Journal List > J Korean Acad Nurs Adm > v.23(3) > 1051914

Jeong and Park: Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals



The purpose of this study was to identify factors that influence nurses' implementation of evidence-based fall management in geriatric hospitals.


Data from the Evidence Based Practice Survey of Fall Management in Geriatric Hospitals were examined for this study. The participants were 248 nurses from geriatric hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis, and stepwise regression.


Factors related to implementation of evidence-based fall management were belief in evidence-based practice with organizational culture, work experience, use of fall guideline, and experience of patient falls. These factors explained 56.7% of variance in implementation of evidence-based fall management. Among these factors, the significant predictors for implementation of evidence-based fall management were belief in evidence-based practice, organizational culture of evidence-based practice, work experience, use of fall guideline and experience of patient falls.


Results of this study suggest that it is necessary to develop a systematic program to enhance nurses' belief in evidence-based practice at the individual level. In addition, fostering organizational culture toward evidence-based practice and disseminating fall management guidelines at the organizational level can be important strategies to enhance evidence-based fall management in geriatric hospitals.

Figures and Tables

Table 1

General Characteristics of Participants (N=248)


*Multiple response.

Table 2

Scores of Knowledge, Belief, Organizational Culture, and Implementation of Fall Management (N=248)

Table 3

Differences in Implementation by General Characteristics of Participants (N=248)

Table 4

Correlations among General Characteristics, Knowledge, Belief, Organizational Culture, and Implementation of Evidence Based Fall Management (N=248)

Table 5

Factors Influencing on Implementation of Evidence based Fall Management (N=248)


*Dummy variable No: 0, Yes: 1.


This manuscript is a revision of the first author's master's thesis from Chungnam National University.

This study was supported by Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Education, Science and Technology(NRF. 2010-0024922).


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