Abstract:
AIMS AND OBJECTIVES:To investigate the impact of removing a falls risk screening tool from an overall falls risk assessment programme on the rate of falls, injurious falls and completion of falls prevention activities by staff. BACKGROUND:Falls in older patients are common adverse events in hospital settings. Screening and assessing individual patients for risk of falls are a common, but controversial element of falls prevention strategies in hospitals. DESIGN:A stepped-wedge, cluster-randomised controlled trial using a disinvestment approach. METHODS:This trial was carried out according to the Consolidated Standards of Reporting Trials (CONSORT). All patients were admitted to 20 health service wards (9 units) over the 10-month study period. The control condition contained a falls risk screening tool element, a full falls risk factor assessment and intervention provision section. In the intervention condition, only the full falls risk factor assessment and intervention provision section was applied, and the falls risk screening tool element was removed. Fall rates were extracted from hospital level data, files were audited for tool completion, and nurses surveyed about tool use. RESULTS:There did not appear to be an impact on the falls rate per month when the risk screening tool component was removed (incidence rate ratio (IRR) = 0.84-favours intervention, 95%CI = 0.67 to 1.05, p = .14) nor on the falls rate with serious injury (IRR = 0.90, 95%CI = 0.26 to 3.09, p = .87). There was a thirty-six second reduction of time per patient reported by staff to complete paperwork (p < .001). There was no difference in the proportion of patients for whom the tool was completed, nor the number of falls prevention interventions identified for implementation. CONCLUSION:Removing the falls risk screening tool section did not negatively impact falls and reduced time spent completing falls prevention paperwork. RELEVANCE TO CLINICAL PRACTICE:Falls prevention is an important issue in health services. Removal of a screening risk tool is unlikely to impact falls. This has the potential to reduce nursing administration time that may be otherwise redirected to individual approaches to falls prevention.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Jellett J,Williams C,Clayton D,Plummer V,Haines Tdoi
10.1111/jocn.15471subject
Has Abstractpub_date
2020-12-01 00:00:00pages
4505-4513issue
23-24eissn
0962-1067issn
1365-2702journal_volume
29pub_type
杂志文章abstract:AIM:The aim of the study was to explore factors which impact on quality nursing care in the community from the Public Health Nurse's (PHN) perspective. BACKGROUND:Public Health Nursing has significantly evolved over the past few years with the delivery of quality nursing being a focus point. This study explores factor...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01894.x
更新日期:2008-05-01 00:00:00
abstract::Since 1994 district nurses (DNs) in Sweden have been permitted to prescribe drugs from a limited list. This reform has met severe resistance from doctors and the opinions of general practitioners (GPs) and DNs have differed in many aspects. The aim of this study was to gain deeper understanding of the different opinio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00716.x
更新日期:2003-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To validate a tool for patient evaluation of nurse practitioners. BACKGROUND:The roles of nurse practitioners in family practice settings are health promotion and routine follow-up of patients with chronic diseases. So far, several tools for patient evaluation of nurse practitioners have been devel...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12377
更新日期:2014-05-01 00:00:00
abstract:AIM:To review the evidence on nurses' health systematically. BACKGROUND:Nurses are one of the most important resources of a health system. They are subjected to biological, socio-economic, cultural and health system factors that determine their health. Although mental and physical health problems seem to prevail among...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2011.03721.x
更新日期:2011-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To highlight what was important to parents with respect to consultation groups at well-child clinics. BACKGROUND:Parents managing of their role as parents affect the child's health and are therefore an important priority for public health. Well-child clinics in Norway practise consultations in grou...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12528
更新日期:2014-10-01 00:00:00
abstract::Psychological stressors are said to be an important influence on the outcome of chronic illness such as rheumatoid arthritis (Engel, 1977). Helping patients to cope with stressors is identified as a central concept in the delivery of nursing care (Khan et al., 1994). It is thus reasonable to suggest that rheumatology ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.1996.tb00270.x
更新日期:1996-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to analyse perceptions of residents, family and care providers, with regard to close care provider-resident relationships in long-term care. BACKGROUND:The nature of care provider-resident relationships in long-term care is crucial to the quality of life of residents. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01636.x
更新日期:2007-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of the study was to review breastfeeding support provided by Public Health Nurses in Ireland. The objectives were to identify the availability of appropriate guiding policies, educational preparation, attitude of Public Health Nurses and the availability and use of other supportive services....
