Volume 31, Issue 114 (October 2018)
IJN 2018, 31(114): 38-48 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Joolaee S, Shali M, Harati Khalilabad T, Haghani H, Vaezi A, Sepehrinia M. Association of the Incidence of Patient Falls and Work Environment of Nurses . IJN 2018; 31 (114) :38-48
URL: http://ijn.iums.ac.ir/article-1-2762-en.html
URL: http://ijn.iums.ac.ir/article-1-2762-en.html
1- Professor, Nursing Care Research Center, Iran University of Medical Sciences, Member of the Iranian Academy of Medical Sciences, Tehran, Iran
2- PhD Candidate in Nursing, Tehran University of Medical Sciences, Tehran, Iran. (Corresponding author) Tel: 09124812923 Email: m.shali@zums.ac.ir
3- PhD Candidate in Health Economy, Iran University of Medical Sciences, Tehran, Iran
4- Instructor, Department of Statistics, School of Health, Iran University of Medical Sciences, Tehran, Iran
5- Lecturer, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2- PhD Candidate in Nursing, Tehran University of Medical Sciences, Tehran, Iran. (Corresponding author) Tel: 09124812923 Email: m.shali@zums.ac.ir
3- PhD Candidate in Health Economy, Iran University of Medical Sciences, Tehran, Iran
4- Instructor, Department of Statistics, School of Health, Iran University of Medical Sciences, Tehran, Iran
5- Lecturer, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract: (5922 Views)
Background & Aims: Patient falls are among the most significant threats to patient safety. Nurses play a pivotal role in maintaining and improving the standards of patient safety. The work environment of nurses is among the major influential factors in this regard. The present study aimed to investigate the association between the incidence of patient falls and work environment of nurses.
Materials & Methods: This correlational study was conducted on 300 nurses employed in the hospitals affiliated to Tehran University of Medical Sciences, Iran, who were selected via proportionate stratification sampling. Data were collected using a questionnaire with three sections of demographic data, work environment of nurses, and patient falls. Data analysis was performed in SPSS version 16 using Pearson’s correlation-coefficient, Kruskal-Wallis test, t-test, and frequency tables.
Results: Mean age of the participants was 32±6.17 years, and the majority were female (86.7%) and married (64%). Mean incidence of patient falls was 6±1.61 within the past three months, and the mean score of the work environment of nurses was estimated at 67.34 (favorable). A significant, weak correlation was observed between the work environment of nurses and incidence of patient falls (P<0.034; r=-0.15).
Conclusion: Given the significant association between the incidence of patient falls and work environment of nurses, it seems essential that nursing managers adopt effective strategies to improve the working conditions of nurses through the participation of nurses in decision-making, support, and adequate staff and resources, thereby facilitating safe patient care.
Materials & Methods: This correlational study was conducted on 300 nurses employed in the hospitals affiliated to Tehran University of Medical Sciences, Iran, who were selected via proportionate stratification sampling. Data were collected using a questionnaire with three sections of demographic data, work environment of nurses, and patient falls. Data analysis was performed in SPSS version 16 using Pearson’s correlation-coefficient, Kruskal-Wallis test, t-test, and frequency tables.
Results: Mean age of the participants was 32±6.17 years, and the majority were female (86.7%) and married (64%). Mean incidence of patient falls was 6±1.61 within the past three months, and the mean score of the work environment of nurses was estimated at 67.34 (favorable). A significant, weak correlation was observed between the work environment of nurses and incidence of patient falls (P<0.034; r=-0.15).
Conclusion: Given the significant association between the incidence of patient falls and work environment of nurses, it seems essential that nursing managers adopt effective strategies to improve the working conditions of nurses through the participation of nurses in decision-making, support, and adequate staff and resources, thereby facilitating safe patient care.
Type of Study: Research |
Subject:
nursing
Received: 2018/07/14 | Accepted: 2018/10/13 | Published: 2018/10/13
Received: 2018/07/14 | Accepted: 2018/10/13 | Published: 2018/10/13
References
1. Keers RN, Williams SD, Cooke J, Ashcroft DM. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Drug Saf. 2013;36(11):1045-67. [DOI:10.1007/s40264-013-0090-2] [PMID] [PMCID]
2. Lunsford B, Wilson L. Assessing your patients' risk for falling. Am J Nurs[Internet]. 2015;10(7):29-31.
3. Cho E, Chin DL, Kim S, Hong O. The relationships of nurse staffing level and work environment with patient adverse events. J Nurs Scholarsh. 2016;48(1):74-82. [DOI:10.1111/jnu.12183] [PMID]
4. Huang C, Gau M, Lin W, Kernohan G. Assessing risk of falling in older adults. Public Health Nurs. 2003;20(5):399-411. [DOI:10.1046/j.1525-1446.2003.20508.x] [PMID]
5. Rutledge D, Donaldson N, Pravikoff D. Fall risk assessment and prevention in hospitalized patients. J Clin Innovat. 2003;6(5):1-55.
