Rababah Jehad A, Al-Hammouri Mohammed Munther, Alsaqer Heba Hazza
Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
J Multidiscip Healthc. 2024 May 23;17:2591-2599. doi: 10.2147/JMDH.S463667. eCollection 2024.
Falls are common among hospitalized patients especially those with neurological health conditions. This highlights the need to implement evidence-based, comprehensive fall prevention programs. However, certain barriers hinder successful implementation of fall prevention programs in hospitals. The aim of this study was to explore the insights of healthcare professionals regarding the implementation of an interdisciplinary falls prevention program among patients with neurological health conditions.
A qualitative, descriptive design was used to conduct this study. Healthcare providers at two neurology units from two hospitals were invited to attend interdisciplinary workshops on fall prevention using the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) program. Reflective journals were used to collect the data. A total of 23 healthcare providers returned their completed journals and thematic analysis was performed to extract the main themes.
Thematic analysis revealed a total of four main themes: (1) The STEADI program provides an interdisciplinary approach to identifying fall risks, (2) The STEADI program improves patient safety and facilitates recovery, (3) The STEADI program fails to accommodate all neurology patients, and (4) Time and space constraints hinder success.
Responses to the reflective journals revealed that the participants were able to identify the advantages of using the STEADI program for both healthcare professionals and patients with neurological conditions. The comprehensive and evidence-based approach, coupled with its interdisciplinary nature, was highly appraised by the participants.
跌倒在住院患者中很常见,尤其是那些有神经系统健康问题的患者。这凸显了实施基于证据的全面预防跌倒计划的必要性。然而,某些障碍阻碍了医院成功实施预防跌倒计划。本研究的目的是探讨医护人员对在患有神经系统健康问题的患者中实施跨学科预防跌倒计划的见解。
采用定性描述性设计进行本研究。邀请来自两家医院两个神经内科病房的医护人员参加使用“预防老年人意外、死亡和伤害”(STEADI)计划的跨学科预防跌倒研讨会。使用反思日志收集数据。共有23名医护人员交回了他们填写完整的日志,并进行了主题分析以提取主要主题。
主题分析共揭示了四个主要主题:(1)STEADI计划提供了一种跨学科方法来识别跌倒风险,(2)STEADI计划提高了患者安全性并促进了康复,(3)STEADI计划无法适应所有神经内科患者,(4)时间和空间限制阻碍了成功。
对反思日志的回复表明,参与者能够确定使用STEADI计划对医护人员和患有神经系统疾病的患者的好处。参与者高度评价了这种全面且基于证据的方法及其跨学科性质。