结构化护患对话对急性护理医院患者预防跌倒的影响:一项混合研究

IF 2.9 3区 医学 Q1 NURSING International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI:10.1016/j.ijnss.2024.08.012
Kathrin Weber , Susanne Knueppel Lauener , Mieke Deschodt , Florian Grossmann , René Schwendimann
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引用次数: 0

摘要

目的住院患者跌倒是急症护理医院的主要患者安全问题。多因素住院预防跌倒项目显示了跌倒和相关风险的减少。成功项目的一个共同要素是患者的积极参与。本研究的目的是探讨病人和护士对结构化干预的经验,以促进病人的参与。方法本研究于2020年9月至2021年4月在某大学医院神经内科病房进行。研究的干预措施包括跌倒信息传单,以及关于减少跌倒风险活动的结构化护患对话。护士接受培训,在整个研究过程中提供干预和支持。对护士和患者在个人参与、满意度和信心方面的经历进行了定量和定性的调查和分析。结果由病区护士招募的56例患者接受了干预。在接受干预后,患者报告了对院内预防跌倒对话的高满意度。21名护士表示会使用传单和通讯工具。21名护士对干预的促进因素和障碍进行了评价。更具体的推动者包括他们的共同看法,即“向患者分发传单没有问题”,并且传单被视为“适用于许多患者情况”。他们的评论指出了在临床实践中实施干预的两个特别突出的障碍:1)“在日常临床程序和工作量中找到实施的时间”;2)“环境因素,如病房嘈杂和繁忙的气氛”。结论:本研究提供了患者参与干预的见解,其特点是有组织的护士-患者关于跌倒风险的讨论。随附的信息单张和沟通指南需要调整,以促进医院预防跌倒计划的可持续实施,但事实证明是有用的。
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Effect of structured nurse-patient conversation on preventing falls among patients in an acute care hospital: A mixed study

Objectives

Inpatient falls are a major patient safety issue in acute care hospitals. Multifactorial in-hospital fall prevention programs have shown reductions in falls and related risks. One common element of successful programs is active patient involvement. This study objective was to explore patients’ and nurses’ experiences with a structured intervention to foster patient involvement.

Methods

This study was conducted between September 2020 and April 2021 in a university hospital neurological ward. The studied intervention consisted of a falls information leaflet, and a structured nurse-patient conversation about fall risk-reduction activities. Nurses were trained to deliver the intervention and supported throughout the study. Nurses’ and patients’ experiences regarding personal involvement, satisfaction, and confidence were surveyed and analyzed quantitatively and qualitatively.

Results

Fifty-six patients recruited by ward nurses received the intervention. After receiving the intervention, patients reported high levels of satisfaction with the in-hospital fall prevention conversation. Twenty-one nurses indicated that they would use the leaflet and communication aid. Twenty-one nurses commented on intervention facilitators and barriers. More specific facilitators included their shared perception that “handing out the leaflet to patients was not problematic” and that the leaflet was seen as “applicable in many patient situations.” Their comments indicated two particularly prominent barriers to conducting the intervention in clinical practice: 1) “finding the time for the implementation in the daily clinical routine and workload” and 2) “environmental factors like a noisy and busy atmosphere on the ward.”

Conclusions

This study provides insights into a patient involvement intervention featuring a structured nurse-patient discussion about fall risks. The accompanying information leaflet and communication guide require adaptations to facilitate sustainable implementation into the hospital’s fall prevention program, but proved useful.
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来源期刊
CiteScore
6.10
自引率
2.60%
发文量
408
审稿时长
25 days
期刊介绍: This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.
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Editorial Board Contents Identification of subgroups of self-reported outcomes among breast cancer patients undergoing surgery and chemotherapy: A cross-sectional study Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
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