Evidence map›Paper›PMID 32826513›Full record

ArticleThe Journal of nursing administration2020

Fall Prevention Decision Making of Acute Care Registered Nurses.

Elizabeth A Fehlberg, Christa L Cook, Ragnhildur I Bjarnadottir, Anna M McDaniel, Ronald I Shorr, Robert J Lucero

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of nursing administration, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06339125 (Predictive Analytics Combined With Computer Visualization Enhances Patient Safety and Eases Nurse Burden for Preventing Falls), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06339125 nacompletednot on this mapstarted 2024, after this paper: background citation

Predictive Analytics Combined With Computer Visualization Enhances Patient Safety and Eases Nurse Burden for Preventing Falls

TypeinterventionalSponsorMassachusetts General HospitalRan2024 to 2025Enrolled5,350ConditionsFall Patients, Fall InjuryArmsFall prevention algorithm, Inspiren camera visualization
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Nurse-led fall prevention programs in acute care settings: An integrative review.International journal of nursing studies advances · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth A FehlbergAuthor Affiliations: Health Services Researcher (Dr Fehlberg), Division of Research on Healthcare Value, Equity, and the Lifespan, RTI International, Research Triangle Park, North Carolina; Associate Professor (Dr Cook), College of Nursing, University of Central Florida, Orlando; Assistant Professor (Dr Bjarnadottir), Dean and Linda Harman Aiken Professor (Dr McDaniel), and University Term Professor and Associate Professor (Dr Lucero), College of Nursing, University of Florida, Gainesville; and Director (Dr Shorr), Geriatric Research Education and Clinical Centers (GRECC), Malcom Randall VAMC, Gainesville, Florida.
Christa L Cook
Ragnhildur I Bjarnadottir
Anna M McDaniel
Ronald I Shorr
Robert J Lucero

Funding

Advancing Interdisciplinary Science of Aging through Identification of Iatrogenic Complications: The UF EHR Clinical Data Infrastructure for Enhanced Patient Safety among the Elderly (UF-ECLIPSE)R33AG062884 · NIA · UNIVERSITY OF FLORIDA · PI INGIBJARGARDOTTIR BJARNADOTTIR, RAGNHILDUR, LUCERO, ROBERT J · 2021 to 2023
$2.1M
Fall prevention in high-and low-fall hospital nursing unitsR56AG051799 · NIA · UNIVERSITY OF FLORIDA · PI SHORR, RONALD I · 2016 to 2016
$424k
Advancing Interdisciplinary Science of Aging through Identification of Iatrogenic Complications: The UF EHR Clinical Data Infrastructure for Enhanced Patient Safety among the Elderly (UF-ECLIPSE)R21AG062884 · NIA · UNIVERSITY OF FLORIDA · PI INGIBJARGARDOTTIR BJARNADOTTIR, RAGNHILDUR, LUCERO, ROBERT J · 2019 to 2020
$415k
NIA NIH HHS R21 AG062884NIA NIH HHS R33 AG062884NIA NIH HHS R56 AG051799
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine acute care registered nurses' (RNs') fall prevention decision-making.

backgroundThe RN decision-making process related to fall prevention needs to be investigated to ensure that hospital policies align with nursing workflow and support nursing judgment.

methodsQualitative semistructured interviews based on the Critical Decision Method were conducted with RNs about their planning and decision making during their last 12-hour shift worked.

resultsData saturation was achieved with 12 RNs. Nine themes emerged related to the RN decision-making process and included hospital-level (eg, fear of discipline), unit-level (eg, value of bed alarm technology), and nurse-level (eg, professional judgment) factors that could influence fall prevention.

conclusionsNursing administrators should consider a multilevel approach to fall prevention policies that includes promoting a practice environment that embraces self-reporting adverse events without fear of shame or being reprimanded, evaluating unit-level practice and technology acceptance and usability, and supporting autonomous nursing practice.

Indexed as

Attitude of Health PersonnelDecision MakingAccidental FallsAdultClinical CompetenceFemaleHumansInterviews as TopicMaleNurse AdministratorsNurses

Identifiers

PMID32826513
PMCPMC7592292

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.