Yasan Caglayan, Rohlje Bianca, Cork Jessica, Cooper-Blair Caroline, Hayes Alan
Program of Nursing and Midwifery, College of Sport, Health and Engineering, Victoria University, St Albans, Victoria, Australia.
Institute for Health and Sport (IHeS), Victoria University, Footscray, Victoria, Australia.
Nurs Open. 2025 May;12(5):e70240. doi: 10.1002/nop2.70240.
To examine what patients perceive to be the contributing factors that led to their fall in acute care hospitals during their episode of care in Australia.
A systematic review was conducted on inpatient experiences related to their fall during their episode of care in Australian acute care hospitals.
Database and manual searches were undertaken from December 2022 to February 2023, with final analyses completed in August 2023. Three studies with a total of 37 participants were included in the analysis. Various aspects of falls in patients were examined, including factors contributing to falls; the impact of falls on patients' confidence; education about falls prevention measures through brochures and implemented strategies; and patient adherence to the falls prevention plan.
Three key perceptions were identified, relating to the cause of falls, person-centred care and falls prevention. Results revealed that many inpatients were unaware of their risks of falling or the steps taken by nursing staff to prevent falls. Furthermore, the quality of nurse-patient relationships affected patients' experience of falls.
To promote cooperation and foster patient understanding of risk, it is crucial to involve patients in their falls prevention plan on a daily basis during their episode of care.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Further research is required on patients' perceptions of their falls during an episode of care within an acute care setting in Australia. The increasing risk of falls, particularly among the ageing population, requires better processes and partnering with consumers using a multidisciplinary approach to person-centred falls prevention strategies.
Falls among patients in healthcare facilities are a major concern. Understanding patient perceptions of the factors contributing to their falls will assist nurses understanding and lead to improvement in communication and falls prevention during their hospital stay.
This work adhered to the PRISMA guidelines.
No patient or public contribution.
探讨在澳大利亚急症医院接受治疗期间，患者认为导致其跌倒的促成因素有哪些。
对澳大利亚急症医院患者在治疗期间与跌倒相关的住院体验进行了系统评价。
于2022年12月至2023年2月进行了数据库检索和手工检索，最终分析于2023年8月完成。分析纳入了三项研究，共37名参与者。对患者跌倒的各个方面进行了研究，包括导致跌倒的因素；跌倒对患者信心的影响；通过宣传册和实施的策略进行的跌倒预防措施教育；以及患者对跌倒预防计划的依从性。
确定了三个关键认知，涉及跌倒原因、以患者为中心的护理和跌倒预防。结果显示，许多住院患者不知道自己的跌倒风险或护理人员为预防跌倒所采取的措施。此外，护患关系的质量影响了患者的跌倒体验。
为促进合作并增进患者对风险的理解，在患者接受治疗期间，每天让患者参与其跌倒预防计划至关重要。
对专业和/或患者护理的启示：需要进一步研究澳大利亚急症护理环境中患者在治疗期间对跌倒的认知。跌倒风险的不断增加，尤其是在老年人群体中，需要更好的流程，并采用多学科方法与消费者合作，制定以患者为中心的跌倒预防策略。
医疗机构中患者跌倒问题备受关注。了解患者对导致其跌倒因素的认知将有助于护士理解，并在患者住院期间改善沟通和预防跌倒工作。
本研究遵循PRISMA指南。
无患者或公众参与。
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