The Effects of a Clinical Supervision Model on Nursing Practice Behaviors for Fall Prevention in Elderly Patients at The 50th Anniversary Mahavajiralongkorn Hospital
Keywords:Falls, elderly, fall prevention, hospital fall
The purposes of this quasi-experimental research were to study the effects of a clinical supervision model on nursing practice behaviors to prevent falls in the elderly, satisfaction with the developed clinical supervision model of professional nurses, and the fall rate in the elderly at the 50th Anniversary Mahavajiralongkorn Hospital.
The sample consisted of 52 professional nurses who had worked in wards that admitted elderly patients for medical treatment, chosen through simple random sampling. The research instruments consisted of a clinical supervision manual for prevention of falls in the elderly patients, a questionnaire on nursing practice behavior and a questionnaire on satisfaction with the clinical supervision. Both questionnaires were verified for content validity by five experts. The content validity indexes of both questionnaires were 0.97 and 1 respectively. The Cronbach alpha coefficient of both tools were 0.91 and 0.87 respectively. Data were analyzed by descriptive statistics, one-way repeated measures ANOVA and Fisher ‘s Exact test.
The findings were as follows. 1) Nursing practice behaviors to prevent falls in the elderly and professional nurses’ satisfaction with the developed clinical supervision model after receiving the developed clinical supervision model were statistically higher than before implementation at the .05 level. Furthermore, 2) The fall rate in the elderly after implementation of the developed clinical supervision model was statistically lower than before implementation at the .05 level.
Joint Commission International. Accreditation Standards for Hospital. 5thed. Illinois : Joint Commission International. 2017.
Morris & O’Riordan. Prevention of falls in hospital. Royal College of Physicians Clinical Medicine. 2017; 17(4): 360-66.
Melin CM. Reducing falls in the inpatient hospital setting. International Journal of Evidence-Based Healthcare. 2018; 16(1): 25-31
Kullavaniteewat S, Sorachaimetha P, Chiarat S, Kittichaised R, Radabutr M, Boonprasop S. A Development of Personalized Care Model to Prevent Falling for Patients. Journal of The Royal Thai Army Nurses. 2020; 21(2): 422-33. (in Thai)
Limpawattana P, Sutra S, Thavornpitak Y, Chindaprasirt J, Mairieng P. Geriatric Hospitalizations Due to Fall-Related Injuries. J Med Assoc Thai. 2015; 95(1): 234-239. (in Thai)
Assonchai P. Common health problems in the elderly and prevention 5thed. Department of Preventive and Social Medicine, Faculty of Medicine, Siriraj Hospital Mahidol University; 2015. (in Thai)
Tamsat A, Aree-Ue S, & Leelacharas S. Fear of falling and functional ability in older adult. Journal of The Police Nurse; 2015,7(1) 67-82. (in Thai)
Peeters G, Jones M, Byles J, Dobson A. Long-term consequences of non injurious and injurious falls on well-being in older women. The Journals of Gerontology: Series A. 2015; 70(2): 519-25.
Nursing Division, Ministry of Public Health. Nursing quality control. 2nd ed. Bangkok: Thammasat University. 2007. (in Thai)
Boonsong S, Noimuenwai P, Prasertsri N. Clinical Supervision Model for Isolation Precaution of Antimicrobial Resistance at Neurological Surgery Department Sunpasitthiprasong Hospital. Journal of The Royal Thai Army Nurses. 2021; 22(1):458-67. (in Thai)
Proctor B. Training for the supervision alliance of Clinical Supervision: Fundamental International Themes Routledge. 2001
Yuswanto, T., Ernawati, N., & Rajiani, I. The Effectiveness of Clinical Supervision Model Based on Proctor Theory and Interpersonal Relationship Cycle (PIR-C) toward Nurses’ Performance in Improving the Quality of Nursing Care Documentation. Indian Journal of Public Health Research & Development. 2018; 9(10): 561-66.
Cruz S, Carvalho L, & Lopes E. Improving the evaluation of risk of fall through clinical supervision: an evidence. International Journal of Information and Education Technology. 2016; 4(6): 526-30
The 50th Anniversary Mahavajiralongkorn Hospital Information Center. Service statistics 2020.
Morse, J. M., Morse, R., & Tylko, S. Development of a scale to identify the fall-patient prone. 1989; Can Journal Aging: 8(2), 366-700
Tuck, J. A new approach to team clinical supervision on an acute admissions unit. Mental Health Practice. Mental Health Practice. 2017; 20(5): 20-7.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G.Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009; 41: 1149-60.
How to Cite
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.