Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation

ABSTRACT Aim To examine what patients perceive to be the contributing factors that led to their fall in acute care hospitals during their episode of care in Australia. Design A systematic review was conducted on inpatient experiences related to their fall during their episode of care in Australian a...

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Main Authors: Caglayan Yasan, Bianca Rohlje, Jessica Cork, Caroline Cooper‐Blair, Alan Hayes
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.70240
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author Caglayan Yasan
Bianca Rohlje
Jessica Cork
Caroline Cooper‐Blair
Alan Hayes
author_facet Caglayan Yasan
Bianca Rohlje
Jessica Cork
Caroline Cooper‐Blair
Alan Hayes
author_sort Caglayan Yasan
collection DOAJ
description ABSTRACT Aim To examine what patients perceive to be the contributing factors that led to their fall in acute care hospitals during their episode of care in Australia. Design A systematic review was conducted on inpatient experiences related to their fall during their episode of care in Australian acute care hospitals. Methods Database and manual searches were undertaken from December 2022 to February 2023, with final analyses completed in August 2023. Three studies with a total of 37 participants were included in the analysis. Various aspects of falls in patients were examined, including factors contributing to falls; the impact of falls on patients' confidence; education about falls prevention measures through brochures and implemented strategies; and patient adherence to the falls prevention plan. Results Three key perceptions were identified, relating to the cause of falls, person‐centred care and falls prevention. Results revealed that many inpatients were unaware of their risks of falling or the steps taken by nursing staff to prevent falls. Furthermore, the quality of nurse–patient relationships affected patients' experience of falls. Conclusion To promote cooperation and foster patient understanding of risk, it is crucial to involve patients in their falls prevention plan on a daily basis during their episode of care. Implications for the Profession and/or Patient Care Further research is required on patients' perceptions of their falls during an episode of care within an acute care setting in Australia. The increasing risk of falls, particularly among the ageing population, requires better processes and partnering with consumers using a multidisciplinary approach to person‐centred falls prevention strategies. Impact Falls among patients in healthcare facilities are a major concern. Understanding patient perceptions of the factors contributing to their falls will assist nurses understanding and lead to improvement in communication and falls prevention during their hospital stay. Reporting Method This work adhered to the PRISMA guidelines. Patient or Public Contribution No patient or public contribution.
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spelling doaj-art-771e508813a74b668f651d4f5ca0b53e2025-08-20T03:12:35ZengWileyNursing Open2054-10582025-05-01125n/an/a10.1002/nop2.70240Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their HospitalisationCaglayan Yasan0Bianca Rohlje1Jessica Cork2Caroline Cooper‐Blair3Alan Hayes4Program of Nursing and Midwifery, College of Sport, Health and Engineering Victoria University St Albans Victoria AustraliaProgram of Nursing and Midwifery, College of Sport, Health and Engineering Victoria University St Albans Victoria AustraliaLibrary Victoria University Footscray Victoria AustraliaProgram of Nursing and Midwifery, College of Sport, Health and Engineering Victoria University St Albans Victoria AustraliaInstitute for Health and Sport (IHeS) Victoria University Footscray Victoria AustraliaABSTRACT Aim To examine what patients perceive to be the contributing factors that led to their fall in acute care hospitals during their episode of care in Australia. Design A systematic review was conducted on inpatient experiences related to their fall during their episode of care in Australian acute care hospitals. Methods Database and manual searches were undertaken from December 2022 to February 2023, with final analyses completed in August 2023. Three studies with a total of 37 participants were included in the analysis. Various aspects of falls in patients were examined, including factors contributing to falls; the impact of falls on patients' confidence; education about falls prevention measures through brochures and implemented strategies; and patient adherence to the falls prevention plan. Results Three key perceptions were identified, relating to the cause of falls, person‐centred care and falls prevention. Results revealed that many inpatients were unaware of their risks of falling or the steps taken by nursing staff to prevent falls. Furthermore, the quality of nurse–patient relationships affected patients' experience of falls. Conclusion To promote cooperation and foster patient understanding of risk, it is crucial to involve patients in their falls prevention plan on a daily basis during their episode of care. Implications for the Profession and/or Patient Care Further research is required on patients' perceptions of their falls during an episode of care within an acute care setting in Australia. The increasing risk of falls, particularly among the ageing population, requires better processes and partnering with consumers using a multidisciplinary approach to person‐centred falls prevention strategies. Impact Falls among patients in healthcare facilities are a major concern. Understanding patient perceptions of the factors contributing to their falls will assist nurses understanding and lead to improvement in communication and falls prevention during their hospital stay. Reporting Method This work adhered to the PRISMA guidelines. Patient or Public Contribution No patient or public contribution.https://doi.org/10.1002/nop2.70240acute carefallsfalls preventionolder adultspatientperception
spellingShingle Caglayan Yasan
Bianca Rohlje
Jessica Cork
Caroline Cooper‐Blair
Alan Hayes
Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation
Nursing Open
acute care
falls
falls prevention
older adults
patient
perception
title Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation
title_full Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation
title_fullStr Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation
title_full_unstemmed Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation
title_short Systematic Review of Patients' Perceptions of the Contributing Factors That Led to Falling in Acute Care Hospitals During Their Hospitalisation
title_sort systematic review of patients perceptions of the contributing factors that led to falling in acute care hospitals during their hospitalisation
topic acute care
falls
falls prevention
older adults
patient
perception
url https://doi.org/10.1002/nop2.70240
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