Improving Nurses 'Compliance with Standard patients' Fall Prevention Protocol in Surgical Departments

Document Type : Original Article

Authors

1 Assistant professors of medical surgical nursing, Faculty of Nursing -Ain Shams University

2 Assistant professors of medical surgical nursing, Faculty of Nursing -Ain Shams University and Assistant professor of medical surgical nursing, Faculty of Nursing- Northern Border University-KSA

Abstract

Background: Fall in hospitals is an important clinical, legal, and directing problem, which is considered one of the most nursing-sensitive quality indicators for international patient safety goals. Nursing education about fall prevention programs is the key in improving nurses’ adherence and reducing patient falls. The aim of this study was to improve nurses 'compliance with standard patients' fall prevention protocol in surgical departments Design: Quasi-experimental design was applied to achieve the aim of the study. Setting: this study was conducted in orthopedic and neurosurgical inpatient departments affiliated to Ain Shams university hospitals. Subjects: A convenient sample included all nurses (60) working in previously mentioned study settings. Tools: data were collected through 3 tools; first tool: A self-administered nurses’ structured questionnaire, second: Nurses’ attitude scale, and third: Nurses' observational checklist. Results: It  revealed that nurses' knowledge, compliance and attitude regarding fall prevention protocol, were statistically significantly improved at post and follow up  phases after educational program intervention as compared to pre-intervention phase (x=41.016& 34.143 at p <0.001;  x=85.714 & 77.260 at p<0.001 ; x=24.740 & 26.494 at p <0.001 respectively).Conclusion: nurses 'compliance with standard patients' fall prevention protocol in surgical departments was improved in the form of improvement of the level of knowledge, practice, and attitude of studied nurses after educational intervention in the immediate post and follow up phases as compared to pre-intervention phase Recommendation: Provision and availability of study booklet about fall risk assessment and prevention in all hospital settings to encourage and reinforce its application

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