@article{ref1,
title="Fall prevention decision making of acute care registered nurses",
journal="Journal of nursing administration",
year="2020",
author="Fehlberg, Elizabeth A. and Cook, Christa L. and Bjarnadottir, Ragnhildur I. and McDaniel, Anna M. and Shorr, Ronald I. and Lucero, Robert J.",
volume="50",
number="9",
pages="442-448",
abstract="OBJECTIVE: The aim of this study was to examine acute care registered nurses' (RNs') fall prevention decision-making.   BACKGROUND: The 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.   METHODS: Qualitative 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.   RESULTS: Data 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.   CONCLUSIONS: Nursing 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.<p /> <p>Language: en</p>",
language="en",
issn="0002-0443",
doi="10.1097/NNA.0000000000000914",
url="http://dx.doi.org/10.1097/NNA.0000000000000914"
}