Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial

Kuhlenschmidt, Megan L.; Reeber, Christina; Wallace, Christine; Chen, Yanwen; Barnholtz‐Sloan, Jill S.; Mazanec, Susan R.

doi:10.1188/16.cjon.84-89

Cited by 25 publications

(49 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

“…Participants in the study by Dykes et al gained knowledge of falls prevention strategies [54] while Kiyoshi-Teo et al did not find changes in falls prevention behaviours on the Modified Falls Behavioural (M-FaB) scale [56]. Kuhlenschmidt et al assessed participant willingness to ask for assistance as well as their satisfaction with the falls prevention education program [31]. They did not find any change in willingness to ask for help although their satisfaction with the program was high [31].…”

Section: Education and Fall Outcomes Education-specific Outcomesmentioning

confidence: 99%

“…Kuhlenschmidt et al assessed participant willingness to ask for assistance as well as their satisfaction with the falls prevention education program [31]. They did not find any change in willingness to ask for help although their satisfaction with the program was high [31].…”

Section: Education and Fall Outcomes Education-specific Outcomesmentioning

confidence: 99%

“…Most of the trials showed an improvement in falls outcomes, with seven reporting otherwise [28,30,52,53,56,66,71]. Other outcomes included the impact of falls prevention interventions on staff knowledge and practice [31,58,71], patient adherence to the falls prevention interventions [32,61,69], changes in gait and balance [66], and economic outcomes [64,68,69]. Overall, the literature showed positive benefits of hospital falls education.…”

Section: Fall-related Outcomesmentioning

confidence: 99%

“…Patient education aims to increase a person's awareness of their own falls risk and to provide them with strategies to mitigate falls whilst hospitalised [27]. There are varying levels of evidence for different methods of patient falls prevention education, such as handouts [28,29], videotapes [30,31], posters [32,33], falls risk communication alerts and assistive devices (such as sensors, wristbands and bed alarms) [33,34], and face-to-face discussions about safe footwear and other interventions [35,36]. Whilst education is an aspect of most hospital falls prevention programs, few studies have evaluated the outcomes or design of educational components, based on educational theory [14].…”

mentioning

confidence: 99%

See 4 more Smart Citations

Hospital falls prevention with patient education: a scoping review

et al. 2020

View full text Add to dashboard Cite

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.

show abstract