Development of a model to promote the use of nursing practices to prevent falls in patients undergoing treatment in Phonphisai Hospital Nong Khai Province. Development of a model to promote the use of nursing practices to prevent falls in patients Undergoing treatment in Phonphisai Hospital, Nong Khai Province.
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Abstract
Abstract
This study employed a research and development (R&D) design to develop a model promoting the implementation of nursing practice guidelines for fall prevention at Phon Phisai Hospital, Nong Khai Province. The study was conducted between October 2023 and June 2024 and consisted of three phases: Phase 1 involved a situational analysis based on fall incident reports; Phase 2 focused on developing the promotion model; and Phase 3 involved implementing and evaluating the model with a sample group. Research instruments included a nursing practice questionnaire for fall prevention, a satisfaction questionnaire regarding the PPSH Model, and a fall incident record form. The questionnaire and satisfaction assessment demonstrated acceptable reliability, with a Cronbach’s alpha coefficient of 0.87. Data were analyzed using descriptive statistics, and differences before and after model implementation were examined using a paired t-test.
The results revealed that the PPSH Model (Phon Phisai Patient-Safety & Fall-Prevention Holistic Model) comprises four key components: (P) systematic risk assessment using the Morse Fall Scale (MFS) and Hendrich II Fall Risk Model (HFRM II); (P) standardization and control of nursing practices; (S) promotion of staff engagement; and (H) monitoring and learning from fall incidents. Following the implementation of the PPSH Model, nurses’ fall-prevention practice scores significantly increased (pretest M = 40.20, SD = 4.80; posttest M = 53.20, SD = 2.90; p < .001). No fall incidents were reported during the implementation period, and nurses demonstrated a high level of satisfaction with the model (M = 4.53, SD = 0.35). These findings indicate that the PPSH Model is appropriate and has strong potential for practical application in enhancing patient safety and effectively reducing fall incidents among hospitalized patients.
Keywords: patient safety; fall prevention; nursing practice guideline; research and development
Corresponding author: Achiraya Panalikul Email: yayalovefrist@gmail.com
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