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Original Article

A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls

Ae Shin Choi1, Pok Ja Oh2
Journal of Korean Academy of Nursing Administration 2013;19(3):394-403.
Published online: June 30, 2013

1Department of Nursing, Graduate School, Sahmyook University, Korea.

2Department of Nursing, Sahmyook University, Korea.

Corresponding author: Oh, Pok Ja. Department of Nursing, Sahmyook University, 815 Hwarangro, Nowon-gu, Seoul 139-742, Korea. Tel: +82-2-3399-1589, Fax: +82-2-3399-1594, ohpj@syu.ac.kr
• Received: March 4, 2013   • Revised: April 11, 2013   • Accepted: May 24, 2013

Copyright © 2013 Korean Academy of Nursing Administration

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  • Purpose
    The purpose of this study was to identify self-leadership and attitude to patient falls and fall prevention behavior in nurses.
  • Methods
    The participants were 178 nurses from two general hospitals in Seoul. Data were collected from March 20 to May 10, 2012 using structured questionnaires which included a Self-leadership scale, Fall attitude scale, and Fall prevention scale. Data were analyzed using descriptive statistics, Pearson correlation and Hierarchial multiple regression with the SPSS/WIN 20.0 program.
  • Results
    The mean score for nurses' self-leadership was 3.48 (5 point scale). The average reported fall attitude was 3.59 (5 point scale) and fall prevention behavior was 3.26 (4 point scale). Self-leadership had a 18% explanatory power in fall attitude and a 5% explanatory power in fall prevention behavior. The factors which influenced fall prevention behavior were nurses' fall attitude (β=.21, p=.009), fall prevention education (β=.20, p=.007) and self-leadership (β=.16, p=.047). All of the factors together had a 13.1% explanatory power.
  • Conclusion
    The results of this study suggest that provision of regularly fall prevention education to nurses is required and should include a program to activate their positive attitude and self-leadership in order to improve fall prevention behavior in nurses.
  • Key Words: Falls; Leadership; Attitude; Behavior; Nurses

This article is based on a part of the first author's master's thesis from Sahmyook University.

