College of Nursing, University of Florida, Gainesville (Ms Garcia); and Department of Family, Community and Health Systems Science, College of Nursing, University of Florida, Gainesville (Drs Bjarnadottir, Keenan, and Macieira).
J Nurs Care Qual. 2022;37(3):249-256. doi: 10.1097/NCQ.0000000000000605. Epub 2021 Nov 12.
Limited studies have synthesized evidence on nurses' perceptions of recommended fall prevention strategies and potential differences between those and the practiced strategies.
To synthesize evidence about nurses' perceptions of recommended fall prevention strategies for hospitalized adults.
Using PubMed, 50 records underwent abstract and full-text screening, and 10 studies were retained. Narrative synthesis was conducted to identify common themes across studies. Quality assessment was not performed.
Nurses are aware of effective fall prevention strategies but identified unit-level barriers and facilitators to implementing these in their practice. Unit culture and policies, educational offerings, nursing interventions, and style of communication and collaboration were seen to influence fall prevention.
Nurses recognize falls as a multifactorial issue suggesting that prevention efforts be tailored to the unit and involve all employees. We recommend that future research emphasize identifying and understanding the combination of factors that produce successful unit-level fall prevention strategies.
有限的研究综合了有关护士对推荐的跌倒预防策略的看法的证据，以及这些看法与实际采用的策略之间的潜在差异。
综合有关护士对住院成人推荐的跌倒预防策略的看法的证据。
使用 PubMed，对 50 篇记录进行了摘要和全文筛选，保留了 10 项研究。采用叙述性综合方法确定了研究之间的共同主题。未进行质量评估。
护士意识到有效的跌倒预防策略，但在实践中确定了实施这些策略的单位层面的障碍和促进因素。单元文化和政策、教育提供、护理干预以及沟通和协作风格被认为会影响跌倒预防。
护士将跌倒视为一个多因素问题，这表明预防工作应根据单位情况进行调整，并应让所有员工参与。我们建议未来的研究强调确定和理解产生成功的单位层面跌倒预防策略的因素组合。
