Abstract

Hospitalized adults are at high risk of falls during their acute episode of care making fall prevention programs a critical element of care. Patient self-efficacy and engagement in fall-prevention activities are important aspects of fall-prevention programs. Education may play an important role in increasing self-efficacy and the likelihood of engagement; however, a gap in evidence explores the effect of patient education on self-efficacy and engagement among hospitalized older adults in preventing falls. This quasi-experimental study examined the effect of a multimedia program on hospitalized adults' levels of fall risk awareness, self-efficacy, and engagement in fall prevention. Sixty hospitalized adults in an acute care setting in Broward County Florida participated in the study. Statistical findings suggested that multimedia program comprising a fall prevention video and nurse-led reinforcement program demonstrated increased level of fall risk awareness among hospitalized adults; however, there was a lack of significant findings on levels of falls self-efficacy and engagement after the intervention. Other findings showed (a) hospitalized adults with high level of falls self-efficacy were more engaged in falls prevention efforts, (b) there was a negative correlation between the number of medications and levels of falls self-efficacy and engagement, and (c) a multimedia program showed higher levels of falls self-efficacy and engagement for older adults without mobility aids after the intervention. Future research studies using multisite, mixed method approach could help identify potential barriers and facilitators to a culturally tailored, nurse-led multimedia fall-prevention study among older adults.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10244751; ProQuest document ID: 1861215759. The author still retains copyright.

Author Details

Perlita C. Cerilo, PhD, MSHA, RN

Sigma Membership

Omicron Delta

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Fall Prevention, Fall Risk Awareness, Patient Education, Nurse-Led Interventions

Advisor

Patricia Jenkins

Second Advisor

Debra Hain

Degree

PhD

Degree Grantor

University of Phoenix

Degree Year

2016

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-05-19

Full Text of Presentation

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