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Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals

중소병원 간호사의 낙상예방행위와 관련 변인 간의 구조 분석

  • 박지현 (대구과학대학교 간호대학) ;
  • 손정태 (대구가톨릭대학교 간호대학)
  • Received : 2018.08.07
  • Accepted : 2018.11.07
  • Published : 2018.11.30

Abstract

Purpose: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. Methods: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. Results: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. Conclusion: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.

Keywords

References

  1. Lee JH, Kim HA, Park SW. Prevention of fall in the hospital. Journal of Korean Medical science. 2015;58(2):123-130. https://doi.org/10.5124/jkma.2015.58.2.123
  2. Everhart D, Schumacher JR, Duncan RP, Hall AG, Neff DF, Shorr RI. Determinants of hospital fall rate trajectory groups: a longitudinal assessment of nurse staffing and organizational characteristics. Health Care Management Review. 2014;39(4):352-360. https://doi.org/10.1097/HMR.0000000000000013
  3. Kim YS, Choi-Kwon S. Fall risk factors and fall risk assessment of inpatients. Korean Journal of Adult Nursing. 2013;25(1):74-82. https://doi.org/10.7475/kjan.2013.25.1.74
  4. Kim EK, Lee JC, Eom MR. Falls risk factors of inpatients. Journal of Korean Academy Nursing. 2008;38(5):676-684. https://doi.org/10.4040/jkan.2008.38.5.676
  5. Kim SH, Jung MH. A phenomenological study on fall prevention for elderly patients. Hanyang University Journal of Aging Society. 2012;3(2):41-52.
  6. Korea Institute for Healthcare Accreditation. Accreditation program for healthcare organizations[Internet]. Seoul: Korea Institute for Healthcare Accreditation; 2013 [cited 2014 November 5]. Available from: https://www.koiha.or.kr/english/index.act?page=AP
  7. Kim YL, Lee MH. Perceptions of patient safety culture of hospital nurses. Crisisonomy. 2015;11(1):83-99.
  8. Lee YJ, Gu MO. Circumstances, risk factors, and the predictors of falls among patients in the small and medium-sized hospitals. Journal of Korean Clinical Nursing Research. 2015;21(2):252-265. https://doi.org/10.22650/JKCNR.2015.21.2.252
  9. Jin MS, Ha YM. Influencing factors on hospital fall prevention activities of tertiary hospital nurses and general. Journal of Health Informatics and Statistics. 2017;42(4):361-370. https://doi.org/10.21032/jhis.2017.42.4.361
  10. Jang HJ, Ahn SH. A predictive model of fall prevention behavior in postmenopausal women. Journal of Korean Academy Nursing. 2014;44(5):525-533. https://doi.org/10.21032/jhis.2017.42.4.361
  11. Ju HJ, Lee JH. Structural relationship of variables regarding nurse's preventive action against needle stick injury. The Journal of Korean Academic Society of Nursing Education. 2015;21(2):168-181. https://doi.org/10.5977/jkasne.2015.21.2.168
  12. Jung SY, Kim OS. The structural model of hand hygiene behavior for the prevention of healthcare-associated infection in hospital nurses. Korean Jounal Adult Nursing. 2012;24(2):119-129. https://doi.org/10.7475/kjan.2012.24.2.119
  13. Kim SK. Configuration of a vaccination-behavior model for mothers with infants[dissertation]. Seoul: Chung-Ang University; 2007. p. 34-62.
  14. Park MK, Kim HY. Effects of health belief on fall prevention activities of emergency room nurses. Journal of Korean Academy of Nursing Administration. 2014;20(2):176-186. https://doi.org/10.11111/jkana.2014.20.2.176
  15. Glanz K, Rimer BK, Lewis FM. Health behavior and health education: Theory, research, and practice. 3rd ed. Yoo TK, Yoo HR, translator. Seoul: Koonja; 2009. p. 155-159.
  16. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  17. Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly. 1984;11(1), 1-47. https://doi.org/10.1177/109019818401100101
  18. Champion VL, Skinner CS. The health belief model. 4th ed. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: Theory, research, and practice, San Francisco: Jossey-Bass; 2008. p. 45-65.
  19. Reason J. Understanding adverse events: Human factors. Quality in Health Care. 1995;4(2):80-89. https://doi.org/10.1136/qshc.4.2.80
  20. Kim MJ. A structural equation model explaning contraception behaviors of married Korean women. Korean Journal of Women Health Nursing. 2001;7(2):141-156.
  21. Mitchell RJ. Path analysis: Pollination. In: Scheiner SM, Gurevitch J. editors. Design and analysis of ecological experiments. NY: Champman and Hall; 1993. p. 211-231.
  22. Agency for Health care Research and Quality. Hospital survey on patient culture (NO. 04-0041) [Internet]. Rockville: Agency for Health care Research and Quality; 2004 [cited 2014 April]. Available from: https://www.ahrq.gov/sops/quality-patient-safety/patientsafetyculture/hospital/index.html
  23. Kim JE, An KE, Yun SH. Nurses' perception of the hospital environment and communication process related to patient safety in Korea. Healthcare Information Research. 2004;10(1):130-135.
  24. Morse JM. Computerized evaluation of a scale to identify the fall-prone patient. Canadian Journal of Public Health. 1986;77(suppl 1):21-25.
  25. Ajzen I. Constructing a theory of planned behavior questionnaire [Internet]. Ireland: Measurement instrument Database for the Social Sciences Ireland; 2013 [cited 2014 May 2]. Available from: http://people.umass.eud/aizen/pdf/tpb.measurement.pdf
  26. Moon SB. Basic concepts and applications of structural equation modeling with amos 17.0. Seoul: Hakjisa, 2009. p. 383-458.
  27. Son YK, Lee BK. An efficacy of social cognitive behavior model based on the theory of planned behavior: A meta-analytic review. Korean Journal of Journalism & Communication Studies. 2012;56(6):127-161.
  28. Hwang JS, Lee SY, Jeon YJ, Lee HO, Kwak YN, Lee JO. A descriptive study of military nurses' perception on patient safety culture and their performance on patient safety nursing. Journal of Military Nursing Research. 2014;32(1):92-104.
  29. Lee SI, Oh ET. The Effect of health belief on leisure sports' continuous participation as health-promoting behaviors in middle aged group. Journal of Leisure and Recreation Studies. 2010;34(3):217-231.
  30. Choi EJ, Kim SD, Lee JS. The prediction on the behavior of infection control of operating room nurses in seoul: An application of the theory of planned behavior. Korean Journal of Nosocomial Infection Control. 2007;12(2):91-102.