Resumen
Este estudio investigó la percepción de los fisioterapeutas sobre la prevención de caídas en el entorno hospitalario y cómo los factores contextuales influyen en sus prácticas.
La mayoría de los fisioterapeutas encuestados creen que su hospital prioriza las mejores prácticas para la prevención de caídas, pero menos de la mitad cree que otros terapeutas proporcionan una intervención óptima en la prevención de caídas.
Además, se encontró que la experiencia influye en la práctica de prevención de caídas.
Por lo tanto, se recomienda utilizar iniciativas de aseguramiento de calidad e mejora continua para garantizar una práctica mínima especificada.
La percepción de fisioterapeutas en prevención de caídas en pacientes hospitalizados
El presente artículo aborda la percepción de fisioterapeutas en la prevención de caídas en pacientes hospitalizados. La fisioterapia desempeña un papel crucial en la identificación de riesgos y la implementación de estrategias para evitar caídas. Asimismo, se enfatiza la importancia de mejorar la prevención en clínicas de fisioterapia, garantizando la seguridad y el bienestar de los pacientes.
Abstract original
Experience and Hospital Context Influence Fall Prevention Practice by Physical Therapists: A Survey Study
Background: Falls in and following hospitalization are common and problematic. Little is understood about the factors that impede or promote effective implementation of fall prevention practices.
Purpose and relevance: Physical therapists are commonly consulted for acute care patients at risk for falling. The purpose of this study is to understand therapist perceptions of their effectiveness in fall prevention and to explore the impact of contextual factors on practice patterns to prevent falls surrounding hospitalization.
Methods: Survey questions were tailored to the constructs of hospital culture, structural characteristics, networks and communications, and implementation climate, in addition to inquiries regarding practice patterns and attitudes/beliefs.
Results: Overall, 179 surveys were analyzed. Most therapists (n = 135, 75.4%) affirmed their hospital prioritizes best practices for fall prevention, although fewer agreed that therapists other than themselves provide optimal fall prevention intervention (n = 105, 58.7%). Less practice experience was associated with greater odds of affirming that contextual factors influence fall prevention practice (OR 3.90, p < .001). Respondents who agreed that their hospital system prioritizes best practices for fall prevention had 14 times the odds of believing that their system prioritizes making improvements (p = .002).
Conclusions/implications: As experience influences fall prevention practice, quality assurance and improvement initiatives should be used to ensure minimum specifications of practice.
| Autores | James P Crick Jr Lisa Juckett Marka Salsberry Carmen Quatman Catherine C Quatman-Yates |
| revista | J Healthc Qual |
| DOI | 10.1097/JHQ.0000000000000382 |