Hospitalized adults are at high risk of falling 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.
|Commitee:||Hain, Debra, McAtee, Robin|
|School:||University of Phoenix|
|Department:||School of Advanced Studies|
|School Location:||United States -- Arizona|
|Source:||DAI-B 78/06(E), Dissertation Abstracts International|
|Subjects:||Aging, Nursing, Health education|
|Keywords:||Engagement in fall prevention, Fall risk awareness, Falls self-efficacy, Multimedia patient education, Nurse-led intervention, Patient activation|
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