Purpose
This study analyzed nursing students’ guided reflective journals following simulation-based practice using standardized patients for the initial care of older adults experiencing falls. It aimed to provide a deeper understanding of how changes in students’ thinking occurred through the learning experience and to describe their levels of reflection.
Methods
An eight-hour simulation-based education program was implemented during a geriatric clinical practicum. The program consisted of orientation, pre-learning activities, simulation practice, and a wrap-up session. Reflective journals from 53 third-year nursing students were analyzed using qualitative content analysis.
Results
Fifty-three third-year nursing students participated and submitted reflective journals. Three categories emerged from the analysis: “preparing for simulation-based practice,” which involved students setting care plans and employing observation; (2) “experiencing patient fall management through simulation-based practice,” where students actively engaged in realistic fall management scenarios; and (3) “critical reflection after simulation-based practice,” encompassing students’ acquisition of new insights and their personal growth. In the first category, students prepared for patient encounters by developing care plans and conducting observations. The second category highlighted realistic fall management scenarios utilizing standardized patients. The third category focused on personal growth through critical reflection. In the 53 reflective journals (185,021 words), level 3 reflections accounted for 31.6% of the content, while level 5, the highest reflection level, comprised only 8.6%.
Conclusion
Post-simulation reflective journaling stimulated critical thinking and self-assessment, enabling nursing students to analyze and reflect deeply on clinical practices. This process reinforced their knowledge base and behavioral foundations essential for clinical practice.

Purpose
This study aimed to identify the main keywords, network structures, and topical themes in patient safety incident reports using text network analysis. Methods: The study analyzed patient safety incident reports from a general hospital in Seoul, covering a total of 3,576 cases reported over five years, from 2019 to 2023. Unstructured data were extracted from the text of the incident reports, detailing how the patient safety incidents occurred and how they were managed according to the six-part principles. The analysis was conducted in four steps: 1) word extraction and refinement, 2) keyword extraction and word network generation, 3) network connectivity and centrality analysis, and 4) topic modeling analysis. The NetMiner program was used for data analysis. Results: The analysis of degree, betweenness, and closeness centrality revealed that the most common keywords among the top five were "confirmation," "medication," "inpatient room," "caregiver," and "condition." Topic modeling analysis identified three main topic groups: 1) incidents caused by a lack of awareness of fall risk, 2) incidents of non-compliance with basic medication principles, and 3) incidents due to inaccurate patient identification.
Conclusion
To prevent patient safety incidents, it is necessary to promote a culture of safety in hospitals, standardize patient identification procedures, and provide basic training in medication safety and fall prevention to healthcare staff. Furthermore, empirical research on patient safety practices is necessary to encourage active participation in patient safety activities by patients and family caregivers.

Purpose
This study aimed to investigate the impact of physical performance and fear of falling on fall risk in patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis. Methods: This study included 132 patients who regularly received hemodialysis treatment at outpatient clinics in B City from January to April 2022. Data were collected on demographic and clinical characteristics, physical performance (the Short Physical Performance Battery [SPPB]), fear of falling (the Korean Falls Efficacy Scale-International [KFES-I]), and fall risk (the Morse Fall Scale [MFS]). The collected data were analyzed using hierarchical multiple regression in the SPSS/WIN 25.0 program. Results: Thirty-eight patients (28.8%) had experienced accidental falls in the past year, with an average of 1.68 falls per patient. The average SPPB score was 7.89±3.55 (range, 0 to 12), the KFES-I score was 23.18±9.36 (range, 16 to 64), and the MFS score was 45.68±19.52 (range, 0 to 125). Fall risk showed a significant negative correlation with physical function (r=-.72, p<.001) and a significant positive correlation with fear of falling (r=.65, p<.001). Factors affecting the patients' fall risk included the level of serum intact parathyroid hormone (β=.15, p=.004), fear of falling (β=.24, p=.010), number of falls (β=.34, p<.001), and physical performance (β=-.41, p<.001). The regression model was statistically significant (F=22.71, p<.001), with an explanatory power of 64.9%. Conclusion: To prevent accidental falls in ESRD patients undergoing hemodialysis treatment, it is necessary to develop and apply interventions that can enhance physical performance and reduce the fear of falling.

