Strategies used by nurse leaders to support the delivery of falls prevention practices in hospitals.

Natasha Alvarado, Lynn McVey, Nick Hardiker, Hadar Zaman, Dawn Dowding, Peter Gardner, Frances Healey, Rebecca Randell
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Abstract

Despite prevention efforts, falls in hospital are a common and ongoing safety concern, with older people more likely to fall and experience harm as a result of falls. Clinical guidelines recommend multifactorial falls risk assessment and multidomain, personalised interventions to reduce falls risks in hospitals. This article reflects on findings from a multi-site study on the implementation of multifactorial falls prevention practices that informed the development of actionable guidance. The discussion focuses on strategies used by nurse leaders, at different levels of seniority, that shaped practice on orthopaedic and older person wards. While falls risk assessment documentation was monitored routinely by senior leaders, in practice falls prevention often relied on risk screening and enhanced patient supervision. Findings suggest that nurses need to be empowered to lead practices that modify and mitigate individual falls risks where possible, with greater multidisciplinary and patient and carer involvement.

护士长支持医院开展预防跌倒实践的策略。
尽管在预防方面做出了努力,但医院中的跌倒仍是一个常见且持续存在的安全问题,老年人更容易跌倒并因跌倒而受到伤害。临床指南建议采用多因素跌倒风险评估和多领域个性化干预措施来降低医院内的跌倒风险。本文回顾了一项关于多因素跌倒预防实践实施情况的多站点研究结果,该研究为制定可操作的指南提供了依据。文章重点讨论了不同级别的护士长所采用的策略,这些策略影响了骨科病房和老年人病房的实践。虽然跌倒风险评估文件由高层领导例行监控,但在实践中,跌倒预防往往依赖于风险筛查和加强对患者的监督。研究结果表明,需要授权护士在可能的情况下,在多学科、病人和护理人员的更多参与下,领导改变和减轻个人跌倒风险的实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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