A qualitative research on fall risk patient safety

FALL RISK PATIENT SAFETY 12

Research Summary and Ethical Considerations Guidelines

Falls are the major causes of injury-related deaths among the elderlyaged 65 and above, and fractures are the leading category of injuriesthat are caused by falls.

This study sought to determine patient safety and falls, and this wasbased on the experiences of home care nurses. The study was carriedout through four focus group discussion interviews and this were 20home care nurses were the case study sample (Ramsay, Turner &ampCarvell, 2014). The data was then analyzed using content analysismethods. The study identified the following objectives

  1. patient safety was not viewed as a basic prevention

  2. Lack of investigation leads to patient falls and injuries

  3. The frailty of the older people makes them no longer able to live independently in their homes

  4. Patient independence versus patient safety

From the study, it was discovered that health care practitioners weremore concerned with treating the falls and injuries rather thanpreventing the falls. In addition, the patients rarely focused on theinjuries once the falls occurred. The patient’s independence orautonomy was placed prior to patient safety (Ramsay, Turner &ampCarvell, 2014). The ethical consideration illustrates that home carenurses might be more wary of fall prevention in clinical practice.However, additional research is recommended to shed more light onthis issue.

Background of study:

Falls are the major causes of injury-related deaths among the elderlyaged 65 and above, and fractures are the leading category of injuriesthat are caused by falls (Ramsay, Turner &amp Carvell, 2014). Thisstudy aims at encouraging ways to help make fall injuries a primaryprevention and help home care nurse improve on the care giving to theelderly in order to reduce the fatalities that are associated withfalls..

Problem

Falls particularly among the aged are the primary cause of fracturesand immobility. This is a wake-up call to caregivers to make fallinjuries a major prevention strategy. Moreover, most home care nursesare mostly concerned with treating the injuries that result from thefalls rather than helping in preventing the falls (Ramsay, Turner &ampCarvell, 2014). Moreover, most of the nurses rarely take immediateaction to treat the patient immediately after the fall, and thisleads to worsening of the situation.

Significance to nursing

Care giving to the elderly is one of the services that are given innursing care. Since the elderly are fragile, they cannot take care ofthemselves independently, and this calls for home care and even closebed monitoring (Ramsay, Turner &amp Carvell, 2014). Most of themsuffer from fractures and injuries that result from falls hence,proper care needs to be taken to ensure that their condition does notworsen due to these falls, hence nurses need information on how toreduce the risk of injuries due to falling patients.

Purpose

The elderly form a part of the fragile age group of the populationthat needs to be handled with care. Much as they are not independent,a lot of care needs to be taken in ensuring that they do not succumbto illness that is aggravated by falls and injuries that lead todrastic fractures.

Objectives: research question and/or hypothesis

i) Patient safety was not viewed as a basic prevention.

ii) Lack of investigation leads to patient falls and injuries

iii) The frailty of the older people makes them no longer able tolive independently in their homes

iv). Patient independence versus patient safety.

Concepts, phenomena

In a Middle East hospital out of the 200 elderly patients admitted tothe hospital, 15 succumbed to injuries that resulted from fallinjuries and fractures. This led to the hospital management carryingout this research to come up with intervention measures to prevent arecurrence of this scenario.

Methods Of Study:

The study was carried out through four focus group discussioninterviews and this were 20 home care nurses were the case studysample. The information was then evaluated using content analysismethods.

Sample

The sample was composed of 20 home care nurses that were divided intofour focus group discussion groups for interviews.

Procedures

A series of questionnaires were prepared with a series of questionsfor the nurses to answer. There was a portion of questions for thefamily members of the elderly, the patients, and the community atlarge Ramsay, Turner &amp Carvell, 2014). They were to give a viewon the various ways of caregiving to help prevent the risk of fallinjuries to the elderly patients. Additionally, the nurses were toconduct door-to-door interviews and after collecting the data, theywere to compile a comprehensive report on intervention strategies.

Results of study:

The participants’ major concentration was on fall prevention ratherthan fall injury prevention. They were highly committed to reducingrisk and were receptive to learning new ways of improving safety ofpatients (Ramsay, Turner &amp Carvell, 2014). The participants notedkeenly the unique settings and features of the patients thatpre-disposed them to the risk of being injured and the settings thatdefined the risks. This study helped in motivating them to enhancecollaborations with a multi-disciplinary team of practitioners toensure the safety of the patients.

Implications of nursing

Caregiving to the elderly is one of the services that are given innursing care. Since the elderly are fragile, they cannot take care ofthemselves independently, and this calls for home care and even closebed monitoring (Ramsay, Turner &amp Carvell, 2014). Most of themsuffer from fractures and injuries that result from falls hence,proper care needs to be taken to ensure that their condition does notworsen due to these falls, hence nurses need information on how toreduce the risk of injuries due to falling patients. This hasresulted in bolstering of collaborations by caregivers to ensureinterventions that improve patient safety.

Explain how the findings contribute to nursing knowledge/science.Would it impact practice, education, administration, or all areas ofnursing?

Through the participation of the home care nurses, much as they werereceptive to embracing safe health care practices, this was amotivating factor to encourage them to improve the safety of theelderly.

Ethical Considerations

  1. Did an organizational Review Board endorse the study?

Yes, the Institutional Review Board approved the study.

  1. Was patient privacy protected?

The information collected was treated with utmost confidentiality,and no patient was named in compiling the report.

  1. Were there ethical considerations regarding the treatment or lack of?

The ethical consideration illustrates that home care nurses might bemore wary of fall prevention in clinical practice. However,additional research is recommended to shed more light on this issue.

Conclusion

Selling fall prevention strategies to staff in psychiatric settingsis similar to selling the idea to all health care staff and those inother health care settings (Ramsay, Turner &amp Carvell, 2014).Appealing to the larger community to ensure the safety of patientswill motivate the staff in palliative care and psychiatric care toimplement the best practices in order to customize the safety needsof the patients.

References

Ramsay, I. S., Turner, S., Cavell, G. 2014. Governing patientsafety: lessons learned from a mixed methods evaluation ofimplementing a ward-level medication safety scorecard in two EnglishNHS hospitals. BMJ Qual. Saf., 23. pp. 136–146

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