Older hospital inpatients’ fall risk factors, perceptions, and daily activities to prevent falling

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1 Citation (Scopus)

Abstract

Purpose: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. Background: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. Methods: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). Results: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). Conclusions: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.

Original languageEnglish (US)
JournalGeriatric Nursing
DOIs
StateAccepted/In press - Jan 1 2018

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Accidental Falls
Inpatients
Patient Participation
Hospitalization
Research Personnel

Keywords

  • Fall prevention
  • Hospitalized older adult
  • Patient engagement

ASJC Scopus subject areas

  • Gerontology

Cite this

@article{ff61dfb87e7747a4845742dac48d3458,
title = "Older hospital inpatients’ fall risk factors, perceptions, and daily activities to prevent falling",
abstract = "Purpose: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. Background: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. Methods: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). Results: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). Conclusions: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.",
keywords = "Fall prevention, Hospitalized older adult, Patient engagement",
author = "Hiroko Kiyoshi-Teo and Kathlynn Northrup-Snyder and Deborah Cohen and Nathan Dieckmann and Sydnee Stoyles and Kerri Winters-Stone and Elizabeth Eckstrom",
year = "2018",
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doi = "10.1016/j.gerinurse.2018.11.005",
language = "English (US)",
journal = "Geriatric Nursing",
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AU - Kiyoshi-Teo, Hiroko

AU - Northrup-Snyder, Kathlynn

AU - Cohen, Deborah

AU - Dieckmann, Nathan

AU - Stoyles, Sydnee

AU - Winters-Stone, Kerri

AU - Eckstrom, Elizabeth

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Purpose: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. Background: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. Methods: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). Results: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). Conclusions: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.

AB - Purpose: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. Background: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. Methods: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). Results: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). Conclusions: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.

KW - Fall prevention

KW - Hospitalized older adult

KW - Patient engagement

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