Academic and Research Collaborative in Health, La Trobe University, Bundoora, Victoria, Australia.
Faculty of Health Science, Youth & Community Studies, Holmesglen Institute, Melbourne, Victoria, Australia.
PLoS One. 2022 Apr 27;17(4):e0266797. doi: 10.1371/journal.pone.0266797. eCollection 2022.
In hospitals, patient falls prevention education is frequently delivered by nurses and allied health professionals. Hospital falls rates remain high globally, despite the many systems and approaches that attempt to mitigate falling. The aim of this study was to investigate health professional views on the enablers and barriers to providing patient falls education in hospitals. Four focus groups with 23 nursing and allied health professionals were conducted at 3 hospitals. Three researchers independently coded the data and findings were analysed thematically with a descriptive qualitative approach to identify and develop themes according to barriers and enablers. Barriers included (i) limited interprofessional communication about patient falls; (ii) sub-optimal systems for falls education for patients and health professionals, and (iii) perceived patient-related barriers to falls education. Enablers to providing patient falls education included: (i) implementing strategies to increase patient empowerment; (ii) ensuring that health professionals had access to effective modes of patient education; and (iii) facilitating interprofessional collaboration. Health professionals identified the need to overcome organisational, patient and clinician-related barriers to falls education. Fostering collective responsibility amongst health professionals for evidence-based falls prevention was also highlighted.
在医院中,经常由护士和相关医疗专业人员为患者提供预防跌倒的教育。尽管有许多系统和方法试图降低跌倒发生率,但全球范围内医院的跌倒率仍然居高不下。本研究旨在调查医疗专业人员对在医院提供患者跌倒教育的促进因素和障碍的看法。在 3 家医院进行了 4 次焦点小组讨论,共有 23 名护理和相关医疗专业人员参加。3 名研究人员独立对数据进行编码,并采用描述性定性方法对数据进行分析,根据障碍和促进因素识别和发展主题。障碍包括:(i)关于患者跌倒的跨专业沟通有限;(ii)针对患者和医疗专业人员的跌倒教育系统不尽理想;(iii)认为患者存在跌倒教育相关障碍。提供患者跌倒教育的促进因素包括:(i)实施策略以增强患者的自主权;(ii)确保医疗专业人员能够获得有效的患者教育方式;(iii)促进跨专业协作。医疗专业人员确定需要克服与跌倒教育相关的组织、患者和临床医生方面的障碍。还强调了在医疗专业人员中培养对基于证据的跌倒预防的集体责任感。