Fall prevention in hospitalized patients: Evaluation through the nursing outcomes classification/NOC

Luzia, Melissa de Freitas; Vidor, Isabella Duarte; Silva, Ana Carolina Fioravanti Eilert da; Lucena, Amália de Fátima

doi:10.1016/j.apnr.2020.151273

Cited by 8 publications

(6 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, several interesting papers that were published on this issue found that patients lack knowledge and understanding of falls, which leads to failure of preventive actions (de Freitas Luzia et al, 2020 ). Three focus group interviews with Australian hospitals also showed that most patients are unaware of the risk of falling during hospitalisation (Heng et al, 2021 ).…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

Risk stratification for early and late falls in acute care settings

Satoh

Miura

Shimada

et al. 2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

Background and Aims Falling generally injures patients, lengthens hospital stays and leads to the wastage of financial and medical resources. Although falls can occur at any stage after hospital admission, there are no studies that characterise falls with length of hospital stay in acute care settings. This study aims to clarify risk stratification of early and late falls in acute care settings. Methods A retrospective cohort study was conducted for participants who were admitted to a teaching hospital in Japan. Patients’ falls were divided into two groups based on the median of the fall date (day 10). Considering a 70/30 split, the logistic regression model was used to extract independent predictors for early and late falls for nine risk variables based on exploratory analysis among 26 items selected from the modified Japanese Nursing Association Fall Risk Assessment Tool, and risk models were validated. This study was conducted according to the STROBE guideline. Results Of the 10,975 patients admitted, 87 and 90 with early and late falls, respectively, were identified. The five significant risk factors extracted for early falls were fall history, muscle weakness, impaired understanding, use of psychotropics and the personality trait of ‘doing everything on one's own’; risk factors identified for late falls were being older than 65 years, impaired extremities and unstable gait, in addition to muscle weakness. Using these variables for early and late falls in the validation cohort, the concordance indices of the risk models were both over 0.80. Conclusions By separately extracting risk factors for early and late falls in an acute care hospital setting, this study shed light on the characteristics of the respective types of falls. Relevant to clinical practice As the risk factors of falls vary according to the length of hospitalisation, specific preventive care can be implemented to avoid fall incidents.

show abstract

Section: Relevance To Clinical Practicementioning

confidence: 99%

Risk stratification for early and late falls in acute care settings

Satoh

Miura

Shimada

et al. 2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…refusals, which resulted in a sample of 40 patients (20 in each group), based on previous studies (14)(15)(16)(17) .…”

Section: Population and Sample: Inclusion And Exclusion Criteriamentioning

confidence: 99%

“…These outcomes assess cell and tissue regeneration in wounds and the physiological functions of skin and mucous membranes, respectively (13) . NOC has been used in wound repair studies, in which it has demonstrated clinical applicability in different scenarios (14)(15)(16)(17) .…”

Section: Introductionmentioning

confidence: 99%

Low-laser light therapy in venous ulcer healing: a randomized clinical trial

Bavaresco

Lucena

2022

Rev. Bras. Enferm.

View full text Add to dashboard Cite

Objectives: to compare the effect of adjuvant low-laser light therapy versus conventional treatment alone on venous ulcer healing. Methods: this is a randomized clinical trial with 40 patients randomized equally to a control group (topical and compressive treatment) and intervention group (adjuvant low-laser light therapy). Outcomes of interest were Wound Healing: Secondary Intention and Tissue Integrity: Skin & Mucous Membranes, as described in the Classification of Nursing Outcomes/NOC. Results: groups with similar sociodemographic and clinical characteristics. Eighty-two ulcers were assessed, with an average duration of 1 to 5 years, in 1,066 nursing consultations, with a statistically significant difference in the time and number of healed ulcers (intervention group). There was a significant improvement in the nursing outcomes under study and in eight clinical indicators. Conclusions: low-laser light therapy improves and reduces tissue regeneration time, contributing to advances in wound treatment.

show abstract

“…Likewise, in the last few years, an increase in the interest in nursing outcomes has been observed, as they have been shown to play an active role on the quality of the care and profitability of health systems [ 21 ]. The most important effort for trying to identify and refine results that are sensitive to the activity of the nurses has been the development of the Nursing Outcomes Classification (NOC) [ 22 , 23 ]. Presently, one of the great changes in research studies that address outcomes associated to the practice of nursing is linked to the development and validity of instruments that are appropriate for its evaluation [ 21 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the measurement instrument of the nursing outcome health-related Physical Fitness (2004), proposed and transculturally adapted to the Spanish context

et al. 2022

View full text Add to dashboard Cite

Background Presently, physical inactivity is the main public health problem in many countries worldwide. Physical activity promotes the maintenance or improvement of one’s physical condition. Physical fitness has been established as the main biological marker of the state of health of an individual, and therefore, there is a clear need to measure health-related physical fitness through the use of a reliable and valid instrument. This study is a continuation of the transcultural adaptation process and a new proposal of the nursing outcome Physical Fitness (2004), found in the 5th Edition of the Nursing Outcomes Classification. The objective of this study was to examine the validity and reliability of the nursing outcome Health-Related Physical Fitness survey, proposed and transculturally adapted to the Spanish context. Methods An instrumental study to validate the nursing outcome Physical Fitness (2004), from the 5th Edition of the Nursing Outcome Classification was carried out. It took place between the months of May, 2016 to May, 2017. On the first stage, the instrument proposed Health-Related Physical Fitness survey was administered to 160 adults who used the Health Services of Murcia, Spain by three independent evaluators. After 4 weeks, it was administered again to 33 participants to calculate the intra-rater reliability. Lastly, the SF-12v2 Health Survey was administered to obtain external evidence of validity. Results The inter-rater reliability of the nursing outcome proposed obtained high values (between 0.91–0.99) in the evaluations performed by the three evaluators. As for the intra-rater reliability, high values were obtained (0.94–1), except for the item “balance”, which was moderate (0.56). Lastly, a positive and statistically significant correlation (p < 0.05) was obtained between the Physical Component Summary, and the dimensions Physical Functioning and General Health from the SF-12v2 Health Survey, and the global score of the Health-Related Physical Fitness proposed instrument. Conclusions The validity and reliability results of the nursing outcome Health-Related Physical Fitness survey, proposed and transculturally adapted to the Spanish context, were adequate for its use by nurses with adults who use the Health Services of Murcia. However, this instrument must be analyzed with more diverse samples of health services users.

show abstract

Fall prevention in hospitalized patients: Evaluation through the nursing outcomes classification/NOC

Cited by 8 publications

References 25 publications

Risk stratification for early and late falls in acute care settings

Risk stratification for early and late falls in acute care settings

Low-laser light therapy in venous ulcer healing: a randomized clinical trial

Validity and reliability of the measurement instrument of the nursing outcome health-related Physical Fitness (2004), proposed and transculturally adapted to the Spanish context

Contact Info

Product

Resources

About