American Journal of Nursing Science

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The Relationship Between Different Care Units Nurses and Fall Prevention Knowledge in Acute Care Hospitals in China Based on Lasso Regression Model

Received: 30 April 2020    Accepted: 22 May 2020    Published: 29 May 2020
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Abstract

Objective: To explore the difference of fall prevention knowledge level of nurses working on special care units and general care units in acute hospitals. Methods: Nurses in special care units and general care units from two acute care hospitals were investigated about fall prevention through a cross-sectional survey. The collected data was analyzed by using Lasso Regression Model. Results: Total of 1442 valid questionnaires were conducted including 1028 questionnaires in general care units and 414 questionnaires in special care units respectively. Through analysis by Lasso Regression Model, seven of 17 fall prevention knowledge items were statistically different in nurses working on general care units and special care units, including the definition of a fall (P=0.0001), fall prevention assessment tool currently used (p=0.0053), assessment of patient's balance and activity (p=0.0020), diseases that easily cause patients to fall (p=0.0021), assessment of patient's foot problems (p=0.0068), assessments of the patient's clothing and footwear suitability (p=0.0011), reporting process of falls (p<0.0001). Conclusion: This study showed that nurses in special care units have higher level theoretical knowledge of fall prevention than nurses in general care units, while having lower level practical knowledge of fall prevention. It suggested that Quality & Patient Safety Department in medical institution should make new plans to prevent patients from falling and ensure patient safety.

DOI 10.11648/j.ajns.20200903.28
Published in American Journal of Nursing Science (Volume 9, Issue 3, June 2020)
Page(s) 175-180
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Least Absolute Shrinkage and Selection Operator (Lasso), Knowledge of Fall Prevention, Nurses in Different Care Units

References
[1] World Health Organization (2018). Falls (Fact sheet). Retrieved from http://www.who.int/mediacentre/factsheets/fs34/en/
[2] Zhang, Y. and Chen W. (2008). Overview and progress of the study on the fall of old age. Chinese Journal of Gerontology, 28 (5), 929-931.
[3] Nurmi I. and Luthje P. (2002). Incidence and costs of falls and fall injuries among Elderly in Institutional Care. Scand J Prim Health Care, 20 (2): 118-122.
[4] Lori, L., and Julie, M. (2010). The physical environments as a fall risk factor in older adults: systematic review and meta-analysis of cross-sectional and cohort studies. Australian Occupational Therapy Journal, 57, 51-64.
[5] Huang Q., Lu S. P., Xu Y. N., et al. (2017). Construction of Evaluation Index System of Falls in Elderly Hospitalized Patients Based on Nursing-sensitive Outcomes. Chinese Journal of Nursing, 24 (22), 63-66.
[6] Li M., Liu W. P., Bai X. et al. (2019). Analysis of fall related factors in hospitalized elderly patients in internal medicine system [J]. Nursing research, 33 (08): 1447-1449.
[7] Lu Y. N. (2008). Prevention and countermeasures of fall risk in surgical inpatients. Journal of Traditional Chinese Medicine Management, 26 (20): 163-165.
[8] Fu S. H. (2015). Application of systematic management mode in the prevention of falls in gynecological patients. Journal of Traditional Chinese Medicine Management, 23 (03): 67-68.
[9] Huang X. H. and Li W. T. (2017). Application of medical sharing platform in pediatric nursing risk assessment. Journal of Nursing Science, 32 (09): 18-19.
[10] Li C. P. (2015). Implementation and effect observation of fall prevention measures in emergency observation room. World Latest Medical Information Digest, 15 (A4): 260 + 275.
[11] Qu S. (2019). Observation on the application effect of medical integration model in the continuous improvement of nursing quality in the operating room. Chinese Medical Guidelines, 17 (33): 318-319.
[12] Chen H., Shi Z. X., Zhang W. Y., et al. (2017). Case characteristics and countermeasures of elderly patients falling and falling into bed in cardiac intensive care unit. Continuing Medical Education, 31 (04): 111-113.
[13] Zhu C. Q., Song Y. and Yang S. W. (2010). Investigation on nurses' cognition of falls in hospitalized elderly patients. Jilin Medical Science, 31 (16): 2456-2457.
[14] Yan W., Chen Q., Zhang X. M., et al. (2019). Survey on knowledge and attitude of nurses in intervention guidelines for falls in the elderly in Sichuan province in China. Nursing research, 33 (12): 2126-2129.
[15] Gong X. and Chen W. j. (2014). Investigation on knowledge, attitudes and behaviors of clinical nurses in prevention of inpatients' falls and its countermeasures. Chinese Nursing Research, 28 (4c), 1428-1430.
[16] Robert Tibshirani. (1996). Regression shrinkage and selection via the Lasso. Journal of the Royal Statistical Society, Series B, 58 (1): 267-288.
[17] Zhang X., Chen M. R., Xu B. F., et al. (2019). Study on the status quo and influencing factors of core competency of ICU nurses in 12 hospitals in Fujian province. Chinese Nursing Management, 19 (03): 404-409.
[18] Chen X. J. and Zhao J. H. (2008). Research progress on core competence of emergency department nurses. International Journal of Nursing, 37 (04): 444-446 + 473.
[19] Mu Li, Wang Z., Jiang L. P., et al. (2019). Investigation and analysis of the core competence of professional nurses in operating room and its influencing factors. Chinese Journal of Medical Education, 39 (03): 231-235.
[20] Li W., Cao J., Wang Y. Y., et al. (2020). Analysis on the status quo and influencing factors of ICU nurse work embedding. Chinese Nursing Management, (02): 229-233.
[21] Liu Q., Lei Y. H., Liu J. L., et al. (2008). Applicability of Chinese Morse fall assessment scale in ICU patients. Bachu Medicine, 1 (01): 102-106.
[22] Qian H. J., Zhang L. Q. Chen Y. F., et al. (2010). Application of fall risk factor assessment table in operating room nursing. Chinese Journal of Practical Nursing, 26 (21): 58-59.
[23] Mei X. Q., Ji X. M., Zhang C., et al. (2016). Effect observation of reducing the incidence rate of fall in inpatients by the supply management circle. Chinese Health Education, 32 (09): 849-851.
[24] Zhou X. M. and Feng X. (2008). Research progress of fall risk assessment tools. Journal of nursing, 33 (21): 109-112.
[25] Xue H. Y. and Yu Z. Y. (2019). Research progress on fall risk factors in emergency room patients. Chinese Medical Management Science, 9 (02): 55-60.
Author Information
  • Transitional Care Department, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of First Class Ward, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • Department of Rehabilitation Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China

