Browse > Article
http://dx.doi.org/10.11111/jkana.2014.20.2.176

Effects of Health Belief on Fall Prevention Activities of Emergency Room Nurses  

Park, Min Kyoung (Department of Nursing, Eulji University Hospital)
Kim, Hyun-Young (College of Nursing, Eulji University)
Publication Information
Journal of Korean Academy of Nursing Administration / v.20, no.2, 2014 , pp. 176-186 More about this Journal
Abstract
Purpose: The purpose of this study was to analyze factors affecting fall prevention activities of emergency room (ER) nurses based on their health belief factors (perceived susceptibility, perceived benefits, perceived severity, perceived barriers, and cues to action). Methods: The study design was a descriptive survey using questionnaires which were given to 127 emergency room nurses from two regional emergency medical centers, four local emergency medical centers, and two local emergency medical facilities. Data were analyzed using descriptive analysis, t-test, one-way ANOVA with LSD test, Pearson correlation, and multiple regressions. Results: ER nurses' fall prevention activities had a mean of $3.78{\pm}0.50$. Eight individual characteristics and health belief factors accounted for 30.8% of the fall prevention activities. Fall prevention activities were found to be positively affected by emergency medical facilities, perceived benefits, and cues to action and negatively affected by factors, such as ER career and perceived severity. Conclusion: The results indicate that it is necessary to formulate a plan for enhancing perceived benefits and cues to action to improve fall prevention activities. In addition, fall prevention activities should be encouraged for ER nurses who have worked in local medical institutions for less than 1 year or more than 5 years.
Keywords
Emergency room; Nurses; Accidental falls; Health behavior; Accident prevention;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Korea Consumer Agency. Consumer ages [Internet]. Seoul: Korea Consumer Agency. December 2006 [cited 2014 JAN 3 0]. Available from: http://www.kca.go.kr/brd/m_47/view.do?se q=3912&srchFr=2006&srchTo=&srchWord=&srchTp=&itm_s eq_1=0&itm_seq_2=0&multi_itm_seq=0&company_cd=&co mpany_nm=&page=1&back_year=2006&back_mon=12
2 Song MR. Falls management of inpatients [Internet]. Seoul: Health Insurance Review & Assessment Service. 2010 [cited 2013 October 18]. Available from: http://www.hira.or.kr/images/11/newsletter /qinewsletter/qi_201010_cont04.html
3 Alexander D, Kinsley T, Waszynski C. Predicting patients at risk for falling in the emergency department. Poster session presentation at; The 14th Annual Evidence Based Practice Conference: The value of nursing in achieving patient outcomes; 2010 October 8; Hartford, CT.
4 Degelau J, Belz M, Bungum L, Flavin PL, Harper C, Leys K, et al. Webb B. Health care protocol: Prevention of falls (acute care). 3rd ed. Bloomington, MN: Institute for Clinical Systems Improvement(ICSI); 2012. p. 4.
5 Schwendimann R, Buhler H, Geest SD, Milisen K. Characteristics of hospital inpatient fall across clinical departments. Gerontology. 2008;54:342-348. http://dx.doi.org/10.1159/000129954   DOI   ScienceOn
6 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;58:198-203. http://dx.doi.org/10.1177/0036933013507848   DOI
7 Kim E-K, Lee JC, & Eum M-R. Fall risk factors of inpatients. Journal of Korean Academy of Nursing. 2008;38:676-684. http://dx.doi.org/10.4040/jkan.2008.38.5.676   DOI
8 Shin TG, Song JW, Song HG, Hong CK. Characteristics of frequent users of emergency department. Journal of the Korean Society of Emergency Medicine. 2011;22:86-92.
9 Lee KS. Research about chief complaint and principal diagnosis of patients who visited the university hospital emergency room. The Journal of Digital Policy and Management. 2012;10(10):347-352.
10 Morse JM. Preventing patient falls: Establishing a fall intervention program. 2nd ed. New York: Springer; 2009.
11 Koh SS, Manias E, Hutchinson AM, Donath S, Johnston L. Nurses' perceived barriers to the implementation of a fall prevention clinical practice guideline in Singapore hospitals. BMC Health Services Research. 2008;8:105. http://dx.doi.org/10.1186/1472-6963-8-105   DOI   ScienceOn
12 Ministry of Health & Wellfare, Korea Institute for Healthcare Accreditation. Accreditation standards for hospital [Internet]. Seoul: Korea Institute for Healthcare Accreditation. 2011 [cited 2012 June 15]. Available from: http://medical.brain21c.co.kr/notice/bbs_ download.asp?btb=CertMedPDS&pid=6
13 Kim S-H. Clinical nurses' practice of the fall prevention for elderly patients and their attitude toward patient safety culture [master's thesis]. Seoul: Hanyang University; 2012.