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03975.x
更新日期:2012-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To develop sustainable resources and activity in one hospital to encourage, support and build research activity and innovation among nurses and midwives. BACKGROUND:Much resource is spent internationally to enable nurses and midwives to critique and quote research papers. The evidence suggests that...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03936.x
更新日期:2012-06-01 00:00:00
abstract:AIM:To explore and understand the culture of nursing home life for older residents in Taiwan. BACKGROUND:The environment, the care providers and the residents all influence how the nursing home operates and performs. The literature has shown that there has been a move from understanding nursing home culture to changin...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02698.x
更新日期:2009-06-01 00:00:00
abstract:AIMS AND OBJECTIVE:To critically review the evidence relating to the management of agitation within the Adult Critical Care Unit environment and identify any risks and benefits of current management strategies. BACKGROUND:Admission to an Adult Critical Care Unit can be traumatic and potentially life altering for the p...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14258
更新日期:2018-04-01 00:00:00
abstract::The article describes the results of a survey of Finnish nurses (n = 882). The purpose of the study was to describe how nurses' education, working experience and their own smoking habits relate to their self-reported competence in advising and supporting clients to cease smoking. Nurses evaluated their skills fairly h...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00521.x
更新日期:2001-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper presents and discusses an alternative model of family-centred care (FCC) that focuses on optimising the health and developmental outcomes of children through the provision of appropriate support to the child's family. BACKGROUND:The relevance, meaning and effectiveness of FCC have been c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12799
更新日期:2015-05-01 00:00:00
abstract:AIM:To compare the measurements of women's pelvic floor musculature strength (PFMS) during pregnancy and postpartum period. BACKGROUND:Pregnancy and childbirth can have an influence on the muscles and pelvic floor and can cause morbidities of women's genito-urinary tract. DESIGN:A prospective cohort study. METHODS:T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03289.x
更新日期:2010-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe the perceived burden on parents of children with severe or moderate haemophilia and the impact of sociodemographic aspects and the child's medical condition on this. BACKGROUND:Parents of children with haemophilia face a multitude of demands. The child needs frequent intravenous injecti...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15003
更新日期:2019-11-01 00:00:00
abstract:AIM AND OBJECTIVE:This study aimed to compare the effects of mother's milk, sucrose and pacifier use to overcome pain during painful interventions to the newborns on the crying time and pain. BACKGROUND:Various non-pharmacological methods are used to overcome the pain associated with painful interventions with newborn...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2010.03356.x
更新日期:2011-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify person-centred care as an intervention in controlled trials, where patients had been involved as a partner, and to describe the outcomes of these studies. BACKGROUND:The notion of person-centred care asserts that patients are persons and partners in care and should not be reduced to the...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12039
更新日期:2013-02-01 00:00:00
abstract:AIMS:This study aimed to modify the Care Dependency Scale so that it could be used for children, to apply its Arabic version to Egyptian children to test the reliability and validity of the modified scale and to compare the care dependency of disabled and non-disabled Egyptian children. BACKGROUND:A higher dependence ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01949.x
更新日期:2008-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this article is to describe the problem-solving abilities of Hong Kong family carers looking after a stroke patients at home and report the relationships between their perceived problem-solving abilities with their depression level, general health status, and the functional recovery o...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01537.x
更新日期:2007-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether the scale used for assessment of hospital ward patients could predict in-hospital and 30-day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in-hospital and 30-day mortality compared to pati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14728
更新日期:2019-04-01 00:00:00
abstract::Drug administration is an integral part of the nurse's role. Responsibility for correct administration of medication rests with the nurse, yet medication errors are a persistent problem associated with nursing practice. This review examines what constitutes a medication error and documents contributory factors in medi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2702.1999.00284.x
更新日期:1999-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To gain in-depth knowledge of patients' experiences of the consultation processes at a multidisciplinary atrial fibrillation outpatient clinic in a university hospital in Denmark. BACKGROUND:Atrial fibrillation is the most common cardiac arrhythmia associated with morbidity and mortality if not dia...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13951
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Caring for families in home care is a growing part of Swedish district nurses' professional work. District nurses' facilitative and constraining beliefs about families guide the extent to which families are acknowledged and engaged in the care. AIMS AND OBJECTIVES:The aim of the study was to explore distric...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.01024.x
更新日期:2004-10-01 00:00:00
abstract:AIMS AND OBJECTIVES: To assess the current use of patient satisfaction measures in home health care and to examine the reliability and validity of current measures of patient satisfaction in home health care. BACKGROUND: Patient satisfaction has been one of the widely used measures in home health care as an indicato...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2012.04211.x
更新日期:2013-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to evaluate and compare the self-concept of school-aged children with congenital heart disease to those of normal school-aged children. The primary objective was to analyse results of the Self-Concept Scale questionnaire administered to children with congenital heart diseas...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.01068.x
更新日期:2005-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether gender, age and their interaction affect health-related quality of life and overall health status following kidney transplantation. BACKGROUND:Some investigators have examined the main effects of gender and/or age on health-related quality of life following kidney transplantatio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01745.x
更新日期:2008-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore how healthcare personnel comprehend the term dignity and what they do to attend to, preserve and promote the dignity of patients in the rehabilitation context. BACKGROUND:Literature reveals that knowledge exists concerning the nature of dignity. Literature is scant on how health personne...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12181
更新日期:2013-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe the cues and factors that nurses use in their decision-making when responding to clinical alarms. BACKGROUND:Alarms are designed to be very sensitive, and as a result, they are not very specific. Lack of adherence to the practice standards for electrocardiographic monitoring in hospital...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12625
更新日期:2015-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate a bundle of interventions, developed and implemented by nurses, to reduce medication administration error rates and improve nurses' medication administration practice. BACKGROUND:Medication administration errors are a problematic issue worldwide, despite previous attempts to reduce them...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15374
更新日期:2020-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:The objective of the study was to identify whether clinical education facilitators made a difference to the learning experiences of nurses in a large teaching hospital. BACKGROUND:Strategies for enabling continuous professional development are well established in health care organizations as key co...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01275.x
更新日期:2006-02-01 00:00:00