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  • APA Style

    Lin Wang, Li Zhang, Weiju Chen, Zhiwei Mou. (2020). The Relationship Between Different Care Units Nurses and Fall Prevention Knowledge in Acute Care Hospitals in China Based on Lasso Regression Model. American Journal of Nursing Science, 9(3), 175-180. https://doi.org/10.11648/j.ajns.20200903.28

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    ACS Style

    Lin Wang; Li Zhang; Weiju Chen; Zhiwei Mou. The Relationship Between Different Care Units Nurses and Fall Prevention Knowledge in Acute Care Hospitals in China Based on Lasso Regression Model. Am. J. Nurs. Sci. 2020, 9(3), 175-180. doi: 10.11648/j.ajns.20200903.28

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    AMA Style

    Lin Wang, Li Zhang, Weiju Chen, Zhiwei Mou. The Relationship Between Different Care Units Nurses and Fall Prevention Knowledge in Acute Care Hospitals in China Based on Lasso Regression Model. Am J Nurs Sci. 2020;9(3):175-180. doi: 10.11648/j.ajns.20200903.28

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  • @article{10.11648/j.ajns.20200903.28,
      author = {Lin Wang and Li Zhang and Weiju Chen and Zhiwei Mou},
      title = {The Relationship Between Different Care Units Nurses and Fall Prevention Knowledge in Acute Care Hospitals in China Based on Lasso Regression Model},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {3},
      pages = {175-180},
      doi = {10.11648/j.ajns.20200903.28},
      url = {https://doi.org/10.11648/j.ajns.20200903.28},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200903.28},
      abstract = {Objective: To explore the difference of fall prevention knowledge level of nurses working on special care units and general care units in acute hospitals. Methods: Nurses in special care units and general care units from two acute care hospitals were investigated about fall prevention through a cross-sectional survey. The collected data was analyzed by using Lasso Regression Model. Results: Total of 1442 valid questionnaires were conducted including 1028 questionnaires in general care units and 414 questionnaires in special care units respectively. Through analysis by Lasso Regression Model, seven of 17 fall prevention knowledge items were statistically different in nurses working on general care units and special care units, including the definition of a fall (P=0.0001), fall prevention assessment tool currently used (p=0.0053), assessment of patient's balance and activity (p=0.0020), diseases that easily cause patients to fall (p=0.0021), assessment of patient's foot problems (p=0.0068), assessments of the patient's clothing and footwear suitability (p=0.0011), reporting process of falls (p<0.0001). Conclusion: This study showed that nurses in special care units have higher level theoretical knowledge of fall prevention than nurses in general care units, while having lower level practical knowledge of fall prevention. It suggested that Quality & Patient Safety Department in medical institution should make new plans to prevent patients from falling and ensure patient safety.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - The Relationship Between Different Care Units Nurses and Fall Prevention Knowledge in Acute Care Hospitals in China Based on Lasso Regression Model
    AU  - Lin Wang
    AU  - Li Zhang
    AU  - Weiju Chen
    AU  - Zhiwei Mou
    Y1  - 2020/05/29
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200903.28
    DO  - 10.11648/j.ajns.20200903.28
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 175
    EP  - 180
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200903.28
    AB  - Objective: To explore the difference of fall prevention knowledge level of nurses working on special care units and general care units in acute hospitals. Methods: Nurses in special care units and general care units from two acute care hospitals were investigated about fall prevention through a cross-sectional survey. The collected data was analyzed by using Lasso Regression Model. Results: Total of 1442 valid questionnaires were conducted including 1028 questionnaires in general care units and 414 questionnaires in special care units respectively. Through analysis by Lasso Regression Model, seven of 17 fall prevention knowledge items were statistically different in nurses working on general care units and special care units, including the definition of a fall (P=0.0001), fall prevention assessment tool currently used (p=0.0053), assessment of patient's balance and activity (p=0.0020), diseases that easily cause patients to fall (p=0.0021), assessment of patient's foot problems (p=0.0068), assessments of the patient's clothing and footwear suitability (p=0.0011), reporting process of falls (p<0.0001). Conclusion: This study showed that nurses in special care units have higher level theoretical knowledge of fall prevention than nurses in general care units, while having lower level practical knowledge of fall prevention. It suggested that Quality & Patient Safety Department in medical institution should make new plans to prevent patients from falling and ensure patient safety.
    VL  - 9
    IS  - 3
    ER  - 

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