14 National Emergency Medical Center. Emergency medical facilities [Internet]. Seoul: National Emergency Medical Center. 2014 [cited 2014 February 18]. Available from: http://www.nemc.or.kr/emergency/emer gency_scope.jsp
15 Kim MS. Perception and influencing factors for patient safety among emergency room nurses [master's thesis]. Ulsan: Ulsan University; 2012.
16 Lee IK. Affected factors on preventive activity of hospital fall in nurses at an university hospital [master's thesis]. Gwangju: Chonnam National University; 2011.
17 Lee NJ, Kim J-H. Perception of patient safety culture and safety care activity among nurses in small-medium sized general hospitals. Journal of Korean Academy of Nursing Administration. 2011;17:462-473. http://dx.doi.org/10.11111/jkana.2011.17.4.462   DOI
18 Han S-J, Kim H-J. Seo H-Y, Baik J-Y, Kim S-Y, Kim M-Y. Patient emergency acuity and length of stay in the emergency room. The Chung-Ang Journal of Nursing. 2010;14:63-68.
19 The National Ageing Research Institute (NARI). Falls prevention guidelines for the emergency department [Internet]. Australia: The Australian Government Department of Health and Ageing. 2007 [cited 2014 March 15]. Available from: http://www.mednwh.unimelb.edu.au/nari_ research/pdf_docs/Pauline%20PDFs/Falls%20Prevention%2 0Guidelines%20JULY%202007.pdf
20 Kim KS, Kim JA, Choi Y-K, Kim YJ, Park MH, Kim H-Y. Comparative study on the validity of fall risk assessment scales in Korean hospitals. Asian Nursing Research. 2011;5:28-37. http://dx.doi.org/10.1016/S1976-1317(11)60011-X   DOI   ScienceOn
21 Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Education Quarterly. 1988;15:175-183.   DOI   ScienceOn
22 Kim HW. Knowledge about human papillomavirus (HPV), and health beliefs and intention to recommend HPV vaccination for girls and boys among Korean health teachers. Vaccine. 2012;30:5327-5334. http://dx.doi.org/10.1016/j.vaccine.2012.06.040   DOI   ScienceOn
23 American College of Emergency Physicians. Patient safety and quality of emergency care [Internet]. LA: American College of Emergency Physicians. 2013 [cited 2014 February 20]. Available from: http://www.acep.org/News-Media-top-banner/ Patient-Safety-and-Quality-of-Emergency-Care/
24 Wang X, Lin K, You LM, Xiang JG, Hu HG, Zhang LF, et al. The relationship between patient safety culture and adverse event: A questionnaires survey. International Journal of Nursing Studies. 2014. http://dx.doi.org/10.1016/j.ijnurstu.2013.12.007
25 Milisen K, Coussement J, Arnout H, Vanlerberghe V, De Paepe L, Schoevaerdts D, et al. Feasibility of implementing a practice guideline for fall prevention on geriatric wards: A multicentre study. International Journal of Nursing Studies. 2013;50:495-507. http://dx.doi.org/10.1016/j.ijnurstu.2012.09.020   DOI   ScienceOn
26 Pachte LM, Sheehan J, Cloutier MM. Factor and subscale structure of a parental health locus of control instrument (parental health beliefs scales) for use in a mainland United States Puerro Rican community. Social Science & Medicine. 2000; 50:715-721. http://dx.doi.org/10.1016/S0277-9536(99)00323-8   DOI   ScienceOn
27 Brinsley KJ, Sinkowitz-Cochran RL, Cardo DM, Team CDCCt PAR. Assessing motivation for physicians to prevent antimicrobial resistance in hospitalized children using the Health Belief Model as a framework. American Journal of Infection Control. 2005;33:175-181. http://dx.doi.org/10.1016/j.ajic.2004.12.004   DOI   ScienceOn
28 Choi YJ, Jung HS. Analysis of related factor with practice of handwashing by clinical nurses based on health belief model. Clinical Nursing Research. 2004;9(2):32-41. http://dx.doi.org/10.13065/jksdh.2013.13.2.193
29 Chung S-H, Hwang J-I. Patient characteristics associated with length of stay in emergency departments. Korean Journal of Health Policy and Administration. 2009;19(3):27-44. http://dx.doi.org/10.4332/KJHPA.2009.19.3.027   DOI   ScienceOn
30 Do BS. Appropriate use of emergency medical services and a solution for emergency department overcrowding in large hospitals in Korea. Journal of the Korean Medical Association. 2009;52:1044-1046.   DOI