Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls

간호사의 셀프리더십과 낙상에 대한 태도 및 낙상예방행위에 관한 연구

  • Choi, Ae Shin (Department of Nursing, Graduate School, Sahmyook University) ;
  • Oh, Pok Ja (Department of Nursing, Sahmyook University)
  • Received : 2013.03.04
  • Accepted : 2013.05.24
  • Published : 2013.06.30
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Abstract

Purpose: The purpose of this study was to identify self-leadership and attitude to patient falls and fall prevention behavior in nurses. Methods: The participants were 178 nurses from two general hospitals in Seoul. Data were collected from March 20 to May 10, 2012 using structured questionnaires which included a Self-leadership scale, Fall attitude scale, and Fall prevention scale. Data were analyzed using descriptive statistics, Pearson correlation and Hierarchial multiple regression with the SPSS/WIN 20.0 program. Results: The mean score for nurses' self-leadership was 3.48 (5 point scale). The average reported fall attitude was 3.59 (5 point scale) and fall prevention behavior was 3.26 (4 point scale). Self-leadership had a 18% explanatory power in fall attitude and a 5% explanatory power in fall prevention behavior. The factors which influenced fall prevention behavior were nurses' fall attitude (${\beta}$=.21, p=.009), fall prevention education (${\beta}$=.20, p=.007) and self-leadership (${\beta}$=.16, p=.047). All of the factors together had a 13.1% explanatory power. Conclusion: The results of this study suggest that provision of regularly fall prevention education to nurses is required and should include a program to activate their positive attitude and self-leadership in order to improve fall prevention behavior in nurses.

