• KANAD
  • Contact us
  • E-Submission

J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Page Path

Original Article

Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals

Hyun Jeong, Myonghwa Park
Journal of Korean Academy of Nursing Administration 2017;23(3):270-279.
Published online: June 30, 2017

College of Nursing, Chungnam National University, Korea.

Corresponding author: Park, Myonghwa. College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-580-8328, Fax: +82-42-580-8309, mhpark@cnu.ac.kr
• Received: February 24, 2017   • Revised: April 20, 2017   • Accepted: April 28, 2017

Copyright © 2017 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 24 Views
  • 0 Download
  • 1 Crossref
prev next

Full Article

Download PDF Download PDF
  • 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.
  • Key Words: Evidence-based nursing; Accidental falls; Knowledge; Organizational culture

This manuscript is a revision of the first author's master's thesis from Chungnam National University.

This study was supported by Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Education, Science and Technology(NRF. 2010-0024922).

  • 1. Park YW, Lee ES, Lee CS, Ham HM. The guidelines for patient safety. 7th ed. Seoul: Hospital Nurse Association; 2011. p. 9-13.
  • 2. National Rehabilitation Center. Rehabilitation programs-health care of fragile elderly. Seoul: The Association of Disabled Product Sales and Support; 2010.
  • 3. Park M, Kim AR, Kim JS, Kim HJ, Park YH, Song JA, et al. Gerontological nursing. 3rd ed. Seoul: Jeongdam Media; 2014. p. 452-463.
  • 4. Korea Institute for Healthcare Accreditation. Accreditation standards for hospitals (ver.2.0) [Internet]. Seoul, Korea Institute for Healthcare Accreditation. 2016;cited 2016 October 27. Available from: http://www.koiha.kr/member/kr/index.do
  • 5. Registered Nurses' Association of Ontario. Prevention of falls and fall injuries in the older adult [Internet]. Ontario, Registered Nurses' Association of Ontario. 2005;cited 2016 October 27. Available from: http://rnao.ca/bpg/guidelines/prevention?falls-and-fall-injuries-older-adult
  • 6. Lyons SS. Evidence-based protocol: Fall prevention for older adults. J Gerontol Nurs. 2005;31(11):9-14.
  • 7. Kim KS, Kim JA, Kim MS, Kim ES, Park KO, Song MS, et al. Development of performance measures based on the nursing process for prevention and management of pressure ulcers, falls and pain. J Korean Clin Nurs Res. 2009;15(1):133-147.
  • 8. Park M, Shin YH, Lee BS. Gu YJ. Evaluating evidence based practice guideline of fall prevention for use in Korea. Keimyung J Nurs Sci. 2011;15(1):83-96.
  • 9. Yu SK. Development and application of fall prevention and management education programs in geriatric hospitals. [master's thesis]. Daejeon: Chungnam National University; 2014.
  • 10. Gu MO, Cho MS, Cho YA, Jeong JS, Jeong IS, Park JS, et al. Topics for evidence-based clinical nursing practice guidelines in Korea. J Korean Clin Nurs Res. 2011;17(3):307-318.
  • 11. Kim E, Park M. Nurses' awareness and performance about evidence-based pain management in older adults. Korean J Adult Nurs. 2012;24(1):20-30.
  • 12. Yi J, Park M. Nurses' access and use of information resources and barriers and competency of evidence based practice. Korean J Adult Nurs. 2011;23(3):255-266.
  • 13. Ha MS, Park M. Nurses' Usage of clinical practice guideline and demand of evidence based clinical practice guideline. Korean J Adult Nurs. 2006;18(4):582-592.
  • 14. Melnyk BM, Fineout-Overholt E, Giggleman M, Cruz R. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nurs Outlook. 2010;58(6):301-308.
  • 15. Melnyk BM, Fineout-Overholt E, Feinstein FN, Li H, Small L, Wilcox L, et al. Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift. Worldviews Evid Based Nurs. 2004;1(3):185-193.
  • 16. Kim JS, Gu MO, Jo SY. Factors influencing evidence-based practice readiness for tertiary general hospital nurses. J Korea Acad Ind Coop Soc. 2013;14(6):2945-2957.
  • 17. Park H, Jang KS. Structural model of evidence-based practice implementation among clinical nurses. J Korean Acad Nurs. 2016;46(5):697-709.
  • 18. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes, and practice about evidence-based practice at general hospitals in Korea. J Korean Clin Nurs Res. 2011;17(3):375-387.
  • 19. Yoo JY, Oh EG, Hur HK. Chio MN. Level of knowledge on evidence-based infection control and influencing factors on performance among nurses in intensive care unit. Korean J Adult Nurs. 2012;24(3):232-243.
  • 20. Bang HR, Park YH. Development of evidence-based dysphagia nursing care protocol for nursing home residents. J Muscle Joint Health. 2013;20(1):31-42.
  • 21. Teresi JA, Ramirez M, Remler D, Ellis J, Boratgis G, Silver S, et al. Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal costs. Int J Nurs Stud. 2013;50(4):448-463.
  • 22. Park M, Park MH. Evidence based practice survey of fall management in geriatric hospitals: EBPSFM. Seoul: Korean Association of Geriatric Hospitals; 2013.
  • 23. Portney LG, Watkins MP. Reliability of measurements. Foundations of clinical research: Applications to practice. 3rd ed. New Jersey: Pearson Education Inc; 2009.
  • 24. Melnyk BM, Fineout-Overholt E, Mays MA. The evidence based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews Evid Based Nurs. 2008;5(4):208-216.
  • 25. Park M, Park MH. Fall intervention and management in Korean long term care settings: A gap in evidence based practice. J Nutr Health Aging. 2013;17:suppl 1. 784.
  • 26. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice. 3rd ed. Philadelphia, PA: Wolters Kluwer; 2011. 559 p.
  • 27. Kang Y, Yang IS. Evidence-based nursing practice and its correlates among Korean nurses. Appl Nurs Res. 2016;31:46-51.
  • 28. Aarons GA, Sommerfeld DH, Walrath-Greene CM. Evidence-based practice implementation: the impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice. Implement Sci. 2009;4(1):83
  • 29. Koehn ML, Lehman K. Nurses' perceptions of evidence based nursing practice. J Adv Nurs. 2008;62(2):209-215.
  • 30. Lee IK, Choi JY. Factors associated with nurses' activities for hospital fall prevention. Korean J Rehabil Nurs. 2013;16(1):55-62.
Table 1