Citations

• Fear of Falling among Elderly Individuals with Various Medical Conditions
  T.K. Konovalchik
  Clinical Psychology and Special Education.2025; 13(4): 76.     CrossRef

PURPOSE
The purpose of this study was to compare the content of the falls prevention guideline developed by Korean Hospital Nurses' Association (KHNA) in 2008 with the seven guidelines recommended by The Joint Commission.
METHODS
The contents of the eight guidelines were categorized into eight assessment, eight intervention, and two outcome elements that were considered core concepts of individual nursing activities. Concept-level comparisons were conducted using the International Classification for Nursing Practice, and the Logical Observation Identifiers, Names, and Codes. Two researchers independently examined the content coverage of each guideline and assigned 1 point to included content, 0 to excluded content, and 0.5 to similar content that was ambiguous in terms of a broader expression. The scores were compared, with discordance among raters resolved through consensus-based discussions.
RESULTS
The communication element in the assessment area was missing from the KHNA guideline, while five elements of pathophysiologic, mental/cognitive, therapeutic, and post-fall assessments showed lack of content. Although there were no missing elements in the intervention area, the three elements of staff communication, risk-targeted, and post-fall interventions showed considerable lack of content compared to the other guidelines. In terms of outcomes, the severity of fall-related injury was omitted, and the facility's policy on falls prevention was not addressed.
CONCLUSION
Many nursing elements and key concepts were missing from the KHNA guideline, and its content was not comprehensive. This suggests that the current guideline needs to be revised urgently, and the points identified in this study should be considered a high priority.

Citations

• Evaluation of an approach to clinical decision support for preventing inpatient falls: a pragmatic trial
  Insook Cho, MiSoon Kim, Mi Ra Song, Patricia C Dykes
  JAMIA Open.2023;[Epub]     CrossRef
• Identifying Frequently Used NANDA-I Nursing Diagnoses, NOC Outcomes, NIC Interventions, and NNN Linkages for Nursing Home Residents in Korea
  Juh Hyun Shin, Gui Yun Choi, Jiyeon Lee
  International Journal of Environmental Research and Public Health.2021; 18(21): 11505.     CrossRef
• Development of ICNP‐based inpatient falls prevention catalogue
  I. Cho, J. Kim, J.S. Chae, M. Jung, Y.H. Kim
  International Nursing Review.2020; 67(2): 239.     CrossRef
• Evidence-based Clinical Nursing Practice Guideline for Management of Inpatient Falls: Adopting the Guideline Adaptation Process
  Insook Cho, Kyung Hee Park, Minhee Suh, Eun Man Kim
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 40.     CrossRef

PURPOSE
The aim of the study was to examine effects of a fall prevention education program among inpatients over 65 years old.
METHODS
A quasi- experimental study with two intervention groups and a comparison was used. One hundred and forty-three participants recruited from one university hospital were assigned to one of three groups: Video-only education (n=49), video plus leaflet education (n=45), and a comparison group who received a routine education (n=49). The data collection period was from March to August 2016.
RESULTS
The two intervention groups reported higher scores in fall prevention behaviors than the comparison group (F=19.83, p < .001). Participants who viewed the video and received the leaflet education reported higher scores than those with video only education. The scores of attitudes toward falls (F=16.05, p < .001), and satisfaction with education (F=40.02, p < .001) in both intervention groups were also significantly higher than the comparison group, with no significant difference between the two intervention groups.
CONCLUSION
The fall prevention program was effective in improving fall-related attitude and satisfaction among elderly inpatients. Since the video plus leaflet education was most effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly.

