Abstract：
:In order to compare the characteristics, preventive interventions and outcomes of single and multiple fallers, a retrospective cross-sectional study was conducted in a 680-bed acute-care hospital in Western Australia. Fifty patients falling more than once (multiple fallers) were randomly selected from all patients reported to have fallen between 1 July 1989 and 31 December 1989, and age-sex matched with 50 patients falling once in the trial period (single fallers). In total, 382 in-patients were reported to have sustained 578 falls in the 6-month trial period. Fifty-two per cent of these falls involved multiple fallers. An analysis of the 100 single and multiple fallers showed that single fallers were more likely to have fallen from their bed; be discharged home from hospital; and be clinically deteriorating at the time of the fall. Multiple fallers were more likely to be transferred to a long-term nursing facility after discharge from hospital; suffer blindness/poor vision; be sedated post fall; be ordered to be restrained following a fall; and be hospitalized for longer periods. There was also a tendency for multiple fallers to repeat the type and location of the fall on successive falls. Stepwise logistic regression showed that falling from the bed on the first fall predicted remaining a single faller. Being ordered to be restrained following the first fall and hospitalized for longer periods predicted the patient would fall repeatedly. Further analytical research incorporating an expanded number of independent variables is needed to allow confident assertions of causality. To test the effectiveness of preventive measures, a prospective longitudinal study is required.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Gaebler Sdoi
10.1046/j.1365-2648.1993.18121895.xsubject
Has Abstractpub_date
1993-12-01 00:00:00pages
1895-902issue
12eissn
0309-2402issn
1365-2648journal_volume
18pub_type
杂志文章abstract：:Quality assurance (QA) is being hailed as a 'new frontier' of nursing. Its diffusion into nursing theory and practice in the United Kingdom is outlined. QA is not an alien import; favourable preconditions already existed. The systems-reasoning of the nursing process, which sprawned a plethora of models, each geared to...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1987.tb01375.x
更新日期：1987-11-01 00:00:00
abstract：BACKGROUND:Gendered views of nursing remain widespread. This study explores how such views may influence student nurses' career aspirations. METHOD:A group of preregistration student nurses completed a questionnaire distributed early in their first year of study of a 3 year Higher Diploma in Nursing. Data were gathere...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2003.02676.x
更新日期：2003-07-01 00:00:00
abstract：:The purpose of this study was to describe and compare demographical, sociomedical and physical characteristics between protein-energy malnourished and non-malnourished geriatric patients on admission. According to the International Statistical Classification of Diseases, 104 malnourished patients were age-, gender- an...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01587.x
更新日期：1991-12-01 00:00:00
abstract：:This paper demonstrates how a health authority can use personnel records of nurses' working histories as an effective tool in manpower planning. Suggestions are given as to how these histories might be analysed and interpreted. Methods described range from the use of simple summary statistics and graphical methods to ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb01587.x
更新日期：1989-07-01 00:00:00
abstract：AIM:This paper is a report of an evaluation of the psychometric properties of the Health Beliefs Related to Cardiovascular Disease Scale designed to measure beliefs related to cardiovascular disease risk and diet and exercise in adults with diabetes. BACKGROUND:Heart attack and stroke are 2-4 times more common among a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05443.x
更新日期：2010-12-01 00:00:00
abstract：AIM:To examine the relationships of health literacy to diabetes self-care behaviors (diet, physical exercise, foot care and blood glucose monitoring) through empowerment controlling for diabetes education. BACKGROUND:Potential mechanisms of how health literacy links to health outcomes have not clearly elucidated. DES...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13738
更新日期：2018-10-01 00:00:00
abstract：:This paper summarizes a 12-month evaluation of an emergency assessment and community care psychiatric nursing service to demonstrate the possibility and desirability of health service providers evaluating their own service provision. The radical question central to such an assessment is: 'What would have been the case...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1994.tb01083.x
更新日期：1994-02-01 00:00:00
abstract：:The interest of nurses in methods of economic evaluation appears limited to cost-effectiveness analysis, with an apparent unawareness of other methods of economic appraisal and the types of efficiency they consider. The main methods of economic appraisal are discussed, and linked to different kinds of efficiency. Meth...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1995.tb02529.x
更新日期：1995-02-01 00:00:00
abstract：:This study investigated whether the temporal stress of working at night interferes with nurses' experience of different phases of the menstrual cycle. Twenty-four, rotating-shift nurses recorded data on a hand-held computer at the start and end of each day and every 2 hours during their shifts for a period of 28 days....
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21050996.x
更新日期：1995-05-01 00:00:00
abstract：AIM:To evaluate the effects of a self-care promoting problem-based learning programme for people with rheumatic diseases in terms of health-related quality of life, empowerment, and self-care ability. BACKGROUND:Individuals with rheumatoid arthritis express a great need for education and support in adapting to the dis...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/jan.12008
更新日期：2013-07-01 00:00:00
abstract：:This paper outlines a theoretical framework that was created as a result of an investigation into the feelings graduate nurses have towards clinical practice. The framework offers an explanation of the complexity of emotions which need to be considered when considering why it is that people react in the way they do to...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1996.16620.x
更新日期：1996-07-01 00:00:00
abstract：AIM:This paper presents findings from a study that was designed to understand, from the perspective of cancer patients and their family caregivers, what spiritual care is wanted from nurses. BACKGROUND:Distressing and transformative spiritual responses to living with cancer have been documented. Although there is mome...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03285.x
更新日期：2005-02-01 00:00:00
abstract：AIM:The aim of this paper is to review the literature on what facilitates or inhibits continuing education in nursing and to identify ways to make continuing education more effective. BACKGROUND:[corrected] Healthcare professionals have always been encouraged to update their knowledge and maintain clinical competence....
