Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa

Background: Falls risk assessment tools, including the Morse Falls Scale, have been used for years, and yet falls remain key adverse events in hospitals. Nurses are key role players in falls prevention and can champion patient safety. Objectives: The aim of the study was to explore ward nurses’ att...

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Main Authors: Christine Rogers, Athene Irving
Format: Article
Language:English
Published: AOSIS 2023-10-01
Series:Curationis
Subjects:
Online Access:https://curationis.org.za/index.php/curationis/article/view/2479
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author Christine Rogers
Athene Irving
author_facet Christine Rogers
Athene Irving
author_sort Christine Rogers
collection DOAJ
description Background: Falls risk assessment tools, including the Morse Falls Scale, have been used for years, and yet falls remain key adverse events in hospitals. Nurses are key role players in falls prevention and can champion patient safety. Objectives: The aim of the study was to explore ward nurses’ attitudes, knowledge and practices regarding the use of falls risk assessment tools, institutional falls policy and falls prevention. Methods: A survey design was used. All permanent ward nurses were eligible to participate, and a convenience sample was used. Results: Nurses endorsed the Morse Falls Scale, recommended by institutional policy, as effective in reducing falls and indicated that incident reporting measured progress on monitoring fall events. Falls prevention training was scanty; however, nurses were keen for further education of falls. Conclusion: Effective falls risk management needs to extend beyond promulgating policy and actively address nursing and patient education. Contribution: This study adds to the sparse literature regarding nursing practice and falls prevention in a developing country. Recommendations for change have been made.
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spelling doaj.art-385365d48765459baacd5fc328ff3bb72023-11-02T10:58:24ZengAOSISCurationis0379-85772223-62792023-10-01461e1e1110.4102/curationis.v46i1.24791527Nurses’ perspectives on inpatient falls in a large academic hospital in South AfricaChristine Rogers0Athene Irving1Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape TownDepartment of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape TownBackground: Falls risk assessment tools, including the Morse Falls Scale, have been used for years, and yet falls remain key adverse events in hospitals. Nurses are key role players in falls prevention and can champion patient safety. Objectives: The aim of the study was to explore ward nurses’ attitudes, knowledge and practices regarding the use of falls risk assessment tools, institutional falls policy and falls prevention. Methods: A survey design was used. All permanent ward nurses were eligible to participate, and a convenience sample was used. Results: Nurses endorsed the Morse Falls Scale, recommended by institutional policy, as effective in reducing falls and indicated that incident reporting measured progress on monitoring fall events. Falls prevention training was scanty; however, nurses were keen for further education of falls. Conclusion: Effective falls risk management needs to extend beyond promulgating policy and actively address nursing and patient education. Contribution: This study adds to the sparse literature regarding nursing practice and falls prevention in a developing country. Recommendations for change have been made.https://curationis.org.za/index.php/curationis/article/view/2479hospital-based fallsfalls risk identificationfalls preventionnursing practicelow- and middle-income country
spellingShingle Christine Rogers
Athene Irving
Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa
Curationis
hospital-based falls
falls risk identification
falls prevention
nursing practice
low- and middle-income country
title Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa
title_full Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa
title_fullStr Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa
title_full_unstemmed Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa
title_short Nurses’ perspectives on inpatient falls in a large academic hospital in South Africa
title_sort nurses perspectives on inpatient falls in a large academic hospital in south africa
topic hospital-based falls
falls risk identification
falls prevention
nursing practice
low- and middle-income country
url https://curationis.org.za/index.php/curationis/article/view/2479
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AT atheneirving nursesperspectivesoninpatientfallsinalargeacademichospitalinsouthafrica