General Characteristics of Participants (N=248)

jkana-23-270-i001.jpg

*Multiple response.

Table 2

Scores of Knowledge, Belief, Organizational Culture, and Implementation of Fall Management (N=248)

jkana-23-270-i002.jpg
Table 3

Differences in Implementation by General Characteristics of Participants (N=248)

jkana-23-270-i003.jpg
Table 4

Correlations among General Characteristics, Knowledge, Belief, Organizational Culture, and Implementation of Evidence Based Fall Management (N=248)

jkana-23-270-i004.jpg
Table 5

Factors Influencing on Implementation of Evidence based Fall Management (N=248)

jkana-23-270-i005.jpg

*Dummy variable No: 0, Yes: 1.

Figure & Data

References

    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

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals
    J Korean Acad Nurs Adm. 2017;23(3):270-279.   Published online June 30, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.3.270
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals
    J Korean Acad Nurs Adm. 2017;23(3):270-279.   Published online June 30, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.3.270
    Close

    Related articles

    Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals
    Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals

    General Characteristics of Participants (N=248)

    *Multiple response.

    Scores of Knowledge, Belief, Organizational Culture, and Implementation of Fall Management (N=248)

    Differences in Implementation by General Characteristics of Participants (N=248)

    Correlations among General Characteristics, Knowledge, Belief, Organizational Culture, and Implementation of Evidence Based Fall Management (N=248)

    Factors Influencing on Implementation of Evidence based Fall Management (N=248)

    *Dummy variable No: 0, Yes: 1.
    Table 1 General Characteristics of Participants (N=248)

    *Multiple response.

    Table 2 Scores of Knowledge, Belief, Organizational Culture, and Implementation of Fall Management (N=248)

    Table 3 Differences in Implementation by General Characteristics of Participants (N=248)

    Table 4 Correlations among General Characteristics, Knowledge, Belief, Organizational Culture, and Implementation of Evidence Based Fall Management (N=248)

    Table 5 Factors Influencing on Implementation of Evidence based Fall Management (N=248)

    *Dummy variable No: 0, Yes: 1.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

    ABOUT

    BROWSE ARTICLES 

    EDITORIAL POLICY

    FOR CONTRIBUTORS  

    © Korean Academy of Nursing Administration.
    TOP