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Publication
Improving Quality in the Patients‟ Risk of Fall Evaluation through Clinical Supervision
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Advisor(s)
Abstract(s)
In the hospital settings, falls occur for a wide scope of reasons but most of the time they could be prevented. Therefore, clinical supervision as a strategy to improve and develop nurses’ knowledge and skills is crucial for a better clinical practice. The aims of this quantitative, exploratory and descriptive study were: to characterize the risk of falling of hospitalized patients in a unit of the medicine department; to relate the risk of falling with the patients’ personal attributes; to analyze the compliance between the procedures for monitoring, planning and execution of nursing care; to suggest contributions for a clinical supervision model in nursing to improve nurses’ skills in preventing falls. The population was composed by all the patients of the selected unit who were hospitalized from the 10th of February 2012 until the 9th of April 2012. We had a convenience sample constituted by 132 patients who fitted the inclusion criteria. We collected data through several procedures such as the application of a questionnaire to assess the risk of fall accordingly to the falls protocol implemented in the unit and the parameterization defined in the nursing records system. The results pointed out that 16,7% of patients showed “no risk of fall”, 48,5% had “low risk of fall” and 34,8% had “high risk of fall”. We verify the existence of non-conformities in the implementation of the falls protocol, the application of the Morse Fall Scale, among others. Thus, we recommend some contributions for a clinical supervision model in nursing so nurses can develop their knowledge and skills in preventing patients’ falls.
Description
Keywords
Clinical supervision Risk of fall Patients’ safety Quality of care
Citation
IJIET 2014 Vol.4(6): 526-530