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卫生工作者对跌倒风险预防的认知:一种摄影声音方法。

Health Workers' Perception on Fall Risk Prevention: A Photovoice Method.

作者信息

Dewi Arlina, Meisari Winda Azmi, Almanfaluthi Muhammad Luthfi, Ambarwati Dwi, Dewi Rachmawati, Handini Diny Rachma Putri, Sutrisno Sutrisno, Dewi Trisna Setya

机构信息

Master of Hospital Administration, Faculty of Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia.

Hospital Administration, Universitas Aisyiyah Surakarta, Surakarta, Indonesia.

出版信息

J Patient Exp. 2024 Oct 3;11:23743735241273674. doi: 10.1177/23743735241273674. eCollection 2024.

Abstract

Health workers' awareness can affect hospital fall prevention success. Enhancing awareness can be achieved by exploring their perspectives on the phenomenon. This study aims to explore health workers' perceptions regarding fall risk prevention in hospitals. This study employed qualitative methods using photovoice. The participants were 20 health workers. The data collection was done within several steps, such as (1) The photographs of fall prevention were collected at 5 different hospitals within 3 months; (2) 20 photos were selected to be shown in the photo exhibition; (3) Participants were asked to reflect on the meaning of the photographs during photo exhibition, individually through Google Form and interview using SHOWED guidelines. This study identified 4 themes, including (1) the importance of fall risk identification, including environmental and physiological identification and the use of the appropriate assessment instrument based on age range; (2) the role of family and patient education, but does not guarantee that those who are educated have better attention; (3) involvement of nonhealthcare workers, such as security guide's contribution to identify patients; (4) application of fall protection and signs is crucial stuff to be applied in an appropriate way to prevent patients from falls. Health workers encountered both positive and negative aspects related to fall prevention strategies in hospital settings. Health workers' perspectives can be considered by stakeholders to help improve hospital fall prevention regulations.

摘要

医护人员的意识会影响医院预防跌倒的成效。通过探究他们对这一现象的看法可以提高意识。本研究旨在探究医护人员对医院跌倒风险预防的认知。本研究采用照片声音法这一定性研究方法。参与者为20名医护人员。数据收集分几个步骤进行,比如:(1)在3个月内于5家不同医院收集预防跌倒的照片;(2)挑选20张照片在摄影展上展示;(3)在摄影展期间,要求参与者通过谷歌表单单独反思照片的意义,并使用SHOWED指南进行访谈。本研究确定了4个主题,包括:(1)跌倒风险识别的重要性,包括环境和生理识别以及根据年龄范围使用合适的评估工具;(2)家庭和患者教育的作用,但这并不能保证接受教育的人会有更好的注意力;(3)非医护人员的参与,比如保安在识别患者方面的贡献;(4)应用跌倒防护措施和标识是至关重要的,必须以适当方式应用以防止患者跌倒。在医院环境中,医护人员遇到了与预防跌倒策略相关的积极和消极方面。利益相关者可以考虑医护人员的观点,以帮助改进医院预防跌倒的规定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd46/11483835/1e720fe8a72c/10.1177_23743735241273674-fig1.jpg

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