Powell-Cope Gail, Quigley Patricia, Besterman-Dahan Karen, Smith Maureen, Stewart Jonathan, Melillo Christine, Haun Jolie, Friedman Yvonne
Gail Powell-Cope, PhD, ARNP, FAAN, VISN 8 Patient Safety Center of Inquiry, James A. Haley Veterans' Hospital, Tampa, FL, USA
Patricia Quigley, PhD, ARNP, CRRN, FAAN, FAANP, VISN 8 Patient Safety Center of Inquiry, James A. Haley Veterans' Hospital, Tampa, FL, USA.
J Am Psychiatr Nurses Assoc. 2014 Sep-Oct;20(5):328-39. doi: 10.1177/1078390314553269.
Falls are the leading cause of injury-related deaths among people age 65 and older, and fractures are the major category of serious injuries produced by falls.
Determine market segment-specific recommendations for "selling" falls prevention in acute inpatient psychiatry.
Descriptive using focus groups.
One inpatient unit at a Veterans' hospital in the Southeastern United States and one national conference of psychiatric and mental health nurses.
A convenience sample of 22 registered nurses and advanced practice nurses, one physical therapist and two physicians participated in one of six focus groups.
None.
Focus groups were conducted by expert facilitators using a semistructured interview guide. Focus groups were recorded and transcribed. Content analysis was used to organize findings.
Findings were grouped into fall risk assessment, clinical fall risk precautions, programmatic fall prevention, and "selling" fall prevention in psychiatry. Participants focused on falls prevention instead of fall injury prevention, were committed to reducing risk, and were receptive to learning how to improve safety. Participants recognized unique features of their patients and care settings that defined risk, and were highly motivated to work with other disciplines to keep patients safe.
Selling fall injury prevention to staff in psychiatric settings is similar to selling fall injury prevention to staff in other health care settings. Appealing to the larger construct of patient safety will motivate staff in psychiatric settings to implement best practices and customize these to account for unique population needs characteristics.
跌倒是65岁及以上人群与伤害相关死亡的主要原因，骨折是跌倒导致的主要严重伤害类型。
确定在急性住院精神病学中“推广”预防跌倒针对特定细分市场的建议。
采用焦点小组的描述性研究。
美国东南部一家退伍军人医院的一个住院科室以及一次精神科和心理健康护士全国会议。
一个便利样本，包括22名注册护士和高级执业护士、一名物理治疗师和两名医生，他们参与了六个焦点小组中的一个。
无。
由专家主持人使用半结构化访谈指南进行焦点小组讨论。焦点小组讨论进行录音并转录。采用内容分析法整理研究结果。
研究结果分为跌倒风险评估、临床跌倒风险预防措施、计划性跌倒预防以及在精神病学中“推广”跌倒预防。参与者关注的是预防跌倒而非预防跌倒伤害，致力于降低风险，并愿意学习如何提高安全性。参与者认识到其患者和护理环境中界定风险的独特特征，并极有动力与其他学科合作以确保患者安全。
向精神科环境中的工作人员推广预防跌倒伤害与向其他医疗保健环境中的工作人员推广类似。诉诸更广泛的患者安全概念将促使精神科环境中的工作人员实施最佳实践，并根据独特的人群需求特征进行定制。
