Discussion post week 4

Fall Prevention Videos

Evidence-Based Intervention

The evidence-based intervention is a patient-specific fall prevention video education provided to hospitalized adults. In all the studies attached, video-based education is intended to deliver custom and context-specific fall prevention messages that enhance patient comprehension, motivation, and interaction. Valieiny et al. (2023) showed that simulated and customized video education was much more effective in improving fall-related outcomes because it standardized the education; however, it could be viewed repeatedly. Similarly, Naseri et al. (2021) noted that personalized educational videos, together with facilitated discussion, enhanced patients’ ability and desire to participate in fall prevention activities. Hill et al. (2024) also underlined that patient-centered multimedia education is a more effective method to increase engagement and intention to act individually.

Patient Population

The patient group that is most likely to benefit from this intervention is the group of adults aged 45 years and above who are in hospitalized medical-surgical inpatient units. This group is at high risk of falls because of acute illness and decreased mobility, drug activities, and the hospital surroundings that are not familiar. Hospitalized older adults demonstrate that customized education is especially effective in cases of admission and discharge, when the risk of falls is the greatest (Valieiny et al., 2023; Naseri et al., 2021).

Outcomes of the Intervention

The primary intervention outcome is the increased desire to participate in fall prevention activities, which manifests itself in the higher level of awareness of the risk of falls, motivation to request help, and readiness to adhere to safety guidelines. Culturally sensitive education has been reported to enhance motivation, confidence, and willingness to implement fall prevention among nurses, which are significant behavior antecedents for change (Naseri et al., 2021; Hill et al., 2024).

Measures and Timing of Outcomes

The Ph.D. researchers assessed results at specific time points, not at certain time intervals like once every week. The Time One Falls Prevention Survey was utilized as a pre-intervention assessment tool. At Time Two, 18-32 hours after the initial survey, outcome data were obtained with the help of the Fall Perceptions Survey to evaluate patient engagement and intent regarding fall prevention. Moreover, nurses filled the Nurses Record Form at the close of a 12-hour shift and recorded patient engagement and mental alertness; nurses were not informed about the group assignment to eliminate bias. The research ended in 72 hours or earlier in case the patient was discharged, meaning that the results were assessed in a short and specific period of time rather than continuously measured over weeks.

References

Hill, A.-M., Francis-Coad, J., Vaz, S., Morris, M. E., Flicker, L., Weselman, T., & Hang, J. A. (2024). Implementing falls prevention patient education in hospitals – older peoples views on barriers and enablers. BMC Nursing, 23(1).

Naseri, C., McPhail, S. M., Morris, M. E., Haines, T. P., Etherton-Beer, C., Shorr, R., Flicker, L., Bulsara, M., Lee, D.-C. A., Francis-Coad, J., Waldron, N., & Hill, A.-M. (2021). Tailored Education Increased Capability and Motivation for Fall Prevention in Older People After Hospitalization. Frontiers in Public Health, 9, 683723.

Valieiny, Shahzad Pashaeypoor, Sarieh Poortaghi, & Sharifi, F. (2023). The effects of simulated video education about falling on falling rate and fear of falling among hospitalized elderly people: a randomized clinical trial. BMC Nursing, 22(1).