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KMID : 0379220200400020311
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Journal of Korea Gerontological Society
2020 Volume.40 No. 2 p.311 ~ p.323
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Barriers to the practice of fall prevention by nurses and nurse assistants at geriatric hospitals
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Park Yun-Hee
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Abstract
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Older adults are at a high risk of falling, causing severe injuries and increased hospital stays and treatment costs. This can be a burden not only on the family but also on the national economy. Thus, fall prevention is very important in nurses' and nursing assistants' work. This study intended to grasp the real situation faced by nurses and nursing-assistants working at geriatric hospitals in J province, Korea. The researcher interviewed thirty-six nurses and nursing-assistants in four geriatric hospitals and performed four focus group interviews. Data were analyzed through an inductive content analysis based on Elo & Kyngas's approach. Three categories and five subcategories were identified. Categories were patients, environmental, and personal factors. Patient factors included patients’ impaired cognitive function. Environmental factors included lack of personnel support and assignment of inpatients without regard to fall risk. Personal factors included hopelessness regarding improvement and fear of being blamed. Promotion of fall prevention practice needs a gradual increase in nursing staff at geriatric hospitals, a system for assigning hospital room according to fall risk, and education and support system to reduce nursing burden.
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KEYWORD
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Old adults, Fall, Nurses, Nurse assistant, Qualitative research
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