Prevention of Falls and Injuries Derived in Hospitalized Older Adults: Nursing Care Experience of the Application of a Guide of Good Practices in the Ophthalmological Foundation of Santander (FOSCAL)
Abstract
Introduction: Falls represent a quality indicator of care in hospital institutions worldwide and generate a public health problem due to the great impact they have on the individual, family and institution. For nursing, it is essential to have strategies based on the best available evidence to guide care and help the nurse in making decisions that favor the health of the most susceptible patients to suffer this type of event. Objective: To decrease falls in elderly people in inpatient services, through the implementation of the nursing best practice guidelines of the registered nurses association of Ontario. Methodology: This is a descriptive and prospective study related to the implementation of the prevention of falls and injuries derived from falls in the older adults guidelines, between the 2nd semester of 2012 and the 2nd semester of 2014 in 2 inpatient internal medicine services in which the registered nurses association of Ontario guideline (prevention of falls and injuries derived from falls in the older adult) was implemented. Phase I: Training-definition of the target population. Phase II: Implementation-audit and follow-up. Results: A total of 2,387 (88.3%) hospitalized patients were assessed. The risk of falls was identified in 1,960 patients (82.1%) and a multifactorial fall prevention plan was implemented in 1,831 (93.4%) of them. 19 users at risk presented a fall with a slight degree of injury and the total incidence of falls was reduced by 20% in relation with the year 2012. Conclusions: The implementation of evidence-based nursing guidelines generates a positive effect on the quality of care, achieving results that impact the health and well-being of patients as well as the prevention of falls and injuries derived from them in inpatient older adults. [Esparza-Bohórquez M, Granado-Oliveros LM, Serrano-Sanmiguel E, Peñaloza-Jaimes S Prevention of Falls and Injuries Derived in Hospitalized Older Adults: Nursing Care Experience of the Application of a Guide of Good Practices in the Ophthalmological Foundation of Santander (FOSCAL). MedUNAB 2017; 20(2): 174-181].
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