Evidence map›Paper›PMID 35262271›Full record

GuidelineWorldviews on evidence-based nursing2022

Fall prevention in hospitals and nursing homes: Clinical practice guideline.

Daniela Schoberer, Helga Elisabeth Breimaier, Julia Zuschnegg, Thomas Findling, Susanna Schaffer, Tamara Archan

Open access · hybridAbstract readSystematic ReviewPractice Guideline
In one paragraph

Guideline in Worldviews on evidence-based nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
34.7field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Guideline
  6. Trial
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  8. Observational
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  10. Review
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  16. Fall Risk Management in Nursing Homes: A Scoping Review.Healthcare (Basel, Switzerland) · 2025
    Review
  17. Review
  18. Article
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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 at 5 institutions in 2 countries.

Daniela SchobererInstitute of Nursing Science, Medical University Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-9831-0570
Helga Elisabeth BreimaierStrategic Management of Nursing, RKU - University and Rehabilitation Clinics Ulm, Ulm, Germany.
Julia ZuschneggInstitute of Nursing Science, Medical University Graz, Graz, Austria.
Thomas FindlingInstitute of Health Care and Nursing, FH JOANNEUM University of Applied Sciences, Graz, Austria.
Susanna SchafferNursing School, Graz, Austria.
Tamara ArchanHaus der Barmherzigkeit Seeböckgasse, Vienna, Austria.
Medical University of Graz · ATFH JOANNEUM University of Applied Sciences · ATHospital of the Brothers of St. John of God · ATUniversity and Rehabilitation Clinics Ulm · DEUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls and their consequences are particularly common in older adults in hospitals and long-term care (LTC) facilities.

aimTo avoid falls and their consequences, and provide nurses with an overview of all relevant research literature on fall prevention, and a practice guideline on fall prevention in older adults was developed.

methodsThe development process included a systematic literature review to identify systematic reviews and primary studies on the topic of fall prevention, an assessment of the study quality, the preparation of meta-analyses to summarize the results, and the application of the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to grade the scientific literature. The guideline panel and an external multidisciplinary team graded the recommendations using the Delphi method. In addition, the panel and team formulated expert opinions.

resultsA total of 79 randomized controlled trials on fall prevention were identified, which formed the basis of the recommendations. Strongly recommended measures for both settings included multifactorial interventions, professionally supported body exercise interventions, and education and counselling interventions. The panel and team did not recommend the use of a specific assessment tool for fall risk assessment, low-floor beds in hospitals, or body exercise interventions in frail residents. LINKING EVIDENCE TO ACTION: During the development of this guideline, particular attention was paid to collecting evidence-based knowledge relevant to practice. By applying the recommendations, the outlined nursing care is justified, enabling healthcare personnel to achieve the overriding goal of providing optimal care to persons at risk of falling. Evidence for several fall prevention interventions was graded as very low. Sound intervention studies are necessary to strengthen the confidence in the evidence for low-floor beds, alarm sensor systems, medication review, and staff education in hospitals.

Indexed as

HospitalsNursing HomesAgedHumansRisk AssessmentfallsGRADE approachguidelinehospitallong-term carenursing home

Identifiers

PMID35262271
PMCPMC9310602
OpenAlexW4221133671

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.