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

Journal of Korean Academy of Nursing Administration 2017; 23(3): 270-279.

Published online: 30 June 2017

DOI: https://doi.org/10.11111/jkana.2017.23.3.270

Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals

Hyun Jeong, Myonghwa Park

College of Nursing, Chungnam National University, Korea.

Corresponding author: Park, Myonghwa. College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-580-8328, Fax: +82-42-580-8309, mhpark@cnu.ac.kr

Received 24 February 2017       Revised 20 April 2017       Accepted 28 April 2017

Copyright © 2017 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

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

Methods

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.

Results

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.

Conclusion

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.

Keywords: Evidence-based nursing, Accidental falls, Knowledge, Organizational culture

Figures and Tables

Table 1

General Characteristics of Participants (N=248)

jkana-23-270-i001

*Multiple response.

Table 2

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

jkana-23-270-i002
Table 3

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

jkana-23-270-i003
Table 4

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

jkana-23-270-i004
Table 5

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

jkana-23-270-i005

*Dummy variable No: 0, Yes: 1.

Notes

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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