PMID: 9171720May 1, 1997Paper

Clinical nursing judgment related to reducing the incidence of falls by elderly patients

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
B TurkoskiR Brady

Abstract

The incidence of falls among elderly patients has been and continues to be a major challenge for nurses. Falls add physical injury and mental stress to patients' existing health problems, are a deterrent to rehabilitation, and increase healthcare costs. This study describes the variables that nurses identify as influencing their clinical decision making and the nursing behaviors associated with preventing patient falls. The study was grounded in the theory that discretionary nursing behaviors are related to nursing expertise, and the study was guided by the assumption that such behaviors are proactive and anticipatory. An analysis of interviews of registered nurses (n = 14) working on a geriatric rehabilitation unit in a medical center in Ohio focused on the zones of association and the contextual meanings of language used by the nurses when discussing patient falls. Four themes emerged: the reasons for patient falls, identifying patients who are likely to fall, preventing falls, and nurses' feelings when patients fall.

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Citations

May 25, 2002·Journal of the American Geriatrics Society·Elizabeth CapezutiLois K Evans
Jul 8, 2005·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Linda L Pierce
Apr 17, 2004·Journal of Clinical Nursing·Jennifer Dempsey
Jan 9, 2009·Nursing & Health Sciences·Mayumi KatoRyoko Saito
Jul 24, 2008·Journal of Clinical Nursing·Kathy L RushTeresa Sparks
Jun 19, 2018·Innovation in Aging·Elizabeth A FehlbergRonald I Shorr
Sep 4, 2015·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Amy BokVictoria Steiner
Jun 19, 2002·British Journal of Nursing : BJN·S Kinn, K Hood
Feb 21, 2021·Journal of Advanced Nursing·Carmen De La Cuesta-BenjumeaClaudia P Arredondo-González
Apr 3, 2021·BMC Geriatrics·Justine L GiosaPaul Holyoke

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