A nurse led educational intervention to enhance nurses’ knowledge and compliance in fall risk assessment in acute medical wards.

• Register: ANZCTR
• Last refreshed on: 13 January 2020
• Main ID: ACTRN12616000035426
• Date of registration: 18/01/2016
• Prospective Registration: No
• Primary sponsor: University of Malaya
• Public title: A nurse led educational intervention to enhance nurses’ knowledge and compliance in fall risk assessment in acute medical wards.
• Scientific title: A nurse led educational intervention to enhance nurses’ knowledge and compliance in fall risk assessment in acute medical wards.
• Date of first enrolment: 02/03/2015
• Target sample size: 130
• Recruitment status: Completed
• URL: https://anzctr.org.au/ACTRN12616000035426.aspx
• Study type: Interventional
• Study design: Purpose: Prevention; Allocation: Randomised controlled trial;

Countries of recruitment

Malaysia

Contacts

• Name: Mr Abdulaziz Mansoor

• Name: Dr Chong Mei Chan

Key inclusion & exclusion criteria

Inclusion criteria: - Registered nurses who had undergone 3 years nursing training and obtained Diploma in Nursing and registered with the Nursing Board of Malaysia.
- Registered nurses currently working in the designated ward during study period.

Exclusion criteria: - Registered nurses who were on confinement leave, no pay leave or study leave for more than 1 month during the study period.
- Registered nurses who were undergoing post basic training during the study period.
- Registered nurses who had previously attended a fall workshop.


Age minimum: 25 Years
Age maximum: No limit
Gender: Both males and females

Health Condition(s) or Problem(s) studied

Fall risk in hospital ;
Fall risk in hospital

Injuries and Accidents - Other injuries and accidents

Intervention(s)

A structured education intervention was conducted after the completion of pre-test and pre-compliance audits. A total of eight sessions were conducted over a period of 2 weeks to ensure all nurses in the intervention group had chance to attend, so each nurse can attend more than one sessions but at least they had to attend one sessions. The session was held every afternoon from 2.30-4.30. after the nurses had handed over the nursing report. This was to enable more nurses to attend the teaching session. The teaching material provides information on fall prevalence, fall burdens and fall standard precaution. The following is the detail description of the teaching intervention:
1. Introduction
1.1. Definition of fall
1.2. Prevalence and consequence of fall
1.3. Fall burden and cost
2. Assessment of falls in the hospital
2.1. Patient age
2.2. History of fall
2.3. Extrinsic factors
2.4. Intrinsic factors
3. Staff Responsibilities
3.1 Lying and standing / standing blood pressure at least once
3.2 Assist in patient’s elimination needs
3.3 No restraining of patient
3.4 Ensure safe environment: lighting, assistive device, furniture, alarm system (ice cream bell), keep patient rooms and hallway free of clutter, keeping object within reach of patient, cot sides down and properly fitted shoes and clothing.
Following the teaching session, a fall prevention support group was set up to provide guidance and discussions on problems while implementing fall precautions in a hand phone application ‘Whatsapp group’.This is a convenient platform in view that every medical nurse has a smart phone and easy to set up.

Data collection method / procedure
Phase I
After successfully obtained ethical approval from MREC on 25th Janua

Primary Outcome(s)

To investigate the effect of education on nurses’ knowledge in fall risk assessment in acute medical wards in a general hospital.

The nurses' knowledge was assess by using a test questionnaire designed specifically for this study.[Baseline before intervention, then 6 weeks post intervention completion.]

To investigate the effect of education on nurses’ compliance in fall risk assessment in acute medical wards in a general hospital.

The nurses' compliance was assess by using a test questionnaire designed specifically for this study.[Baseline before intervention, then 6 weeks post intervention completion.]

Secondary Outcome(s)

To determine the level of compliance in fall assessment among staff nurses in the medical wards before and after implementation of a nurse-led education intervention.

The the level of compliance in fall assessment among staff nurses was assess by using hospital records.[Baseline before intervention, then 6 weeks post intervention completion.]

Secondary ID(s)

Nil known

Source(s) of Monetary Support

University of Malaya Research Grant

Secondary Sponsor(s)

TAN SEEW GEEK

Ethics review

Status: Approved
Approval date:
Contact:

Medical Research and Ethics Committee (MREC), Malaysia