Jinhyun Kim PhD , Eunhee Lee PhD, APN, RN , Sunmi Lee MSN, RN
{"title":"影响住院老年患者跌倒的多层面因素：医院诱发谵妄的风险和护士人员配备的影响。","authors":"Jinhyun Kim PhD , Eunhee Lee PhD, APN, RN , Sunmi Lee MSN, RN","doi":"10.1016/j.gerinurse.2024.10.077","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the individual and organizational factors influencing falls among older inpatients, with a particular focus on the risk posed by hospital-induced delirium and the effect of nurse staffing levels.</div></div><div><h3>Methods</h3><div>This retrospective cohort study utilized data from a national healthcare database to examine falls in hospitalized older adults, applying a mixed-effect logistic regression model</div></div><div><h3>Results</h3><div>Data from 391,902 patients across 580 hospitals revealed that 1.2 % of older inpatients experienced falls. Influential factors for falls included advanced age, the use of multiple medications and treatments, impaired mobility, and hospital-induced delirium. Nurse staffing levels markedly influenced the reduction of fall risks among older patients.</div></div><div><h3>Conclusion</h3><div>Falls among hospitalized older adults are a frequent consequence of multifaceted risk components, highlighting the need for comprehensive fall prevention strategies and adequate.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 13-19"},"PeriodicalIF":2.5000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Multilevel factors influencing falls of older patients in hospital: The risk of hospital-induced delirium and the impact of nurse staffing\",\"authors\":\"Jinhyun Kim PhD , Eunhee Lee PhD, APN, RN , Sunmi Lee MSN, RN\",\"doi\":\"10.1016/j.gerinurse.2024.10.077\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>This study aimed to explore the individual and organizational factors influencing falls among older inpatients, with a particular focus on the risk posed by hospital-induced delirium and the effect of nurse staffing levels.</div></div><div><h3>Methods</h3><div>This retrospective cohort study utilized data from a national healthcare database to examine falls in hospitalized older adults, applying a mixed-effect logistic regression model</div></div><div><h3>Results</h3><div>Data from 391,902 patients across 580 hospitals revealed that 1.2 % of older inpatients experienced falls. Influential factors for falls included advanced age, the use of multiple medications and treatments, impaired mobility, and hospital-induced delirium. Nurse staffing levels markedly influenced the reduction of fall risks among older patients.</div></div><div><h3>Conclusion</h3><div>Falls among hospitalized older adults are a frequent consequence of multifaceted risk components, highlighting the need for comprehensive fall prevention strategies and adequate.</div></div>\",\"PeriodicalId\":56258,\"journal\":{\"name\":\"Geriatric Nursing\",\"volume\":\"61 \",\"pages\":\"Pages 13-19\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-11-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Geriatric Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0197457224004014\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0197457224004014","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Multilevel factors influencing falls of older patients in hospital: The risk of hospital-induced delirium and the impact of nurse staffing
Objective
This study aimed to explore the individual and organizational factors influencing falls among older inpatients, with a particular focus on the risk posed by hospital-induced delirium and the effect of nurse staffing levels.
Methods
This retrospective cohort study utilized data from a national healthcare database to examine falls in hospitalized older adults, applying a mixed-effect logistic regression model
Results
Data from 391,902 patients across 580 hospitals revealed that 1.2 % of older inpatients experienced falls. Influential factors for falls included advanced age, the use of multiple medications and treatments, impaired mobility, and hospital-induced delirium. Nurse staffing levels markedly influenced the reduction of fall risks among older patients.
Conclusion
Falls among hospitalized older adults are a frequent consequence of multifaceted risk components, highlighting the need for comprehensive fall prevention strategies and adequate.
期刊介绍：
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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