Purpose This study was conducted to identify the influence of patient safety culture and nursing work environment on fall prevention activities among hospital nurses.
Methods: The participants were 177 nurses working at eight hospitals including clinics, general hospitals, and tertiary care hospitals located in B city. Data were collected using self-report questionnaires and analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test. Pearson’s correlation coefficients, and hierarchical multiple regression with SPSS/WIN 26.0.
Results: Fall prevention activities were positively correlated with nursing work environment (r=.25, p=.001) and patient safety culture (r=.49, p<.001). Fall prevention activities were found to be significantly affected by patient safety culture (β=.47, p<.001) and being a training hospital (β=.21, p=.006).
Conclusion: The findings from this study suggest that patient safety culture is associated with fall prevention activities. In order to raise fall prevention activities, it is important to improve patient safety culture. Additionally, the health care organization should develop programs to raise fall prevention activities.
Citations
Citations to this article as recorded by
Associations of perceptions of patient safety culture, job crafting, and perceptions of patient rounding with patient safety management activities among tertiary hospital nurses Saet-Byeol Kim, Yun-Hee Kim Journal of Korean Biological Nursing Science.2024; 26(3): 259. CrossRef
Development and validation of a patient-centered communication scale for nurses Youngshin Joo, Yeonsoo Jang, Chang Gi Park, You Lee Yang BMC Nursing.2024;[Epub] CrossRef
Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities Subin Lee, Sujin Shin Journal of Korean Critical Care Nursing.2023; 16(3): 87. CrossRef
Falls in Patients of Medical Institutions in South Korea: A Literature Review Jongwon Choi, Woochol Joseph Choi Physical Therapy Korea.2023; 30(1): 1. CrossRef
The Effect of Work Value, Psychological Ownership and Nursing Working Environment on Intention of Retention in Hospital Nurses Ji Hey Kim, Yoon Ju Cho, So Eun Jang Journal of Korean Critical Care Nursing.2023; 16(3): 62. CrossRef
Purpose This study aimed to examine the factors influencing the degree of harm caused by fall incidents in hospitals. Methods This cross-sectional descriptive study used secondary data from the “Korean Patient Safety Incident Report 2019” and was based on the International Classification for Patient Safety conceptual framework. We analyzed a total of 4,176 fall incidents between January 1 and December 31, 2019, in Korea. Multinomial logistic regression analyses were conducted to identify the factors that influence the degree of harm from these incidents. Results Among the fall incidents, 443 (10.6%) were sentinel events, 2,514 (60.2%) were adverse events, and 1,219 (29.2%) were near misses. The factors associated with sentinel events were old age (≥60 years), gender, patient diagnosis, medical department, early detection after falls, long-term care hospital, and reporters. Adverse events were significantly associated with diagnosis, medical department, nurses’ night shift time, large bed size, location (i.e., operating room, recovery room, and intensive care unit), and reporters. Conclusion Both patient and incident characteristics are significantly associated with the degree of harm in hospitals. Therefore, multiple factors should be considered to establish healthcare policies and thus prevent fall risks and minimize damage following falls in hospitals.
Citations
Citations to this article as recorded by
Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System Soojin Chung, Jeongim Lee Journal of Health Informatics and Statistics.2025; 50(1): 96. CrossRef
Content Analysis of Patient Safety Incident Reports Using Text Mining: A Secondary Data Analysis On-Jeon Baek, Ho Jin Moon, Hyosun Kim, Sun-Hwa Shin Korean Journal of Adult Nursing.2024; 36(4): 298. CrossRef
Falls in Patients of Medical Institutions in South Korea: A Literature Review Jongwon Choi, Woochol Joseph Choi Physical Therapy Korea.2023; 30(1): 1. CrossRef
Predication of Falls in Hospitalized Cancer Patients Jun-Nyun Kim, Sun-Hwa Beak, Bo-Seop Lee, Mi-Ra Han Asian Oncology Nursing.2023; 23(2): 56. CrossRef
Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea Eun-Jin Kim, Yeon-Hwan Park Journal of Korean Biological Nursing Science.2023; 25(2): 95. CrossRef
Factors Associated with Patient Safety Incidents in Long-Term Care Hospitals: A Secondary Data Analysis Sookhee Yoon, Myungsuk Kang Korean Journal of Adult Nursing.2022; 34(3): 295. CrossRef
PURPOSE This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses. METHODS The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing. RESULTS When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented. CONCLUSION Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall.
