Most frequently observed risk factors for adult inpatient injurious falls in hospitals

Huey-Ming Tzeng, Chang Yi Yin

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

PURPOSE:: This exploratory, multihospital, cross-sectional nurse survey identified the adult population group with the most frequently observed risk factors for injurious falls in acute hospital settings. METHODOLOGY:: The survey was conducted at 5 nonprofit health systems in the United States. A subset of the survey data from the main study was used in this analysis. The main study was conducted in 2011-2012 and included 560 registered nurses (RNs) from 68 units; it was published in the Journal of Nursing Care Quality in 2013. All the subjects from the main study were included in the present study. Factor analysis was conducted on 81 risk factor frequency items. We identified the group based on the ranking of the mean values for the frequency groups. The risk factor effective preventability items were also analyzed. RESULTS:: We identified 24 most frequently observed risk factors and 3 most effectively preventable risk factors, which were all integral to each individual patient. Five of the most frequently observed risk factors were identified as physical-motor factors, 8 were identified as cognition factors, and 4 were demographic characteristics. None of the most frequently observed risk factors were related to medication. The 3 most preventable risk factors were demographic characteristics. For exploratory purposes, 1-way analysis of variance tests were used and show that statistically significant differences were present in the mean scores on some of the frequency scales and effective preventability scales across study health systems, acuity levels of the units, and unit types. CONCLUSION/APPLICATION OF THE STUDY:: Perceptions of RNs about the most frequently observed and the most effectively preventable risk factors were mostly inconsistent. Clinical nurse specialists and nursing administrators need to identify frequently observed risk factors on a regular basis. These findings need to be communicated with RN staff in a systematic way to prioritize interventions to prevent injurious falls.

Original languageEnglish (US)
Pages (from-to)314-322
Number of pages9
JournalClinical Nurse Specialist
Volume27
Issue number6
DOIs
StatePublished - Nov 1 2013
Externally publishedYes

Fingerprint

Inpatients
Nurses
Demography
Nurse Clinicians
Health
Nursing Care
Administrative Personnel
Population Groups
Cognition
Statistical Factor Analysis
Analysis of Variance
Nursing
Cross-Sectional Studies

Keywords

  • accidental falls
  • hospitals
  • patients

ASJC Scopus subject areas

  • Leadership and Management
  • Assessment and Diagnosis
  • Advanced and Specialized Nursing
  • LPN and LVN

Cite this

Most frequently observed risk factors for adult inpatient injurious falls in hospitals. / Tzeng, Huey-Ming; Yin, Chang Yi.

In: Clinical Nurse Specialist, Vol. 27, No. 6, 01.11.2013, p. 314-322.

Research output: Contribution to journalArticle

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