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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.

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  • 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).

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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

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    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

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    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
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    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
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    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

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