Introduction
Clinical safety is an avital element of healthcare quality that concentrates on preventing the threats of patients being exposed in their link to the healthcare programs (Leverenz et al., 2018). Falls have become an everyday event for hospitalized individuals, leading to negative results for hospitals and patients. Background data indicates that almost half of the patient’s falls can be avoided (Toye et al., 2017). Nurses are accountable for giving direct care to the patients and attaining the aim of reducing falls (Kempegowda et al., 2018). They have constant interaction with the patients and consistently monitor changes in conditions of the patient. This paper compares two studies that examine the influence of fall prevention measures by nurses on hospitalized patients. There is also an evaluation of limitations in both studies, the recommendation for future research, and a conclusion.
Comparison of Research Questions
The primary purpose of the study performed by Montejano-Lozoya et al. (2020) was to evaluate the impacts of an educational approach aimed at hospital nurses in minimizing patient falls. The study assessed executing research with interventions to maximize available evidence around what nurses should apply to reduce the problem. The research hypothesized that patients hospitalized to sections with trained nurses in systematic evaluation of the threats would fall less than those in areas where nurses have received any training. Whether the execution of systemized examination but nurses after patients admitted to medical units lower the occurrence of fall compared to traditional systems.
The study completed by King et al. (2016) primary purpose of this Grounded Dimensional Analysis (GDA) was to examine nurses’ experiences. With prevention programs of patents fall in hospital systems and the effects of those experiences on nurses delivering care to fall high-risk patients. The strategy established in the study demonstrates the impact on nurses of intense communication from nursing management to reduce falls and the effects on older patients, the organization, and staff nurses.
Comparison of the Sample Population
The sample population in the Montejano-Lozoya et al. (2020) research entailed 593 patients, where 12 were excluded. Four Care Units with maximum average patients stay were selected in traumatology, nephrology, neurology, and General Internal Medicine. Two groups; the control and intervention were performed made of two Care units so that patients were from surgical and medical specialties. Each group had a minimum sample population of 258 patients for a confidence range of 95% and statistical ability of 80%. The sample population in the King et al. (2016) entailed 27CNAs and RNs employed on a medical or surgical caring and inpatient unit for more than 65 years. The research was divided into two sites; site A sample entailed two nurse supervisors, 11 RNS, 2CNAs, and 1CNS. Site B involved one nurse manager and 10 RNs. The study did not collect participants’ demographic information.
Comparison of Studies Limitation
Although both studies indicate the impacts of nurses’ intervention in preventing hospital patients fall, there were limitations in different areas. In the study of Montejano-Lozoya et al. (2020), the Observer Impact Bias or Hawthorne Effect could have happened. The nurses from both the control and intervention groups could have shifted their behavior in various forms due to identifying patients for whom they could be accountable. The study design was a limitation is it randomized the medical center units and not the patients as the topic of the research. The limitation in the King et al. (2016) was numerous. Entailing observation beyond interviews would have improved the evaluation by promoting the researcher to clarify if participants were involved in practices that were not responding to what they reported. Due to the selection of participants from typical inpatient adult surgical and medical sections from two units medical center in Wisconsin, the outcomes may only be used in such type of organizations.
Recommendation
A training capacity is a form that has led to ample indications of enhancing the patient’s outcomes. Every nurse in vulnerable hospital patient units should have such learning, and more intensive and new research should be performed that could improve them in their understanding of the problem. It is crucial to explore modern learning measures concentrated on the safety of patients’ risk as these will promote an increment of evidence allowing advanced professional development and training interventions. Additional studies are required to understand nurses’ involvement in giving care to fall-risk patients.
Conclusion
In summary, the results from the two studies provide enough evidence that nurses’ training in advanced approaches in fall prevention promotes the outcomes of patients. In the study of Montejano-Lozoya et al. (2020), the systematic evaluation of the patients falling risk during hospital procedures proves to be an efficient intervention in lowering falls, mainly among the elderly who experience frequent falls. It is there essential to execute specific advanced training for each nurse. In King et al. (2016), falls in older populations are common in most hospital systems. The study finds little reaction from hospitals responding to minimizing falls, which has led to increased harmful and unintended outcomes.
References
Kempegowda, P., Chandan, J. S., Hutton, R., Brown, L., Madden, W., Webb, J., Doyle, A., & Treml, J. (2018). Focused educational intervention improves but may not sustain knowledge regarding falls management.BMJ Open Quality, 7(3), e000222. Web.
King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients.The Gerontologist, 58(2), 331-340. Web.
Leverenz, M. D., & Lape, J. (2018). Education on fall prevention to improve self-efficacy of nursing staff in long term care: A pilot study. Internet Journal of Allied Health Sciences and Practice, 16(3), 6. Web.
Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., RuÃz-Hontangas, A., & OrtÃ-Lucas, R. (2020). Impact of nurses’ intervention in the prevention of falls in hospitalized patients.International Journal of Environmental Research and Public Health, 17(17), 6048. Web.
Toye, C., Kitchen, S., Hill, A., Edwards, D., Sin, M., & Maher, S. (2017). Piloting staff education in Australia to reduce falls in older hospital patients experiencing Delirium.Nursing & Health Sciences, 19(1), 51-58. Web.