J Korean Acad Nurs Adm.  2017 Jun;23(3):270-279. 10.11111/jkana.2017.23.3.270.

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

Affiliations
  • 1College of Nursing, Chungnam National University, Korea. mhpark@cnu.ac.kr

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.

Keyword

Evidence-based nursing; Accidental falls; Knowledge; Organizational culture
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