Citations
Citations to this article as recorded by
Comparison of medical students’ perceptions of patient safety: Focusing on simulation training using a high-fidelity simulator Ji Eun Lee, Ji Hye Yu, Su Kyung Lee, Jang Hoon Lee, Hyun Joo Jung, Ipek Gonullu PLOS ONE.2024; 19(7): e0304883. CrossRef
Targeting microbiome, drug metabolism, and drug delivery in oncology Ai Sumiyoshi, Hiroyuki Fujii, Yusuke Okuma Advanced Drug Delivery Reviews.2023; 199: 114902. CrossRef
Gut microbiota, an emergent target to shape the efficiency of cancer therapy Soumaya Kouidhi, Oumaima Zidi, Zeineb Belkhiria, Henda Rais, Aida Ayadi, Farhat Ben Ayed, Amor Mosbah, Ameur Cherif, Amel Ben Ammar El Gaaied Exploration of Targeted Anti-tumor Therapy.2023; : 240. CrossRef
The Effects of the Fall Prevention Education Using the Kirkpatrick Model : For the Students Majoring in Housing Design Yeunsook Lee, Min-Gi Kim, Eun-Jung Jung, Mi-Seon Jang Journal of the Korean Housing Association.2022; 33(3): 61. CrossRef
Development and Evaluation of a Simulated Conflict Management Program on Inter-Professional Communication Skills Yeonjae Jo Stress.2020; 28(3): 167. CrossRef
PURPOSE The purpose of this study was to identify factors that influence nurses' implementation of evidence-based fall management in geriatric hospitals. METHODS Data from the Evidence Based Practice Survey of Fall Management in Geriatric Hospitals were examined for this study. The participants were 248 nurses from geriatric hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis, and stepwise regression. RESULTS Factors related to implementation of evidence-based fall management were belief in evidence-based practice with organizational culture, work experience, use of fall guideline, and experience of patient falls. These factors explained 56.7% of variance in implementation of evidence-based fall management. Among these factors, the significant predictors for implementation of evidence-based fall management were belief in evidence-based practice, organizational culture of evidence-based practice, work experience, use of fall guideline and experience of patient falls. CONCLUSION Results of this study suggest that it is necessary to develop a systematic program to enhance nurses' belief in evidence-based practice at the individual level. In addition, fostering organizational culture toward evidence-based practice and disseminating fall management guidelines at the organizational level can be important strategies to enhance evidence-based fall management in geriatric hospitals.
Citations
Citations to this article as recorded by
Falls in Patients of Medical Institutions in South Korea: A Literature Review Jongwon Choi, Woochol Joseph Choi Physical Therapy Korea.2023; 30(1): 1. CrossRef
PURPOSE The purpose of this study was to analyze factors affecting fall prevention activities of emergency room (ER) nurses based on their health belief factors (perceived susceptibility, perceived benefits, perceived severity, perceived barriers, and cues to action). METHODS The study design was a descriptive survey using questionnaires which were given to 127 emergency room nurses from two regional emergency medical centers, four local emergency medical centers, and two local emergency medical facilities. Data were analyzed using descriptive analysis, t-test, one-way ANOVA with LSD test, Pearson correlation, and multiple regressions. RESULTS ER nurses' fall prevention activities had a mean of 3.78+/-0.50. Eight individual characteristics and health belief factors accounted for 30.8% of the fall prevention activities. Fall prevention activities were found to be positively affected by emergency medical facilities, perceived benefits, and cues to action and negatively affected by factors, such as ER career and perceived severity. CONCLUSION The results indicate that it is necessary to formulate a plan for enhancing perceived benefits and cues to action to improve fall prevention activities. In addition, fall prevention activities should be encouraged for ER nurses who have worked in local medical institutions for less than 1 year or more than 5 years.
