Objectives To describe the curriculum of the AACN CSI Academy that provides staff nurses with the leadership skills required to create unit-based change projects that positively impact patient/family outcomes. Methods The curriculum of the Academy included leadership topics, communication, change concepts, quality improvement methods, project management, and data management and analysis. Each team of participants collected project data to show improvements in patient care. The program evaluation used many data sources to assess the program effectiveness, relating to the professional growth of the participant nurses. The participants assessed project patient outcomes, sustainability, and spread. Results The first cohort of CSI participants included 164 direct care nurses from 42 hospitals in 6 cities. They rated the Academy highly in the program evaluation, and they reported that the Academy contributed to their professional development. The individual hospital quality improvement projects resulted in positive patient and estimated fiscal outcomes that were generally sustained 1 year after the program. Conclusion With the skills, tools, and support obtained from participation in the CSI Academy, staff nurses can make substantial contributions to their organizations in clinical and possibly fiscal outcomes. (Critical Care Nurse. 2017;37[4]:e12-e25)

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Hospital-Acquired Injuries: Device-Related Pressure Ulcers, Falls, and Restraints

Bambi

2018

Nursing in Critical Care Setting

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Bedside Nurses Leading the Way for Falls Prevention: An Evidence-Based Approach

Cited by 15 publications

References 5 publications

Hospital falls prevention with patient education: a scoping review

Hospital falls prevention with patient education: a scoping review

Driving Organizational Change From the Bedside: The AACN Clinical Scene Investigator Academy

Hospital-Acquired Injuries: Device-Related Pressure Ulcers, Falls, and Restraints

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