Publicação
Nursing-led interventions for preventing falls in hospitalized patients: a systematic literature review
| dc.contributor.author | Moreira, José | |
| dc.contributor.author | Fialho, Patrícia | |
| dc.contributor.author | Alexandrino, Sílvia | |
| dc.contributor.author | Mendes, Marisa | |
| dc.contributor.author | Granadeiro, Lina | |
| dc.contributor.author | Martins, Helga | |
| dc.contributor.author | Miguel, Susana | |
| dc.date.accessioned | 2026-07-30T15:47:03Z | |
| dc.date.available | 2026-07-30T15:47:03Z | |
| dc.date.issued | 2026-07-03 | |
| dc.description.abstract | Background: In-hospital falls are common adverse events associated with injuries, functional decline, prolonged length of stay, and increased healthcare costs, which require effective and sustained nursing interventions. Objective: To identify, through a Systematic Literature Review, which nursing care interventions are effective in reducing the incidence/rate of falls among inpatients in hospital settings. Methods: A systematic literature review was conducted using the JBI methodology. The review was guided by the PICO framework (P: inpatients; I: nursing care interventions; C: usual care; O: incidence of accidental falls). A comprehensive search was performed in the MEDLINE, CINAHL, and Scopus databases. Studies were included if they evaluated nursing-led or nursing-related interventions aimed at fall prevention and reported fall-related results. Eligible study designs included randomized controlled trials, quasi-experimental studies, observational studies, and quality improvement initiatives. Study selection, data extraction, and critical appraisal were conducted according to JBI recommendations. Results: Six studies were included (quasi-experimental, cohort, prospective/observational, and quality improvement projects). Two main themes emerged: (1) structured multifactorial and educational interventions and (2) technology-based interventions. Multifactorial approaches that combine risk assessment, education, communication, and environmental measures have been shown to improve adherence and reduce falls. Technology-based interventions, especially video monitoring, showed the most consistent reductions in fall rates, including fewer nighttime falls and decreased need for one-to-one observation. The included studies were methodologically heterogeneous in design, clinical setting, and outcome definitions, which precluded statistical pooling and warrants caution in the interpretation of the findings. Conclusions: Structured, standardized, multifactorial, and nursing-led approaches can contribute to reducing inpatient falls. However, more robust and comparable studies are required to consolidate practice-relevant recommendations. | eng |
| dc.identifier.doi | 10.3390/nursrep16070232 | |
| dc.identifier.eid | 105045873599 | |
| dc.identifier.other | 08ba485a-8700-44b9-b97f-7a8f8f34ee54 | |
| dc.identifier.pmc | PMC13415614 | |
| dc.identifier.pmid | 42506019 | |
| dc.identifier.uri | http://hdl.handle.net/10400.14/58963 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | MDPI | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Accidental falls | eng |
| dc.subject | Health education | eng |
| dc.subject | Incidence | eng |
| dc.subject | Hospitals | eng |
| dc.subject | Inpatients | eng |
| dc.subject | Nursing care | eng |
| dc.subject | Patient safety | eng |
| dc.subject | Risk assessment | eng |
| dc.subject | Systematic review | eng |
| dc.title | Nursing-led interventions for preventing falls in hospitalized patients: a systematic literature review | |
| dc.type | research article | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 7 | |
| oaire.citation.volume | 16 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |
Ficheiros
Principais
1 - 1 de 1