  • 1. Bouldin EL, Andresen EM, Dunton NE, Simon M, Waters TM, Liu M, et al. Falls among adult patient hospitalized in the United States: Prevalence and trends. J Patient Saf. 2013;9(1):13-17. http://dx.doi.org/10.1097/PTS.0b013e3182699b64
  • 2. Dellinger AM, Stevens JA. The injury problem among older adults: Mortality, morbidity and costs. J Safety Res. 2006;37:519-522.
  • 3. Diener DD, Mitchell JM. Impact of a multifactorial fall prevention program upon fall of older frail adults attending an adult health day care center. Top Geriatr Rehabil. 2005;21(3):247-257.
  • 4. Faul F, Erdfelder E, Lang AG, Buchner A. G*power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191. http://dx.doi.org/10.3758/BF03193146
  • 5. Hospital Nurses Association. Clinical nursing practice guideline for fall prevention. 2008;Retrieved December 3, 2012. from http://www.khna.or.kr/web/information/resource.php
  • 6. Hwang IY. A study on knowledge, attitude, and implementation of clinical nursing practice guideline for fall prevention among hospital nurses working in the small and medium sized hospitals. 2011;Gyeongnam, Korea, Gyeongsang National University. Unpublished master's thesis.
  • 7. Jung MH, Koh MS. The effects of preceptor nurses' self-leadership on role recognition and job satisfaction. J Korean Acad Nurs Adm. 2012;18(2):146-154.
  • 8. Kim CG. An analysis of fall incidence rate and the related factors of fall in hospitalized patients. 2002;Seoul, Korea, Seoul National University. Unpublished master's thesis.
  • 9. Kim CG. Nurses' knowledge and attitude toward fall in hospitalized patients. J Ind Sci Res. 2011;28(2):275-281.
  • 10. Kim HS. The relationship between teachers' self-leadership and the job satisfaction at secondary schools. 2003;Seoul, Korea, Soongsil University. Unpublished master's thesis.
  • 11. Kim KS, Kim JA, Kim MS, Kim YJ, Kim ES, 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.
  • 12. Kim NH. Super-leadership. 2002;Seoul, Kyungmoon publishers.
  • 13. Lee CJ. Nurses knowledge and attitudes toward the old adult general hospital and geriatric hospital. 2003;Chuncheon, Korea, Hallym University. Unpublished master's thesis.
  • 14. Lee IK. Affected factors on preventive activity of hospital fall in nurses at a university hospital. 2011;Gwangju, Korea, Chonnam National University. Unpublished master's thesis.
  • 15. Lee JS. (The) relationship on nurses' self-leadership, job satisfaction and nursing performance. 2010;Seoul, Korea, Hanyang University. Unpublished master's thesis.
  • 16. Lee KH, Lee MO. Characteristics of hospitalized elders with repeated falls and fractures. J Korean Gerontol Nurs. 2007;9(2):173-183.
  • 17. Lehtola S, Koistine P, Luukinen H. Risk factors for falls and injurious falls late in home dwelling life. Arch Gerontol Geriatr. 2006;42:217-224.
  • 18. Liu H, Shen J, DongXia Xiao L. Effectiveness of an educational intervention on improving knowledge level of Chinese registered nurses on prevention of falls in hospitalized older people - A randomized controlled trial. Nurse Educ Today. 2011;32(6):695-702. http://dx.doi.org/10.1016/j.nedt.2011.09.009
  • 19. Manz CC, Sims HP. The art of self-leadership: Strategies for personal effectiveness in your life and work. 1983;New Jersey, Prentice-Hall Inc.
  • 20. Manz CC, Sims HP Jr. Business without bosses: How self-managing teams are building high-performing companies. 1995;New York, John Wily & Sons.
  • 21. Min S, Jeong YJ, Kim HS, Ha SY, Ha YJ, Kim EA. The moderating effect of self-leadership in relationship between self-image and work performance of nurses. J Korean Acad Nurs Adm. 2009;15(3):355-364.
  • 22. Ministry of Health & Welfare. Rehabilitation program - Health care of frail elderly. 2010;Seoul, Ministry of Health & Welfare.
  • 23. Ministry of Health & Welfare. Guidelines for hospital evaluation programme. 2011;Seoul, Ministry of Health & Welfare.
  • 24. Seo OI. Influence of knowledge and attitude on behaviors of falls prevention activities in patient among university hospital nurse. 2008;Seoul, Korea, The Catholic University of Korea. Unpublished master's thesis.
  • 25. Seomun GA. The relationship of self-leadership, job satisfaction, and perceived outcome in nurses. J Korean Acad Nurs Adm. 2005;11(1):45-58.
  • 26. Seomun GA, Chang SO, Cho KH, Kim IA, Lee SJ. The relation between self-leadership and outcome of nursing practice. J Korean Acad Nurs Adm. 2006;12(1):151-158.
  • 27. Shin KR, Shin SJ, Kim JS, Kim JY. The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women. J Korean Acad Nurs. 2005;35(1):104-112.
  • 28. Song JS, Yang PS. A study on mediating effects of job satisfaction on the relationship between self-leadership and innovative behavior. Korean J Hum Resour Dev. 2008;10(1):223-246.
Table 1
Level of the Self-leadership, Fall Attitude and Fall Prevention Behavior in Nurses (N=178)
jkana-19-394-i001.jpg
Table 2
Difference in Self-leadership, Fall Attitude and Fall Prevention Behavior according to General Characteristics (N=178)
jkana-19-394-i002.jpg
Table 3
Factors of Self Leadership affecting Fall Attitude and Fall Prevention Behavior (N=178)
jkana-19-394-i003.jpg
Table 4
Factors affecting Fall Prevention Behavior in Nurses (N=178)
jkana-19-394-i004.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls
    J Korean Acad Nurs Adm. 2013;19(3):394-403.   Published online June 30, 2013
    DOI: https://doi.org/10.11111/jkana.2013.19.3.394
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    A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls
    J Korean Acad Nurs Adm. 2013;19(3):394-403.   Published online June 30, 2013
    DOI: https://doi.org/10.11111/jkana.2013.19.3.394
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    A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls
    A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls

    Level of the Self-leadership, Fall Attitude and Fall Prevention Behavior in Nurses (N=178)

    Difference in Self-leadership, Fall Attitude and Fall Prevention Behavior according to General Characteristics (N=178)

    Factors of Self Leadership affecting Fall Attitude and Fall Prevention Behavior (N=178)

    Factors affecting Fall Prevention Behavior in Nurses (N=178)
    Table 1 Level of the Self-leadership, Fall Attitude and Fall Prevention Behavior in Nurses (N=178)

    Table 2 Difference in Self-leadership, Fall Attitude and Fall Prevention Behavior according to General Characteristics (N=178)

    Table 3 Factors of Self Leadership affecting Fall Attitude and Fall Prevention Behavior (N=178)

    Table 4 Factors affecting Fall Prevention Behavior in Nurses (N=178)

    Table 1

    Table 2

    Table 3

    Table 4

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