Perspectives of Inpatients With Cancer on Engagement in Fall Prevention.

Perspectives of Inpatients With Cancer on Engagement in Fall Prevention. Oncol Nurs Forum. 2020 Jul 01;47(4):457-468 Authors: Twibell KR, Siela D, Delaney L, Avila P, Spradlin AM, Coers G Abstract PURPOSE: To explore perspectives of hospitalized adults with cancer regarding engagement in fall prevention plans. The primary aim was to discover new knowledge about patients' perspectives and improve the design of fall prevention strategies. A secondary aim was to compare fall-related perspectives of patients who had and who had not fallen. PARTICIPANTS & SETTING: 30 inpatients with cancer at a teaching hospital in a statewide academic health system in the midwestern United States. METHODOLOGIC APPROACH: A descriptive exploratory approach framed qualitative data collection through interviews with inpatients. Data were analyzed thematically. FINDINGS: Themes reflected six perspectives related to engagement in fall prevention. A need to go to the bathroom triggered a two-step process in which participants decided whether to ask staff for assistance to mobilize and to wait for assistance to arrive. If necessary, participants would disengage from fall prevention plans and move to the bathroom without assistance to avoid incontinence, preserve privacy, and maintain independence in toileting. Factors influencing decisions were assessments of mobilization capacity and views of nurses' behaviors. IMPLICATIO...
Source: Oncology Nursing Forum - Category: Nursing Authors: Tags: Oncol Nurs Forum Source Type: research