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References

  1. Bouldin, E. L., Andresen, E. M., Dunton, N. E., Simon, M., Waters, T. M., Liu, M., et al. (2013). Falls among adult patient hospitalized in the United States: Prevalence and trends. Journal of Patient Safety, 9 (1), 13-17. http://dx.doi.org/10.1097/PTS.0b013e3182699b64
  2. Dellinger, A. M., & Stevens, J. A.,(2006). The injury problem among older adults: Mortality, morbidity and costs. Journal of Safety Research, 37, 519-522. https://doi.org/10.1016/j.jsr.2006.10.001
  3. Denise, D., Diener, P. T., Judith, M., & Mitchell,. (2005). Impact of a multifactorial fall prevention program upon fall of older frail adults attending an adult health day care center. Topics in Geriatric Rehabilitation, 21 (3), 247-257. https://doi.org/10.1097/00013614-200507000-00011
  4. Faul, F., Erdfelder E., Lang A. G., & Buchner, A. (2007). G*power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39 (2), 175-191. http://dx.doi.org/10.3758/BF03193146
  5. Hospital Nurses Association. (2008). Clinical nursing practice guideline for fall prevention. Retrieved December 3, 2012, from http://www.khna.or.kr/web/information/resource.php
  6. Hwang, I. Y. (2011). A study on knowledge, attitude, and implementation of clinical nursing practice guideline for fall prevention among hospital nurses working in the small and medium sized hospitals. Unpublished master's thesis, Gyeongsang National University, Gyeongnam, Korea
  7. Jung, M. H., & Koh, M. S. (2012). The effects of preceptor nurses' self-leadership on role recognition and job satisfaction. Journal of Korean Academy of Nursing Administration, 18 (2), 146-154. https://doi.org/10.11111/jkana.2012.18.2.146
  8. Kim, C. G. (2002). An analysis of fall incidence rate and the related factors of fall in hospitalized patients. Unpublished master's thesis, Seoul National University, Seoul, Korea
  9. Kim, C. G. (2011). Nurses' knowledge and attitude toward fall in hospitalized patients. Journal of Industrial Science Researches, 28 (2), 275-281.
  10. Kim, H. S. (2003). The relationship between teachers' self-leadership and the job satisfaction at secondary schools. Unpublished master's thesis, Soongsil University, Seoul, Korea
  11. Kim, K. S., Kim, J. A., Kim, M. S., Kim, Y. J., .Kim, E. S.. Park, K. O., et al. (2009). Development of performance measures based on the nursing process for prevention and management of pressure ulcers, falls and pain. Journal of Korean Clinical Nursing Research, 15 (1), 133-147.
  12. Kim, N. H. (2002). Super-leadership. Seoul: Kyungmoon publishers.
  13. Lee, C. J. (2003). Nurses knowledge and attitudes toward the old adult general hospital and geriatric hospital. Unpublished master's thesis, Hallym University, Chuncheon, Korea
  14. Lee, I. K. (2011). Affected factors on preventive activity of hospital fall in nurses at a university hospital. Unpublished master's thesis, Chonnam National University, Gwangju, Korea
  15. Lee, J. S. (2010). (The) relationship on nurses' self-leadership, job satisfaction and nursing performance. Unpublished master's thesis, Hanyang University, Seoul, Korea
  16. Lee, K. H., & Lee, M. O. (2007). Characteristics of hospitalized elders with repeated falls and fractures. Journal of Korean Gerontological Nursing, 9 (2), 173-183.
  17. Lehtola, S., Koistine, P., & Luukinen, H. (2006). Risk factors for falls and injurious falls late in home dwelling life. Archives of Gerontology Geriatrics, 42, 217-224. https://doi.org/10.1016/j.archger.2005.07.002
  18. Liu, H., Shen, J., & DongXia Xiao, L. (2011). Effectiveness of an educational intervention on improving knowledge level of Chinese registered nurses on prevention of falls in hospitalized older people - A randomized controlled trial. Nurse Education Today, 32 (6), 695-702. http://dx.doi.org/10.1016/j.nedt.2011.09.009
  19. Manz, C. C., & Sims, H. P. (1983). The art of self-leadership: Strategies for personal effectiveness in your life and work. New Jersey: Prentice-Hall Inc.
  20. Manz, C. C., & Sims, H. P., Jr. (1995). Business without bosses: How self-managing teams are building high-performing companies. New York: John Wily & Sons.
  21. Min, S., Jeong, Y. J., Kim, H. S., Ha, S. Y., Ha, Y. J., & Kim, E., A. (2009). The moderating effect of self-leadership in relationship between self-image and work performance of nurses. Journal of Korean Academy of Nursing Administration, 15 (3), 355-364.
  22. Ministry of Health & Welfare. (2010). Rehabilitation program - Health care of frail elderly. Seoul: Ministry of Health & Welfare.
  23. Ministry of Health & Welfare. (2011). Guidelines for hospital evaluation programme. Seoul: Ministry of Health & Welfare.
  24. Seo, O. I. (2008). Influence of knowledge and attitude on behaviors of falls prevention activities in patient among university hospital nurse. Unpublished master's thesis, The Catholic University of Korea, Seoul, Korea
  25. Seomun, G. A. (2005). The relationship of self-leadership, job satisfaction, and perceived outcome in nurses. Journal of Korean Academy of Nursing Administration, 11 (1), 45-58.
  26. Seomun, G. A., Chang, S. O., Cho, K. H., Kim, I. A., & Lee, S. J. (2006). The relation between self-leadership and outcome of nursing practice. Journal of Korean Academy of Nursing Administration, 12 (1), 151-158.
  27. Shin, K. R., Shin, S. J., Kim, J. S., & Kim, J. Y. (2005). The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women. Journal of Korean Academy of Nursing, 35 (1), 104-112. https://doi.org/10.4040/jkan.2005.35.1.104
  28. Song, J. S., & Yang, P. S. (2008). A study on mediating effects of job satisfaction on the relationship between self-leadership and innovative behavior. The Korean Journal for Human Resource Development, 10 (1), 223-246. https://doi.org/10.18211/kjhrdq.2008.10.1.010

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