Last modified: 2021-09-13
Abstract
The objectives of this research and development study were: 1) to find empirical evidence related to fall prevention models for elderly patients, 2) to develop a fall prevention model for elderly patients in a Provincial Administrative Organization Hospital, and 3) to evaluate implementation of the developed model in the hospital.
The samples were selected by purposive sampling technique and consisted of two groups. The first group, empirical evidence related to fall prevention models for elderly patients, were systematically searched from the international databases, Joanna Briggs Institute (JBI) and Cochran Library, and from Thai-Journal Citation Index (TCI) database, groups 1 and 2. The second group was 10 registered nurses. The research tools consisted of: (1) a newly developed fall prevention model for elderly patients, (2) an evidence-based quality assessment form, 3) a form for evaluating the appropriateness of the developed model, and 4) a form for evaluating the developed model implementation in the Provincial Administrative Organization Hospital. Content validity index score was 1.0. Data were analyzed by using descriptive statistics and content analysis.
The research findings were as follows. 1) 27 empirical evidence samples from systematic searching, 19 articles from the international databases were evaluated as having a high level of research quality. The remainder were 8 articles from the Thai-Journal Citation Index (TCI) database. 2) The developed fall prevention model was evaluated as appropriate at a high level, and consists of 4 steps: (1) fall risk assessment, (2) nursing care plan for fall prevention, (3) nursing implementation for fall prevention, and (4) nursing evaluation for fall prevention. 3) The results of implementing the developed model were evaluated as appropriate in 4 aspects as follows, (1) the least time consuming, (2) easiest to understand, (3) the most convenient, and (4) clear and comprehensive implementation steps.