Citations
Citations to this article as recorded by
Influential factors on accidental fall prevention behaviors of long-term care hospital nurses : A descriptive study Da Mi An, Jinhyang Yang Journal of Korean Gerontological Nursing.2024; 26(4): 433. CrossRef
Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals Ji Hyun Park, Jung Tae Son Journal of Korean Academy of Fundamentals of Nursing.2018; 25(4): 269. CrossRef
The Influence of Health Belief on Fall Prevention Behavior among Patients Who Experienced Abdominal Surgeries Jinyoung Kim, Chiyoung Cha Journal of Korean Academy of Fundamentals of Nursing.2018; 25(3): 155. CrossRef
Factors influencing fall prevention nursing performance of hospital nurses Keong-Sook Jang, Hae-Sook Kim The Korean Journal of Emergency Medical Services.2016; 20(3): 69. CrossRef
Effects of Long Term Care Hospital Care-givers' Fall Prevention Self Efficacy and Fall Prevention Health Belief on Fall Prevention Awareness Ji-Young Jung, Yoon-Ji Park, Gye Hyun Jung The Journal of the Korea Contents Association.2015; 15(2): 333. CrossRef
Analysis of Research Trends in <i>Communication Sciences and Disorders</i> (1996-2013) Hwa Young Pyo Communication Sciences & Disorders.2014; 19(3): 412. CrossRef
Analysis of Research Trends in Papers Published in the Journal of Korean Academy of Child Health Nursing (2005-2009) Jin-Sun Kim, Ji-Young Lim, In-Soo Kwon, Tae-Im Kim, Ho-Ran Park, Hae-Young Ahn, Soo-Yeon Lee, Hyang-Mi Jung Journal of Korean Academy of Child Health Nursing.2011; 17(2): 100. CrossRef
Analysis of Research Papers Published in the Journal of the Korean Academy of Nursing-Focused on Research Trends, Intervention Studies, and Level of Evidence in the Research Hyun-Sook Shin, Myung-Sun Hyun, Mi-Ok Ku, Myung-Ok Cho, Sook-Young Kim, Jea-Sim Jeong, Geum-Hee Jeong, Gyeong-Ae Seomoon, Youn-Jung Son Journal of Korean Academy of Nursing.2010; 40(1): 139. CrossRef
PURPOSE The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. METHODS A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital's Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. RESULTS At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. CONCLUSION The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.
Citations
Citations to this article as recorded by
Influence of the Patient Safety Culture and Nursing Work Environment on Fall Prevention Activities of Hospital Nurses Se-Young Jung, Eun-Young Kim Journal of Korean Academy of Nursing Administration.2022; 28(2): 78. CrossRef
Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis Yeji Seo, Kyunghee Kim, Ji-Su Kim International Journal of Environmental Research and Public Health.2021; 18(8): 3963. CrossRef
A risk-factor analysis of medical litigation judgments related to fall injuries in Korea Insook Kim, Seonae Won, Mijin Lee, Won Lee Medicine, Science and the Law.2018; 58(1): 16. CrossRef
Automatic population of eMeasurements from EHR systems for inpatient falls Insook Cho, Eun-Hee Boo, Soo-Youn Lee, Patricia C Dykes Journal of the American Medical Informatics Association.2018; 25(6): 730. CrossRef
Comparison of Content Coverage of Domestic and International Inpatient Falls Prevention Guidelines Using Standard Nursing Terminologies Insook Cho, Jihye Kim, Jisun Chae, Miran Jung, Yeon Hee Kim Korean Journal of Adult Nursing.2018; 30(6): 622. CrossRef
Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park Journal of Korean Academy of Nursing.2017; 47(3): 420. CrossRef
The Affect Factors of Geriatric Hospital Nurse’s Falls Prevention Activities Ji-Young Jung, Gye Hyun Jung Journal of Health Informatics and Statistics.2016; 41(2): 203. CrossRef
Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis Young Ok Kang, Rhayun Song Korean Journal of Adult Nursing.2015; 27(1): 29. CrossRef
Fall Risk Factors and Fall Risk Assessment of Inpatients Yoon Sook Kim, Smi Choi-Kwon Korean Journal of Adult Nursing.2013; 25(1): 74. CrossRef
Predictive Effects of Previous Fall History on Accuracy of Fall Risk Assessment Tool in Acute Care Settings Ihn Sook Park Journal of Korean Academy of Fundamentals of Nursing.2012; 19(4): 444. CrossRef
First
Prev
