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Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients
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Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park
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J Korean Acad Nurs 2017;47(3):420-430. Published online January 15, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.3.420
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 Abstract
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- Abstract
Purpose
The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls.
Methods
Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis.
Results
Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls.
Conclusion
The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools.
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Citations
Citations to this article as recorded by  - Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
Parvaneh Isfahani, Mohammad Sarani, Mina Salajegheh, Somayeh Samani, Aliyeh Bazi, Mahdieh Poodineh Moghadam, Fatemeh Boulagh, Mahnaz Afshari
Human Factors in Healthcare.2025; 7: 100093. CrossRef - Evaluation of Risk Factors for Fall Incidence Based on Statistical Analysis
Da Hye Moon, Tae-Hoon Kim, Myoung-Nam Lim, Seon-Sook Han
International Journal of Environmental Research and Public Health.2025; 22(5): 748. CrossRef - Sensitivity of Fall Risk Perception and Associated Factors in Hospitalized Patients with Mental Disorders
Ji Young Kim, Sung Reul Kim, Yusun Park, Jin Kyeong Ko, Eunmi Ra
Asian Nursing Research.2024; 18(5): 443. CrossRef - Psychometric Properties of the Fall Risk Perception Questionnaire-Short Version for Inpatients in Acute Care Hospitals
Jeeeun Choi, Sujin Lee, Eunjin Park, Sangha Ku, Sunhwa Kim, Wonhye Yu, Eunmi Jeong, Sukhee Park, Yusun Park, Hye Young Kim, Sung Reul Kim
Journal of Korean Academy of Nursing.2024; 54(2): 151. CrossRef - The Impact of Physical Performance and Fear of Falling on Fall Risk in Hemodialysis Patients: A Cross-Sectional Study
Jiwon Choi, Sun-Kyung Hwang
Korean Journal of Adult Nursing.2024; 36(1): 63. CrossRef - The Impact of Possible Sarcopenia and Obesity on the Risk of Falls in Hospitalized Older Patients
Kahyun Kim, Dukyoo Jung
The Korean Journal of Rehabilitation Nursing.2023; 26(1): 18. CrossRef - Analysis of Data on Accidental Falls from the Hospital Incident Reporting in a General Hospital
Yu-ri Jang, Jeong Yun Park
Quality Improvement in Health Care.2023; 29(1): 15. CrossRef - Predication of Falls in Hospitalized Cancer Patients
Jun-Nyun Kim, Sun-Hwa Beak, Bo-Seop Lee, Mi-Ra Han
Asian Oncology Nursing.2023; 23(2): 56. CrossRef - Nurses’ Burden of Elimination Care: Sequential Explanatory Mixed-Methods Design
Se Young Jung, Hui-Woun Moon, Da Som Me Park, Sumi Sung, Hyesil Jung
International Journal of General Medicine.2023; Volume 16: 4067. CrossRef - Clinical study of falls among inpatients with hematological diseases and exploration of risk prediction models
Jing Wang, Bin Chen, Fang Xu, Qin Chen, Jing Yue, Jingjing Wen, Fang Zhao, Min Gou, Ya Zhang
Frontiers in Public Health.2023;[Epub] CrossRef - A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study
Eunok Kwon, Sun Ju Chang, Mikyung Kwon
Journal of Patient Safety.2023; 19(8): 501. CrossRef - Z-drugs and falls in nursing home patients: data from the INCUR study
Sarah Damanti, Moreno Tresoldi, Philipe de Souto Barreto, Yves Rolland, Matteo Cesari
Aging Clinical and Experimental Research.2022; 34(12): 3145. CrossRef - The Fall Risk Screening Scale Is Suitable for Evaluating Adult Patient Fall
Li-Chen Chen, Yung-Chao Shen, Lun-Hui Ho, Whei-Mei Shih
Healthcare.2022; 10(3): 510. CrossRef - Comparisons of Fall Prevention Activities Using Electronic Nursing Records: A Case-Control Study
Hyesil Jung, Hyeoun-Ae Park, Ho-Young Lee
Journal of Patient Safety.2022; 18(3): 145. CrossRef - Risk Factors according to Fall Risk Level in General Hospital Inpatients
Yeon Hwa Lee, Myo Sung Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 35. CrossRef - Development and validation of the fall risk perception questionnaire for patients in acute care hospitals
Jieun Choi, Se Min Choi, Jeong Sin Lee, Soon Seok Seo, Ja Yeon Kim, Hye Young Kim, Sung Reul Kim
Journal of Clinical Nursing.2021; 30(3-4): 406. CrossRef - Factors Affecting the Degree of Harm from Fall Incidents in Hospitals
Shinae Ahn, Da Eun Kim
Journal of Korean Academy of Nursing Administration.2021; 27(5): 334. CrossRef - A Machine Learning–Based Fall Risk Assessment Model for Inpatients
Chia-Hui Liu, Ya-Han Hu, Yu-Hsiu Lin
CIN: Computers, Informatics, Nursing.2021; 39(8): 450. CrossRef - Factors Influencing Falls in High- and Low-Risk Patients in a Tertiary Hospital in Korea
Young-Shin Lee, Eun-Ju Choi, Yeon-Hee Kim, Hyeoun-Ae Park
Journal of Patient Safety.2020; 16(4): e376. CrossRef - Impact of Hearing Loss on Patient Falls in the Inpatient Setting
Victoria L. Tiase, Kui Tang, David K. Vawdrey, Rosanne Raso, Jason S. Adelman, Shao Ping Yu, Jo R. Applebaum, Anil K. Lalwani
American Journal of Preventive Medicine.2020; 58(6): 839. CrossRef - Improving Prediction of Fall Risk Using Electronic Health Record Data With Various Types and Sources at Multiple Times
Hyesil Jung, Hyeoun-Ae Park, Hee Hwang
CIN: Computers, Informatics, Nursing.2020; 38(3): 157. CrossRef - Triggers and Outcomes of Falls in Hematology Patients: Analysis of Electronic Health Records
Min Kyung Jung, Sun-Mi Lee
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 1. CrossRef - Incidence of Falls and Risk Factors of Falls in Inpatients
Soo-Jin Yoon, Chun-Kyon Lee, In-Sun Jin, Jung-Gu Kang
Quality Improvement in Health Care.2018; 24(2): 2. CrossRef
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The Process of Acceptance of Complementary and Alternative Therapies (CATs) among Nurses: Grounded Theory Approach
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Ae-Kyung Kim, Young-Shin Lee, Hyun-Jung Kim
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J Korean Acad Nurs 2013;43(5):669-680. Published online October 31, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.5.669
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Abstract
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Purpose
This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea.
Methods
Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method.
Results
The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction.
Conclusion
The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.
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Citations
Citations to this article as recorded by - Trends in Korean intervention studies on complementary and alternative therapies in rehabilitation nursing
Da-Jung Kim
Journal of Exercise Rehabilitation.2024; 20(5): 158. CrossRef - Clinical nurses' perceptions of the opportunities for using complementary therapies in Iranian clinical settings: A qualitative study
Zahra Tagharrobi, Sima Mohammadkhan Kermanshahi, Eesa Mohammadi
Complementary Therapies in Clinical Practice.2016; 24: 11. CrossRef
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