Citations

• The Impact of a Fall Prevention Education Program on Falls-related Knowledge, Prevention Behavior, and Falls Efficacy
  Jieun Oh, Taeyoung Lee, Joohyun Kim, Hyeonsuk Park, Suyeong Park, Jihye Jeong, Yeongeun Lee, Sujin Son, Ju Young Park
  Quality Improvement in Health Care.2024; 30(2): 62.     CrossRef
• The Effectiveness of Multimedia Education on Patients' Knowledge and Behavior on Fall Prevention
  Shamsi Nasiri, Samira Daneshvar, Habib Emami, Fatemeh Nasiri, Dina Batebi, Fatemeh Bahrambeygi
  Journal of Preventive, Diagnostic and Treatment Strategies in Medicine.2023; 2(1): 33.     CrossRef
• Development and effectiveness of an integrated medication management program centered on senior welfare centers for older adults with hypertension: A cross-sectional study
  Heuijeong Moon, Dukyoo Jung
  Journal of Korean Gerontological Nursing.2023; 25(3): 297.     CrossRef
• Comparative Study of the Accuracy of At-Point Clinical Frailty Scale and Morse Fall Scale in Identifying High-Risk Fall Patients among Hospitalized Adults
  Sunghwan Ji, Hee-Won Jung, Jeounghee Kim, Younghye Kwon, Yeonmi Seo, Semin Choi, Hyoun Jin Oh, Ji Yeon Baek, Il-Young Jang, Eunju Lee
  Annals of Geriatric Medicine and Research.2023; 27(2): 99.     CrossRef
• A comparative study on the training method that mixed face-to-face/non-face-to-face education for apprentice engineers in the training ship
  Jung-Ho Noh, Eun-Seok Jeong, Jin-Uk Lee, Sae-Gin Oh, Kyoung-Kuk Yoon, Jong-Su Kim, Hyeon-Min Jeon, Jae-Jung Hur
  Journal of Advanced Marine Engineering and Technology.2022; 46(2): 93.     CrossRef
• A comparative study on video training and lecture-style training for apprentice engineers of training ships
  Ki-Young Han, Jun-Soo Kim, Hong-Beom Kim, Jae Jung Hur
  Journal of Advanced Marine Engineering and Technology.2021; 45(6): 459.     CrossRef
• Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
  Bom-Mi Park
  Healthcare.2021; 9(6): 715.     CrossRef
• The Effect of Video Education on Cancer Patient Advance Directive Writing
  Ji Su Kang, Hyeon Ok Kim
  Asian Oncology Nursing.2020; 20(1): 39.     CrossRef
• The Effects of Venous Thromboembolism Prevention Education for Elderly Patients with Total Knee Arthroplasty
  Mi Hee Lee, Mee Ock Gu
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 269.     CrossRef
• Physical Attributes of Housing and Elderly Health: A New Dynamic Perspective
  Zan Yang, Yuqi Fu
  International Journal of Environmental Research and Public Health.2019; 16(24): 4961.     CrossRef
• Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients
  Hyang Hee Jeon, Soo Jin Lee
  Korean Journal of Adult Nursing.2018; 30(5): 482.     CrossRef

PURPOSE
The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model.
METHODS
A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program.
RESULTS
The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors.
CONCLUSION
The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

Citations

• Effect of an educational intervention based on the Health Belief Model on prevention and fear of falling among older people
  Fatemeh Mohammadkhah, Fatemeh Razmjouie, Navid Alinejad, Pooyan Afzali Harsini, Ali Khani Jeihooni
  Global Health Promotion.2024;[Epub]     CrossRef
• Risk Factors for Falls or Fractures in Stroke Patients: An Analysis of 2020 Patient Sample Data
  Miso Lee, Mikyung Moon
  The Korean Journal of Rehabilitation Nursing.2024; 27(1): 58.     CrossRef
• Effects of a Fall Prevention Program Based on Goal Attainment Theory for Homebound Older Adults With Osteoarthritis of the Lower Extremities
  Chunhee Lee, Heeok Park
  Orthopaedic Nursing.2022; 41(6): 414.     CrossRef
• Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
  Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
  Physical Therapy Korea.2019; 26(2): 34.     CrossRef

PURPOSE
This study is to determine the predictive validity of the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) for inpatients' fall risk.
METHODS
A literature search was performed to identify all studies published between 1946 and 2014 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases, using the following key words; 'fall', 'fall risk assessment', 'fall screening', 'mobility scale', and 'risk assessment tool'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Fourteen studies were analyzed using meta-analysis with MetaDisc 1.4.
RESULTS
The predictive validity of STRATIFY was as follows; pooled sensitivity .75 (95% CI: 0.72~0.78), pooled specificity .69 (95% CI: 0.69~0.70) respectively. In addition, the pooled sensitivity in the study that targets only the over 65 years of age was .89 (95% CI: 0.85~0.93).
CONCLUSION
The STRATIFY's predictive validity for fall risk is at a moderate level. Although there is a limit to interpret the results for heterogeneity between the literature, STRATIFY is an appropriate tool to apply to hospitalized patients of the elderly at a potential risk of accidental fall in a hospital.

Citations

• Development of a fall prediction model for community-dwelling older adults in South Korea using machine learning: a secondary data analysis
  Minhee Suh, Hyesil Jung, Juli Kim
  Journal of Korean Biological Nursing Science.2024; 26(4): 288.     CrossRef
• Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis
  Yeji Seo, Kyunghee Kim, Ji-Su Kim
  International Journal of Environmental Research and Public Health.2021; 18(8): 3963.     CrossRef
• Systematic Review and Meta-analysis for Usefulness of Fall Risk Assessment Tools in Adult Inpatients
  Seong-Hi Park, Eun-Kyung Kim
  Korean Journal of Health Promotion.2016; 16(3): 180.     CrossRef