The Development of Nursing Services Model to Prevent Falls in Hospitalized Patients

Abstract

Background: Falls of hospitalized patients, one of the top five accidents, is an adverse event caused by many factors.  After falling, It has been often found that injuries occur in every severe levels which is extremely necessary to find a way to prevent the occurrence of this incident effectively.

Objectives: To study the situation of problems and fall prevention of hospitalized patients, develop a nursing services model and examine its outcomes in order to prevent falls, and evaluate the effectiveness of the developed nursing services model.

Material and Method: This study using research and development approaches, divided into 4 phases: 1) situational analysis; 2) development of a nursing services model;                              3) implementation and identification of its outcomes; and 4) evaluation of the effectiveness. Research instruments were the fall incident recording form, the assessment form of nursing practice, the satisfaction and the effectiveness evaluation form. Data were analyzed using descriptive statistics and content analysis.

Result: The situation of falling in hospitalized patients tend to be increasing.  The developed nursing services model consists: assessing risk of falls in hospitalized patients, initiating of the nursing practices, nursing innovation, and providing practical nursing supervision. The result: decreasing number and no repeated of falling in hospitalized patients. The percentage of nursing practice is 92.5. The overall score in average of satisfaction is at a high level ( = 4.20, S.D.= 0.73). The overall score in average of effectiveness is at a high level ( = 4.20, S.D.= 0.73)

Conclusion: Effective prevention model of falls consists: assessing risk of falls in hospitalized patients, initiating of the nursing practices follow fall risk level, nursing innovation, and providing practical nursing supervisioncan reduce the incidence of falling. The customer is satisfied.