Adopting a knowledge translation framework and applying information strategies for fall prevention among hospitalised patients




Poster session 4 Saturday: Evidence implementation and evaluation


Saturday 16 September 2017 - 12:30 to 14:00


All authors in correct order:

Chen KH1, Liu HE2, Chen TH3, Su HC4, Kuo KN1, Chen CC1
1 Cochrane Taiwan, Taipei Medical University, Taiwan
2 School of Nursing, Chang Gung University, Taiwan
3 Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taiwan
4 Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taiwan
Presenting author and contact person

Presenting author:

Joyce Kee-Hsin Chen

Contact person:

Abstract text
Background: Preventing in-hospital fall and associated injury is one of the imperative quality indicators in hospitals. It is also an important challenge for health professionals.

Objectives: The aims of this study were to revise the fall-prevention guidelines for inpatients, as well as to establish "fall prevention nursing decision aids" and "prone to fall medication reminder system" in promoting knowledge translation.

Methods: This is knowledge-translation research based on the "knowledge-to-action conceptual framework" (Graham et al., 2006). There are two stages including: (1) Knowledge creation: We systematically reviewed the existing fall-prevention guidelines to explore the gap between best evidence and clinical practice. Accordingly, the inpatients' fall-prevention guideline of the target hospital was revised. (2) The action cycle: A single centre intervention, before-after study design, was conducted in a medical centre between January and December 2015. The main outcome measures were fall rate (%), fall-related injuries (%), and compliance rate of fall-prevention guidelines among health professionals. For statistic method, we applied Poisson regression model and independent t-test. A p < .05 value is considered statistically significant.

Results: After the intervention, the fall rate was significantly reduced to 0.07% (β ̂= -0.37, p = .02); however, here was no significant effect on fall-related injury (β ̂= 0.25, p = .64). In addition, the compliance rate of utilising fall-prevention guidelines among health professionals was significantly improved up to 95.0% (mean difference = -8.52, 95% CI -10.29~ -6.75, t = -9.48, p < .001).

Conclusions: The application of the "knowledge-to-action conceptual framework" and information strategies in study hospital significantly reduced the fall rate, and increased the compliance rate of fall-prevention guideline among health professionals. However, the fall-related injuries were not significantly improved. Further research is needed on fall-prevention strategies.