The qualitative research and countermeasure analysis on the management problems of accidental falls in elderly patients

Abstract

Objective To explore the main problems and difficulties encountered by nursing managers in the management of elderly patients with accidental falls. Methods A semi-structured in-depth interview was conducted with ten nursing managers in charge of adverse events, and data was analyzed by Colaizzi analysis. Results Seven themes were extracted from the data, including lack of active awareness of falls prevention, inadequate ability of safety support, lack of precise implementation of interventions, uncoordinated multi-sectoral control, inadequate concepts of ageing and accessibility, lack of related technology products and lack of policy and financial support. Conclusions Fall courses and training programs should be added to improve the level of knowledge and skills of medical staff, and increase the risk awareness and companionship for older and caregivers. And a multidisciplinary team should be formed to conduct a multi-factor intervention on falls. Meanwhile, the concept of barrier-free and ageing to improve the hospital environment will be advocated under the supports of the government to formulate medical policies and increase capital investment. Key words: Aged; Accidental falls; Inpatients; Qualitative research; Nursing management