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Older Adult Inpatient Falls in Acute Care Hospitals: Intrinsic, Extrinsic, and Environmental Factors

Authors
 Yunchuan (Lucy) Zhao  ;  Heejung Kim 
Citation
 JOURNAL OF GERONTOLOGICAL NURSING, Vol.41(7) : 29-43, 2015 
Journal Title
 JOURNAL OF GERONTOLOGICAL NURSING 
ISSN
 0098-9134 
Issue Date
2015
MeSH
Accidental Falls* ; Aged ; Hospitals ; Humans ; Inpatients* ; United States
Abstract
The current integrative literature review of 23 studies aimed to identify multidimensional risk factors of falls among older adult patients in acute care hospitals. The incidence rate of fall-related injuries ranged from 6.8% to 72.1%. Advanced age was a major intrinsic risk factor, whereas being a patient in a geriatric unit was a significant extrinsic factor for inpatient falls and fall-related injuries based on statistical significance obtained from quantitative data analyses. Other critical risk factors were: (a) cognitive impairment; (b) impaired mobility; (c) prolonged length of hospital stay; and (d) fall history. Environmental/situational factors, such as patient ambulation and fall locations, also contributed to inpatient falls. In clinical practice, nurses need to know who are the most vulnerable patients in the hospital and develop comprehensive interventions to decrease intrinsic, extrinsic, and environmental risk factors. Prospective mixed-methods studies are needed to examine psychosocial factors and consequences of falls.
Full Text
https://www.healio.com/nursing/journals/jgn/2015-7-41-7/%7B31a85e55-4c8c-49e3-b717-8fb65451a85e%7D
DOI
10.3928/00989134-20150616-05
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Heejung(김희정) ORCID logo https://orcid.org/0000-0003-3719-0111
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157260
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