Pat Matthews Academic School of Nursing at Hillel Yaffe Medical Center, Hadera, Israel.
Faculty of Social Welfare and Health Sciences, Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.
J Nurs Manag. 2021 Oct;29(7):2199-2207. doi: 10.1111/jonm.13373. Epub 2021 Jun 1.
To understand the distinctive experience and use of strategies of high- and low-resilience nurses aiming to prevent patient falls.
Falls among inpatients continue to threaten patient safety in the hospital. Nurses may have the greatest impact on reducing patient falls. However, little is known about whether nurses' personal resilience is associated with patients' fall prevention strategies.
The study employed a descriptive mixed-methods design combining quantitative (questionnaires) and qualitative (observations, semi-structured interviews).
One major theme, from maintaining routine to taking control over patients' falls, and three subthemes, scepticism, anticipation and proactivity representing feelings, cognitions and behaviours characterizing high- versus low-resilience nurses emerged from the findings.
Three successive resilience strategies, starting with hunches that elicit scepticism, through cognitions of anticipation the worst-case scenario that could happen to the patient, and concluding with proactive behaviours characterize resilient nurses, helping them to prevent patients' falls.
Nursing managers seeking to decrease the devastating rate of patient falls can encourage nurses to have an inquiring mind (scepticism), be alert for the unexpected (anticipation) and take control over the environment (proactive behaviours) to make things happen instead of watching them happen.
了解高弹性和低弹性护士在预防患者跌倒方面的独特经验和策略使用情况。
住院患者跌倒事件仍持续威胁着医院内的患者安全。护士可能对减少患者跌倒事件的发生有最大的影响。然而，对于护士的个人韧性是否与患者跌倒预防策略有关，我们知之甚少。
本研究采用描述性混合方法设计，结合定量（问卷）和定性（观察、半结构化访谈）方法。
研究结果得出一个主要主题，即从维持常规到控制患者跌倒，以及三个子主题，即代表高弹性和低弹性护士的感觉、认知和行为特征的怀疑、预期和主动性。
三个连续的韧性策略，从引起怀疑的预感开始，通过对可能发生在患者身上的最坏情况的预期认知，以及以采取主动行为结束，这些策略构成了有韧性的护士，帮助他们预防患者跌倒。
寻求降低患者跌倒灾难性发生率的护理管理者可以鼓励护士培养探究精神（怀疑）、对意外情况保持警惕（预期）并主动控制环境（主动行为），以促使事情发生，而不是静观其变。
