Fall Prevention Decision Making of Acute Care Registered Nurses.
Fall Prevention Decision Making of Acute Care Registered Nurses.
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DOI：
10.1097/nna.0000000000000914
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发表时间：
2020-09
期刊：
影响因子：
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通讯作者：
Lucero RJ
中科院分区：
文献类型：
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作者：
Fehlberg EA;Cook CL;Bjarnadottir RI;McDaniel AM;Shorr RI;Lucero RJ
本研究旨在探讨急诊科注册护士预防跌倒决策之现况。需要调查与跌倒预防相关的RN决策过程，以确保医院政策与护理工作流程一致，并支持护理判断。定性半结构化访谈的基础上的关键决策方法进行了与RN的规划和决策，在他们的最后12小时轮班工作。用12个RN实现数据饱和。出现了9个与RN决策过程相关的主题，包括可能影响跌倒预防的医院层面（例如，对纪律的恐惧）、单位层面（例如，病床报警技术的价值）和护士层面（例如，专业判断）因素。护理管理者应该考虑多层次的方法来预防跌倒的政策，包括促进实践环境，包括自我报告不良事件，而不必担心羞耻或受到谴责，评估单位级的实践和技术的接受度和可用性，并支持自主护理实践。
The aim of this study was to examine acute care registered nurses’ (RNs’) fall prevention decision-making. The RN decision-making process related to fall prevention needs to be investigated to ensure that hospital policies align with nursing workflow and support nursing judgment. Qualitative semistructured interviews based on the Critical Decision Method were conducted with RNs about their planning and decision making during their last 12-hour shift worked. Data saturation was achieved with 12 RNs. Nine themes emerged related to the RN decision-making process and included hospital-level (eg, fear of discipline), unit-level (eg, value of bed alarm technology), and nurse-level (eg, professional judgment) factors that could influence fall prevention. Nursing administrators should consider a multilevel approach to fall prevention policies that includes promoting a practice environment that embraces self-reporting adverse events without fear of shame or being reprimanded, evaluating unit-level practice and technology acceptance and usability, and supporting autonomous nursing practice.