Outcomes Of Nursing Practice Guideline Implementation for Fall Prevention In Elderly Patients Post Open Heart Surgery
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Abstract
This implementation research aims to develop and study the effectiveness of using fall prevention guidelines. The nursing outcomes were measured consisting of knowledge, practice, and satisfaction before and after the implementation of the guidelines. The patient outcome was measured using the incidence of falls. The sample consists of 30 elderly patients underwent open-heart surgery and 21 professional nurses in the unit. The research tools consisted of fall prevention guidelines for elderly patients after open-heart surgery, personal data recording forms, health data recording forms, fall incident recording forms, personal data questionnaires for nurses. The tools were verified for content validity by three experts, and reliability of the observation of guideline adherence, fall prevention knowledge tests, and nurse satisfaction assessment yielding CVI values of 0.88, 0.60, and 0.89, respectively. Data were analyzed using descriptive statistics, one sample t-test, and Z-test.
The research results revealed that after implementing fall prevention guidelines, over 80% of the nurses adhered to the guidelines. Fall prevention knowledge of the nurses significantly improved comparing to before implementing the guidelines (p < .001). Nurse satisfaction with the guideline implementation was significantly higher than the criteria, yielding a value of 80% (p < .05). The incidence of falls had decreased comparing to before implementing the guidelines, but was not statistically significant (p > .05).
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