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 fallAbstract
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.
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