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2006.03940.x
更新日期：2006-08-01 00:00:00
abstract：:Considerable attention has focused on describing ethical issues that critical care nurses face in their practice: however, less attention has been directed at describing the process of ethical decision-making. Systematic research linking aspects of ethical-decision making and stress is lacking. This cross-sectional st...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.00418.x
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:At present, there are a number of different positioning strategies for stroke patients, but these are mainly based on clinical experience rather than research. Prior to developing a study to evaluate the effect of positioning on outcome after stroke, it was important to establish if nurses in our hospital ha...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1046/j.1365-2648.2001.01810.x
更新日期：2001-06-01 00:00:00
abstract：:Professions make extraordinary demands on its practitioners. Professionals are required to master substantive theory and technical skills. They also develop their own unique subcultures, demanding specific normative standards from their members, which are symbolized by professional ethical codes. In the health profess...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21010164.x
更新日期：1995-01-01 00:00:00
abstract：:This study is part of a scientific project, 'Multidimensional Health', the main goal of which is to introduce a broad view on health into health care and nursing. The purpose of this study is to examine the view of health among nursing leaders and members of caring staff and to compare it to that of patients (a previo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:There is a decline in recruitment to pre-registration programmes in psychiatric nursing in Ireland. This article discusses factors that may relate to the Irish situation in the context of relevant international literature on nurse recruitment. It is noted that disciplines and courses in Ireland, such as social care, t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2000.01460.x
更新日期：2000-07-01 00:00:00
abstract：AIMS:This paper seeks to analyse the content, people and process of transformational change to introduce new ways of working for specialized obstetric nurses in northeast Brazil, and identify the lessons learned. BACKGROUND:Countries across the globe are beginning to focus on improving the nursing workforce through ne...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2005.03450.x
更新日期：2005-06-01 00:00:00
abstract：BACKGROUND:There are many published qualitative studies in the large volume of literature about hysterectomy documenting themes common to the majority of participants, such as social support, feelings of illness and wellness, pain and resumption of normal life rather than events which were unique or exceptional. AIM:T...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.0309-2402.2003.02847.x
更新日期：2003-12-01 00:00:00
abstract：AIM:This paper describes a study of the kinds of ethical difficulties nurses face in the process of care in surgical units. BACKGROUND:Nurses face ethically difficult situations in trying to find the most appropriate actions to take for patients. Differences of opinion with doctors about the treatment and care of pati...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2006.04013.x
更新日期：2006-11-01 00:00:00
abstract：OBJECTIVES:The objective of this review was to investigate physical restraint minimization in acute and residential care settings. The first aim was to determine the effectiveness of attempts to minimize the use of physical restraint, and the second was to generate a description of the characteristics of restraint mini...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,meta分析,评审
doi：10.1046/j.1365-2648.2002.02422.x
更新日期：2002-12-01 00:00:00
abstract：AIM:This paper is a report of a study to explore what service users with a range of life-limiting conditions identify as their key experiences and needs generally and, specifically, from health and social care services. BACKGROUND:Whilst internationally palliative care has a primary focus on service users who have can...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2008.04638.x
更新日期：2008-06-01 00:00:00
abstract：:Eight first-time and eight second-time working class mothers were observed interacting with their newborn babies during the first half-hour of life. In all cases the father was present for at least some of this period. The interactions were notable for their passivity, mothers looked for long periods at their babies a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1981.tb03222.x
更新日期：1981-07-01 00:00:00
abstract：AIM:To describe temporary and permanent separation patterns and changes in nursing practice over 5 years, for the 2006 cohort of nurses aged ≥50 years in New Zealand. BACKGROUND:As ageing populations increase demand on nursing services, workforce projections need better information on work and retirement decision-maki...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12426
更新日期：2014-12-01 00:00:00
abstract：:Although there is increasing interest in women's health, there remains little empirical evidence concerning concepts related to health and women's life trajectory. Our purpose in conducting this research was to examine women's developmental stressors and coping during young adulthood. Lazarus and Folkman's coping mode...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00821.x
更新日期：1998-11-01 00:00:00
abstract：:Hospital noise pollution: an environmental stress model to guide research and clinical interventions This commentary provides an expanded environmental stress model. Conceptual relationships between ambient stressors, ambient stress, and health are detailed. A three-part intervention, enhancement of person-environment...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2000.01307.x
更新日期：2000-03-01 00:00:00
abstract：:This study utilizes four outcome measures to compare the success of a home nursing programme on a group of patients previously hospitalized and a non-hospitalized group. The outcome measures are: mortality, stabilization, hospitalization and nursing home confinement at discharge from the programme. No significant diff...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1980.tb03187.x
更新日期：1980-11-01 00:00:00
abstract：:The study identified those hospital experiences perceived as stressful during hospitalization by patients, which will help clinical nurses to modify the nursing care provided. A Hospital Stress Rating Scale questionnaire of 40 items tested for reliability and validity was used to elicit responses from 100 patients fro...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb03437.x
更新日期：1991-04-01 00:00:00
abstract：AIMS:To provide a comprehensive collection of evidence on the effectiveness of exercise interventions to prevent falls and support clinical decision-making. DESIGN:A systematic literature review and meta-analysis of randomized controlled trails were performed by combining trials from published systematic reviews and m...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,meta分析
doi：10.1111/jan.14238
更新日期：2020-01-01 00:00:00
