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Patient safety is our business! Staff perspectives on implementing hospital falls prevention education
Journal article   Open access   Peer reviewed

Patient safety is our business! Staff perspectives on implementing hospital falls prevention education

Cheng Yen Loo, Steffanie Coulter, Carol Watson, Sharmila Vaz, Meg E Morris, Leon Flicker, Tammy Weselman and Anne-Marie Hill
Health promotion international, Vol.40(1), 200
2025
PMID: 39820454
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Published656.38 kBDownloadView
CC BY V4.0 Open Access

Abstract

Accidental Falls - prevention & control Attitude of Health Personnel Female Focus Groups Hospitals Humans Interviews as Topic Male Patient Safety Personnel, Hospital - education Qualitative Research
Providing patients with falls prevention education reduces falls in hospitals, yet there is limited research on what influences successful implementation at the staff, ward and hospital levels. We engaged hospital-based health professionals to identify multi-level barriers and enablers to patient falls education that could influence the implementation of a Safe Recovery program. Purposive sampling was used to recruit hospital staff (n = 40) for focus groups and one-on-one interviews. Data were analysed using content analysis and categorized using a socio-ecological framework to understand the micro, meso and macro level influences of hospital falls prevention. We identified five overarching themes, on the barriers and enablers to implementation of the Safe Recovery program. The enablers to falls prevention education included sharing the responsibility to implement the program, setting clear goals for staff, showing the impact of delivering the program, involving family to reinforce the messaging, using falls champions to upskill staff and making the resources (video and booklet) readily available to patients at all times. Barriers included insufficient time for staff to deliver falls prevention education, lack of falls prevention training for staff during their clinical training, absence of standardized protocols and clinical guidelines across hospital settings and insufficient hospital marketing to promote the program. Using a systems thinking approach, this study showed that implementation requires more advocacy and support for patient falls prevention across different tiers of the hospital system to integrate into usual care.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.82 Gait & Posture
1.82.263 Gait and Balance
Web Of Science research areas
Health Policy & Services
Public, Environmental & Occupational Health
ESI research areas
Social Sciences, general
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