Perspectives of Inpatients With Cancer on Engagement in Fall Prevention

Twibell, K. Renee; Siela, Debra; Delaney, Lori; Ávila, Patrícia; Spradlin, Allison M; Coers, Gena

doi:10.1188/20.onf.457-468

Cited by 12 publications

(30 citation statements)

References 34 publications

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“…There were varied emotions and beliefs around the possibility of falling in hospital. Emotions ranged from apathy or no concern to extremely worried [ 32 , 62 ]. Falls were not considered to be a medical or life-threatening issue for some patients [ 57 ]; thus, some participants failed to see the consequences of a fall.…”

Section: Resultsmentioning

confidence: 99%

“…In Sonnad, Mascioli [ 46 ], 40% of patients did not consider themselves to be a fall risk because of high-quality nursing. Despite fall education delivered by nurses, the reduced use of the hospital call bell for requesting assistance was noted in some studies [ 50 , 54 , 62 ]. A common reason identified for this was that participants considered the nurses to be busy and did not want to impose on them [ 25 , 43 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…A common reason identified for this was that participants considered the nurses to be busy and did not want to impose on them [ 25 , 43 , 57 ]. Negative experiences or attitudes towards “unfriendly” nursing staff were also recognised as a factor in noncompliance with call bell use [ 43 , 57 , 62 ]. Some participants identified that delayed assistance from nurses instigated their risk-taking behaviour, leading to a risk of falling [ 25 , 43 , 58 , 62 ].…”

Section: Resultsmentioning

confidence: 99%

“…Negative experiences or attitudes towards “unfriendly” nursing staff were also recognised as a factor in noncompliance with call bell use [ 43 , 57 , 62 ]. Some participants identified that delayed assistance from nurses instigated their risk-taking behaviour, leading to a risk of falling [ 25 , 43 , 58 , 62 ]. Valuing one’s dignity was considered a priority over potential falls.…”

Section: Resultsmentioning

confidence: 99%

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Adult Inpatients’ Perceptions of Their Fall Risk: A Scoping Review

et al. 2022

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Patient falls in hospitals continue to be a global concern due to the poor health outcomes and costs that can occur. A large number of falls in hospitals are unwitnessed and mostly occur due to patient behaviours and not seeking assistance. Understanding these patient behaviours may help to direct fall prevention strategies, with evidence suggesting the need to integrate patients’ perspectives into fall management. The aim of this scoping review was to explore the extent of the literature about patients’ perceptions and experiences of their fall risk in hospital and/or of falling in hospital. This review was conducted using a five-stage methodological framework recommended by Arksey and O’Malley. A total of nine databases were searched using key search terms such as “fall*”, “perception” and “hospital.” International peer-reviewed and grey literature were searched between the years 2011 and 2021. A total of 41 articles, ranging in study design, met the inclusion criteria. After reporting on the article demographics and fall perception constructs and measures, the qualitative and quantitative findings were organised into five domains: Fall Risk Perception Measures, Patients’ Perceptions of Fall Risk, Patients’ Perceptions of Falling in Hospital, Patients’ Fear of Falling and Barriers to Fall Prevention in Hospital. Approximately two-thirds of study participants did not accurately identify their fall risk compared to that defined by a health professional. This demonstrates the importance of partnering with patients and obtaining their insights on their perceived fall risk, as this may help to inform fall management and care. This review identified further areas for research that may help to inform fall prevention in a hospital setting, including the need for further research into fall risk perception measures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Adult Inpatients’ Perceptions of Their Fall Risk: A Scoping Review

et al. 2022

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“…Patients who toilet unassisted at night are typically subject to dark rooms and unfamiliar environments. Patient noncompliance with recommended interventions, identified in over half of the falls with serious injury in our study, may be due to overconfidence in their abilities (Twibell et al, 2020).…”

Section: Discussionmentioning

confidence: 98%

Analysis of Inpatient Hospital Falls with Serious Injury

Costantinou

Spencer

2020

Clin Nurs Res

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Fall-related serious injuries pose risks to patients and healthcare organizations. This retrospective, single-hospital study used a 38 variable instrument to understand characteristics of those who sustained a fall with serious injury. Analyses included descriptive statistics, frequency, and Chi-square tests of associations between key variables and outcomes of moderate versus major injury. Age range 25–91 years, predominantly 60–69 years (23.3%), and mostly male (50.9%). Highest percentage occurred between 0:00 and 06:59 (39.6%), and on Oncology service (28.3%). Fallers were in the room, (81.1%), sustained major injury (73.6%), fractured a major bone (43.4%), had altered mobility prior to the fall (67.9%), and had received at least one narcotic dose within 24 hours before the fall (43.2%). The associations between injury severity and age, gender, altered mobility, fall risk assessment pre-fall, and unit service line are not statistically significant, however have small-to-moderate clinical significance. This study adds to the literature in identifying characteristics of patients who sustain a fall-related serious injury.

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Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

Guo

Wang

et al. 2022

Nursing Open

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Aim To explore the effect of a fall prevention strategy on older patients based on the Patient Engagement Framework. Design A longitudinal quasi‐experimental quantitative design. Methods Older patients who met the inclusion criteria were recruited from geriatric, oncology, neurology and cardiology departments of a teaching general hospital in China. Development of a fall prevention intervention strategy for older patients was based on the Patient Engagement Framework. Patients in the intervention group were given this fall prevention strategy (N = 58), and those in the control group were given conventional measures (N = 58). The following indicators were compared between the two groups after intervention: (a) number of falls; (b) Knowledge‐Attitude‐Practice (KAP) score; (c) Modified Fall Efficacy Scale score. Results After the implementation of an intervention strategy in older patients, the number of falls decreased from 3 to 0; the score of KAP and Modified Fall Efficacy Scale was promoted (p < .05).

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Perspectives of Inpatients With Cancer on Engagement in Fall Prevention

Cited by 12 publications

References 34 publications

Adult Inpatients’ Perceptions of Their Fall Risk: A Scoping Review

Adult Inpatients’ Perceptions of Their Fall Risk: A Scoping Review

Analysis of Inpatient Hospital Falls with Serious Injury

Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

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