Older hospital inpatients' fall risk factors, perceptions, and daily activities to prevent falling

Hiroko Kiyoshi-Teo; Kathlynn Northrup-Snyder; Deborah J Cohen; Nathan Dieckmann; Sydnee Stoyles; Kerri Winters-Stone; Elizabeth Eckstrom

doi:10.1016/j.gerinurse.2018.11.005

Older hospital inpatients' fall risk factors, perceptions, and daily activities to prevent falling

Geriatr Nurs. 2019 May-Jun;40(3):290-295. doi: 10.1016/j.gerinurse.2018.11.005. Epub 2018 Dec 27.

Authors

Hiroko Kiyoshi-Teo¹, Kathlynn Northrup-Snyder², Deborah J Cohen³, Nathan Dieckmann², Sydnee Stoyles², Kerri Winters-Stone², Elizabeth Eckstrom⁴

Affiliations

¹ School of Nursing, Oregon Health & Science University, Portland, OR, United States. Electronic address: kiyoshi@ohsu.edu.
² School of Nursing, Oregon Health & Science University, Portland, OR, United States.
³ Department of Family Medicine, Oregon Health & Science University, Portland, OR, United States.
⁴ School of Medicine, Oregon Health & Science University, Portland, OR, United States; Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, United States.

PMID: 30595233
DOI: 10.1016/j.gerinurse.2018.11.005

Abstract

Purpose: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults.

Background: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic.

Methods: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I).

Results: A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001).

Conclusions: Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.

Keywords: Fall prevention; Hospitalized older adult; Patient engagement.

Publication types

Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Accidental Falls / prevention & control*
Accidental Falls / statistics & numerical data
Aged
Female
Hospitalization*
Humans
Inpatients / psychology*
Male
Perception*
Risk Factors
Surveys and Questionnaires