Abstract
Background: Patient falls in hospitals are common and affect approximately 2% to 17% of patients during their hospital stay. Patient falls are a nursingsensitive quality indicator in the delivery of inpatient services. Objective: To assess the effect of educational training program on nurses’ knowledge and performance regarding prevention of fall at one of the health insurance organization hospitals in Alexandria. Setting: The study was conducted at 284 bed general hospital affiliated with the Health Insurance Organization in Alexandria. Design: A quasi-experimental design was followed. Participants: The study sample included all nurses of different ranks working at four departments namely, orthopedic, medical, surgical, ICU unit. Results: There was a significant difference regarding all factors under study before and after the educational programme except for two individual factors, old age (p = 0.84), overall poor health status (p = 0.38), and two health factors, uses aids (p = 0.50), treatment by heparin (p = 1.00), and two environmental factors, poor lighting (p = 0.34), loose cords or wires (p = 0.30) and bells (p = 0.30), and one miscellaneous factor, patient education (p = 0.85) and tidy environment(p = 0.85). All departments showed posttest performance improvement, the total performance median for departments regarding environmental factor (p = 0.04) and health education (p = 0.001). Conclusion: Education programmes should be regularly, updated in view of changing knowledge and work practices.
Highlights
Patient falls in hospitals are common and affect approximately 2% to 17% of patients during their hospital stay
Patient falls, defined as the rate at which patients fall during their hospital stays per 1000 patient days, are a nursing-sensitive quality indicator in the delivery of inpatient services
Among the nursing quality indicators identified by the American Nurses Association (2002), patient fall rates are perceived as the indicator that could be most improved through nurse-led safety strategies or interventions [1]
Summary
Patient falls, defined as the rate at which patients fall during their hospital stays per 1000 patient days, are a nursing-sensitive quality indicator in the delivery of inpatient services. Injuries from falls can lead to significant morbidity and mortality Of those individuals who sustain a hip fracture—the most feared complication from a fall—more than 24% die within a year of the fall, and 50% never return to their normal level of functioning [13]. Objective: To assess the effect of educational training program on nurses’ knowledge and performance regarding prevention of fall at one of the health insurance organization hospitals in Alexandria. Conclusion: Education programmes should be regularly, updated in view of changing knowledge and work practices
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