ObjectivesInpatient 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’s objective was to explore patients’ and nurses’ experiences with a structured intervention to foster patient involvement. MethodsThis study was conducted between September 2020 and April 2021 in a university hospital neurological ward. The studied intervention consisted of an 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. ResultsFifty-six patients recruited by ward nurses received the intervention. Overall, patients expressed satisfaction with the nurse-patient conversations. Nurses’ confidence increased regarding discussing and choosing fall prevention activities with patients. ConclusionsThis 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.