6. Coussement J, De Paepe L, Schwendimann R, Denhaerynck K, Dejaeger E, Milisen K. Interventions for preventing falls in acute‐and chronic‐care hospitals: a systematic review and meta‐analysis. J Am Geriatr Soc. 2008;56(1):29-36. [DOI:10.1111/j.1532-5415.2007.01508.x] [PMID]
7. Roach SS. Introductory Gerontological Nursing. 3th ed. Philadelphia: Lippincott; Williams & Wilkins; 2011. Page A. Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington DC: The National Academies Press; 2004. Aiken L. Creating hospital environment to retain great nurses achieve excellent patient outcomes. nursing management' recruitment and retention conference; USA: Orlando2008.
8. Shali M, Joolaee S, Vaskooi K, Bahrani N. Assessing the Patient Falls in Hospitals Affiliated to Tehran University of Medical Sciences. Iran Journal of Nursing. 2016;29(103):1-12. [DOI:10.29252/ijn.29.103.1]
9. Oxelmark L, Ulin K, Chaboyer W, Bucknall T, Ringdal M. Registered Nurses' experiences of patient participation in hospital care: supporting and hindering factors patient participation in care. Scand J Caring Sci. 2018;32(2):612-21. [DOI:10.1111/scs.12486] [PMID]
10. Stalpers D, de Brouwer BJ, Kaljouw MJ, Schuurmans MJ. Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: a systematic review of literature. Int J Nurs Stud. 2015;52(4):817-35. [DOI:10.1016/j.ijnurstu.2015.01.005] [PMID]
11. Cho E, Sloane DM, Kim E-Y, Kim S, Choi M, Yoo IY, et al. Effects of nurse staffing, work environments, and education on patient mortality: an observational study. Int J Nurs Stud. 2015;52(2):535-42. [DOI:10.1016/j.ijnurstu.2014.08.006] [PMID] [PMCID]
12. Lake ET. Development of the practice environment scale of the Nursing Work Index. Res Nurs Health. 2002;25(3):176-88. [DOI:10.1002/nur.10032] [PMID]
13. Elfering A, Semmer N, Grebner S. Work stress and patient safety: observer-rated work stressors as predictors of characteristics of safety-related events reported by young nurses. Ergonomics. 2006;49(5-6):457-69. [DOI:10.1080/00140130600568451] [PMID]
14. Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. The effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011;49(12):1047-53. [DOI:10.1097/MLR.0b013e3182330b6e] [PMID] [PMCID]
15. Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-32. [DOI:10.1097/00001786-200604000-00007]
16. Blendon RJ, DesRoches CM, Brodie M, Benson JM, Rosen AB, Schneider E, et al. Views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347(24):1933-40. [DOI:10.1056/NEJMsa022151] [PMID]
17. Teng CI, Dai YT, Shyu YIL, Wong MK, Chu TL, Tsai YH. Professional commitment, patient safety, and patient‐perceived care quality. J Nurs Scholarsh. 2009;41(3):301-9. [DOI:10.1111/j.1547-5069.2009.01289.x] [PMID]
18. Salarvand S, Birjandi M. Assessing related factors with falling in older adults living in Khoramabad. Iran Journal of Nursing. 2009;21:51-60.
19. Kamrani AAA, Azadi F, Foroughan M, Siadat S, Kaldi AR. Characteristics of falls among institutionalized elderly people. Sālmand. 2007;1(2):101-5.
20. Teng C-I, Shyu Y-IL, Chang H-Y. Moderating effects of professional commitment on hospital nurses in Taiwan. J Prof Nurs. 2007;23(1):47-54. [DOI:10.1016/j.profnurs.2006.10.002] [PMID]
21. An FR, Xiang YT, Lu JY, Lai KY, Ungvari GS. Falls in a psychiatric institution in Beijing, China. Perspect Psychiatr Care. 2009;45(3):183-90. [DOI:10.1111/j.1744-6163.2009.00220.x] [PMID]
22. Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Can Med Assoc J. 2004;170(11):1678-86. [DOI:10.1503/cmaj.1040498] [PMCID]
23. Clarke SP. Hospital work environments, nurse characteristics, and sharps injuries. Am J Infect Control. 2007;35(5):302-9. [DOI:10.1016/j.ajic.2006.07.014] [PMID]
24. Tervo‐Heikkinen T, Partanen P, Aalto P, Vehviläinen‐Julkunen K. Nurses' work environment and nursing outcomes: a survey study among Finnish university hospital registered nurses. Int J Nurs Pract. 2008;14(5):357-65. [DOI:10.1111/j.1440-172X.2008.00707.x] [PMID]
25. Manjlovich M, Antonakon L, Roins L. Intensive care unit, communication between nurses and physicians and patient outcoms. Am J crit care. 2007;16:536-43.
26. Kirchner M, Noggoh E, Perstianni F, Elumia M. Health care quality assesment: newjersey department of health and senior service patient safety initiative. newjersey. 2007.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
