Evidence map›Paper›PMID 35293033›Full record

ArticleJournal of advanced nursing2022

Gap between risk factors and prevention strategies? A nationwide survey of fall prevention among medical and surgical patients.

Lixia Xia, Yining Zheng, Zheng Lin, Peng Chen, Kewen Mei, Jing Zhao, Yilan Liu, Baoyun Song, Hongmei Gao, Chao Sun and 15 more

Open access · greenAbstract read
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
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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

25 authors at 17 institutions in 1 country.

Lixia XiaJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.ORCID https://orcid.org/0000-0002-8992-233X
Yining ZhengChinese Nursing Association, Beijing, China.
Zheng LinJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
Peng ChenJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
Kewen MeiJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
Jing ZhaoChina-Japan Friendship Hospital, Beijing, China.
Yilan LiuWuhan Union Hospital, Wuhan, China.
Baoyun SongHenan Provincial People's Hospital, Zhengzhou, China.
Hongmei GaoXiangya Hospital Central South University, Changsha, China.
Chao SunBeijing Hospital, Beijing, China.
Hui YangFirst Hospital of Shanxi Medical University, Taiyuan, China.
Ying WangTongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Kuiqi SongAnhui Provincial Hospital, Hefei, China.
Yan YangShanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Xiaorong LuanShandong University Qilu Hospital, Jinan, China.
Xianxiu WenSichun Provincial People's Hospital, Chengdu, China.
Xin YinJilin University First Hospital, Changchun, China.
Adan FuThe Central Hospital of Wuhan, Wuhan, China.
Yinghua CaiWuxi People's Hospital, Wuxi, China.
Liling XieThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-2726-866X
Yaling LiThe Affiliated Hospital of Guizou Medical University, Guiyang, China.
Jieyu LuJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
Xinjuan WuChinese Nursing Association, Beijing, China.
Rong WangJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
Zejuan GuJiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, China.
Jiangsu Province Hospital · CNChinese Pharmaceutical Association · CNShanxi Medical University · CNAffiliated Hospital of Guizhou Medical University · CNAnhui Provincial Hospital · CNBeijing Hospital · CNCentral Hospital of Wuhan · CNCentral South University · CNChina-Japan Friendship Hospital · CNHenan Provincial People's Hospital · CNJilin University · CNQilu Hospital of Shandong University · CNShanghai Jiao Tong University · CNThe Affiliated Yongchuan Hospital of Chongqing Medical University · CNTongji Hospital · CNWuhan Union Hospital · CNWuxi People's Hospital · CN

Funding

Nursing Management Committee of Chinese Nursing Association
6 · The paper itself

Abstract

aimsThis study aimed to determine the extent to which nurses report assessing evidence-based falls risk factors and implementing targeted prevention for medical and surgical patients in China.

designThis study was a national online survey.

methodsThe respondents were registered nurses working in medical and surgical units in 662 Chinese hospitals. The data concerning the falls risk factor assessments and targeted interventions implemented by nurses were collected online by the Nursing Management Committee of the Chinese Nursing Association in China in 2019.

resultsIn total, 68 527 valid questionnaires were returned (95.0%). In medical and surgical units, nurses were most likely to report assessing balance, mobility and strength (81.6%) and orthostatic hypotension (76.4%) in falls patients and least likely to report assessing continence (61.3%) and feet and footwear (55.8%). Ensuring the use of appropriate footwear (79.3%) and managing syncope, dizziness and vertigo (73.8%) were the most common multiple interventions, while managing postural hypotension (48.8%) and cognitive impairment (48.4%) was the least common. Nine falls risk factors with clearly matched multifactorial interventions were identified in medical and surgical units (68.2%-97.1%).

conclusionsThe implementation of multifactorial interventions in medical and surgical wards is inconsistent as reported by nurses in medical and surgical wards. Throughout China, nurses are generally concerned about falls risk factors and prevention for their patients; however, limited attention has been focused on continence, feet and footwear assessment and the management of cognitive impairment. Evidence-based falls prevention should be further tailored to the specific risk factors of each patient. IMPACT: Best practice guidelines for falls prevention in hospitals have been developed and published, and it is important for nurses to use these guidelines to guide practice. Our findings identify that in routine care, healthcare providers and hospitals can prevent falls.

Indexed as

Health PersonnelHospitalsHumansRisk FactorsSurveys and Questionnairesassessmentfalls preventionhospitalmedical and surgical unitsnurserisk factors

Identifiers

PMID35293033
PMCPMC9544575
OpenAlexW4220795215

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.