Browse > Article
http://dx.doi.org/10.7739/jkafn.2017.24.2.106

Nurses' Experience of Inpatients' Falls  

Kim, Yu Jeong (Department of Nursing.Research Institute for Basic Sciences, Hoseo University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.24, no.2, 2017 , pp. 106-117 More about this Journal
Abstract
Purpose: The purpose of this study was to identify nurses' experience of falls by inpatients. Methods: From December 30, 2015 to February 22, 2016 data were collected through in-depth individual interviews and analyzed using Colaizzi's phenomenological method. Participants were 11 clinical nurses and 2 head nurses. Results: Nurses' experience related to inpatients' falls were categorized as follows: 'emotional impact after falls', 'responsibility for falls', 'changes after experience of falls', 'burden of reporting falls', 'difficulty in preventing falls', 'seeking new strategies for fall prevention' Conclusion: The findings from this study suggest that there is a need to develop programs to help nurses overcome the emotional impact of falls. Also education should be provided to patients, caregivers and health providers in order to prevent falls and improve patient safety.
Keywords
Falls; Nurses; Qualitative research; Life experiences;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. Journal of Korean Academy of Nursing Administration. 2011;17(4):413-422.   DOI
2 Ministry of Health and Welfare. Patient safety act [Internet]. Seoul: Ministry of Health and Welfare. 2016 [cited 2016 August 26]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=167782&urlMode=engLsInfoR&viewCls=engLsInfoR#0000
3 The Joint Commission. Speak up initiatives [Internet]. Illinois: The Joint Commission; 2016 [cited 2016 April 5]. Available from: http://www.jointcommission.org/speakup.aspx
4 Spoelstra SL, Given BA, Given CW. Fall prevention in hospitals: An integrative review. Clinical Nursing Research. 2012;21(1):92-112. https://doi.org/10.1177/1054773811418106   DOI
5 Kim KS, Kim JA, Choi YK, Kim YJ, Park MH, Kim HY, et al. A comparative study on the validity of fall risk assessment scales in Korean hospitals. Asian Nursing Research. 2011;5(1):28-37. https://doi.org/10.1016/S1976-1317(11)60011-X   DOI
6 Kang YO, Song R. Validation of fall risk assessment scales among hospitalized patients in South Korea using retrospective data analysis. Korean Journal of Adult Nursing. 2015;27(1):29-38. https://doi.org/10.7475/kjan.2015.27.1.29   DOI
7 Clinical Excellence Commission. Open disclosure handbook. Sydney: Clinical Excellence Commission; 2014.
8 American Nurses Association. National quality organization endorses performance measures used by American nurses association to assess nursing care in hospitals [Internet]. Maryland: American Nurses Association. 2013 [cited 2016 May 25]. Available from: http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Collaborative-Activity/Quality-Org-Endorses-Performance-Measures-ANA-to-Assess-Nursing-Care.pdf.
9 Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. New England Journal of Medicine. 1988;319(26):1701-1707. https://doi.org/10.1056/NEJM198812293192604   DOI
10 Hill AM, Hoffmann T, Hill K, Oliver D, Beer C, McPhail S, et al. Measuring falls events in acute hospitals - A comparison of three reporting methods to identify missing data in the hospital reporting system. Journal of the American Geriatrics Society. 2010;58(7):1347-1352. https://doi.org/10.1111/j.1532-5415.2010.02856.x   DOI
11 Degelau J, Belz M, Bungum L, Flavin PL, Harper C, Leys K, et al. Health care protocol: Prevention of falls (acute care). 3rd ed. Bloomington MN: Institute for Clinical Systems Improvement (ICSI); 2012.
12 Korea Consumer Agency. Consumer ages [Internet]. Seoul: Korea Consumer Agency. 2006 [cited 2016 March 30]. Available from: http://www.kca.go.kr/brd/m_47/view.do?seq=3912&srchFr=2006&srchTo=&srchWord=&srchTp=&itm_seq_1=0&itm_seq_2=0&multi_itm_seq=0&company_cd=&company_nm=&page=1&back_year=2006&back_mon=12
13 Craig J, Murray A, Mitchell S, Clark S, Saunders L, Burleigh L. The high cost to health and social care of managing falls in older adult living in the community in Scotland. Scottish Medical Journal. 2013;58(4):198-203. https://doi.org/10.1177/0036933013507848   DOI
14 Korea Institute for Healthcare Accreditation. Accreditation standards 2.0. Seoul: Department of Health and Human Services; 2016.
15 Center for Disease Control and Prevention. Important facts about falls [Internet]. Atlanta: Center for Disease Control and Prevention; 2015 [cited 2015 March 28]. Available from: http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html
16 Yoon SH, Kim KJ. Nurses' learning experiences from falling accidents on patient safety. Korean Journal of Hospital Management. 2015;20(2):1-14.
17 Dykes PC, Carroll DL, Hurley A, Lipsitz S, Benoit A, Chang F, et al. Fall prevention in acute care hospitals: A randomized trial. Journal of the American Medical Association. 2010;304(17):1912-1918. https://doi.org/10.1001/jama.2010.1567   DOI
18 Kim C. Nurses' knowledge and attitude toward fall in hospitalized patients. Journal of Industrial Science Researches. 2011;28(2):275-281.
19 Kim KY. Patient care obligations and limitations of hospital. Korean Journal of Medicine and Law. 2012;20(1):55-77.
20 Berland A, Gundersen D, Bentsen SB. Patient safety and falls: A qualitative study of home care nurses in Norway. Nursing & Health Sciences. 2012;14(4):452-457. https://doi.org/10.1111/j.1442-2018.2012.00701.x   DOI
21 Tzeng HM, Yin CY. Most and least helpful aspects of fall prevention education to prevent injurious falls: A qualitative study on nurses' perspectives. Journal of Clinical Nursing. 2014;23(17):2676-2680. https://doi.org/10.1111/jocn.12295   DOI
22 Lee TK, Kim EY, Kim NH. A phenomenological study on nurses' experiences of accidents in patient safety. Journal of Korean Academy of Nursing Administration. 2014;20(1):35-47. https://doi.org/10.11111/jkana.2014.20.1.35   DOI
23 Colaizzi PF. Psychological research as the phenomenologist views it. New York: Oxford University Press; 1978. p. 48-71.
24 Guba EG, Lincoln YS. Fourth generation evaluation. Newbury Park CA: Sage Publications; 1989.
25 Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimensions of Critical Care Nursing. 2011;30(6):339-345. https://doi.org/10.1097/DCC.0b013e31822fab2a   DOI