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
This study was a meta-analysis of the effects of exercise intervention in preventing falls among persons with arthritis.
METHODS
The review consisted of searches from Pubmed, Ovid-MEDLINE, CINAHL, EMBASE and Korean DBs using PICO-SD format. Key words for searching included ‘arthritis’, ‘exercise’, ‘fall’ and the articles published until January 2017 were selected for this study. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library.
RESULTS
Nineteen clinical trials met the inclusion criteria with a total of 832 participants. There were significant differences in Tai Chi exercise (ES=0.76), exercise interventions performed over 60 minutes at one time (ES=0.98), exercise interventions provided once a week (ES=0.69) or 2~3 times a week (ES=0.65), exercise interventions provided for a total of 12 weeks or less (ES=0.86). The outcome measures such as balance (ES=0.66), fall efficacy (ES=0.70), and fear of falling (ES=−0.70) showed the significant difference, and their effect sizes were ranged from moderate to large.
CONCLUSION
The results of the study show that the exercise intervention is effective to prevent fall in persons with arthritis. It is necessary to include the comprehensive exercise interventions to enhance balance and fall efficacy and reduce fear of falling for the fall prevention program in persons with arthritis.

Citations

• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Motivation for adopting fall prevention measures: a literature review searching for technology acceptance factors
  Jan Aidemark, Linda Askenäs
  Procedia Computer Science.2018; 138: 3.     CrossRef

PURPOSE
The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis.
METHODS
Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included ‘ dementia’, ‘ Alzheimer’, ‘ fall’. Twenty studies met the inclusion criteria for the meta-analysis and ‘ R’ version 3.2.2 was used to analyze the correlated effect size.
RESULTS
Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors.
CONCLUSION
Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia

Citations

• Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in Long-Term Care Hospitals
  Jeong Ok Lim, Mee Ock Gu
  Journal of Korean Academy of Nursing.2022; 52(3): 341.     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
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

PURPOSE
The purpose of this study was to understand the risk of falling associated with postmenopausal women and to identify the relationships between this risk and factors such as lifestyle, metabolic syndrome, and bone mineral density.
METHODS
The sample was 128 postmenopausal women between 50 and 65 from one menopausal clinic in an urban city. The Risk Assessment for Falls Scale II, developed by Glydenvand and Reinboth (1982) and adapted by Park Young-Hye (2003), was modified and used for this study.
RESULTS
The average fall-risk score in postmenopausal women was 7.2 out of 33, the fall-risk score associated with lifestyle was higher in women exposed to stress frequently or who favored spicy or salty foods. The fall-risk score associated with metabolic syndrome was higher in groups with HBP or with a waist circumference of 80cm or greater. The fall-risk score in groups with three or more factors of metabolic syndrome was the highest.
CONCLUSION
The risk of fall in postmenopausal women was higher in groups with only elementary education, unemployed, reported two or more chronic diseases or reported frequent exposure to stress and for women who preferred spicy or salty foods or exhibited three or more factors of metabolic syndrome.

Citations

• Association between Falls and Nutritional Status of Community-Dwelling Elderly People in Korea
  Ah-Ra Jo, Mi-Jeong Park, Byung-Gue Lee, Young-Gyun Seo, Hong-Ji Song, Yu-Jin Paek, Kyung-Hee Park, Hye-Mi Noh
  Korean Journal of Family Medicine.2020; 41(2): 111.     CrossRef
• Comparison of falls-related physical fitness and fall experience characteristics of the elderly between Ulsan, Korea and Gifu, Japan
  Sohee Shin
  Korean Journal of Sport Science.2017; : 566.     CrossRef

PURPOSE
The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients.
METHODS
The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports.
RESULTS
There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance.
CONCLUSION
The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.

Citations

• Evaluation of Risk Factors for Fall Incidence Based on Statistical Analysis
  Da Hye Moon, Tae-Hoon Kim, Myoung-Nam Lim, Seon-Sook Han
  International Journal of Environmental Research and Public Health.2025; 22(5): 748.     CrossRef
• Nurses’ perspectives on the adoption of new smart technologies for patient care: focus group interviews
  Hyein Choi, Sunghee H. Tak, Young Ae Song, Jiyeon Park
  BMC Health Services Research.2025;[Epub]     CrossRef
• The Impact of Possible Sarcopenia and Obesity on the Risk of Falls in Hospitalized Older Patients
  Kahyun Kim, Dukyoo Jung
  The Korean Journal of Rehabilitation Nursing.2023; 26(1): 18.     CrossRef
• Predication of Falls in Hospitalized Cancer Patients
  Jun-Nyun Kim, Sun-Hwa Beak, Bo-Seop Lee, Mi-Ra Han
  Asian Oncology Nursing.2023; 23(2): 56.     CrossRef
• A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study
  Eunok Kwon, Sun Ju Chang, Mikyung Kwon
  Journal of Patient Safety.2023; 19(8): 501.     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
• Falls in Patients of Medical Institutions in South Korea: A Literature Review
  Jongwon Choi, Woochol Joseph Choi
  Physical Therapy Korea.2023; 30(1): 1.     CrossRef
• Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting
  Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
  Journal of Clinical Nursing.2022; 31(23-24): 3584.     CrossRef
• The risk of falls among the aging population: A systematic review and meta-analysis
  Qingmei Xu, Xuemei Ou, Jinfeng Li
  Frontiers in Public Health.2022;[Epub]     CrossRef
• The Association between Comorbidities and Comorbid Injuries on Treatment Outcome in Pediatric and Elderly Patients with Injuries in Korea: An Observational Study
  Kyunghee Lee, Jieun Hwang
  International Journal of Environmental Research and Public Health.2022; 19(10): 6277.     CrossRef
• Risk Factors according to Fall Risk Level in General Hospital Inpatients
  Yeon Hwa Lee, Myo Sung Kim
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 35.     CrossRef
• Development of a senior-specific, citizen-oriented healthcare service system in South Korea based on the Canadian 48/6 model of care
  Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Hee Joung Kim, Jinyoung Shin, Jae-Min Park, Kyeong Eun Uhm, Kyoung Jin Kim, Jung A. Yoo, Yun Kyoung Oh, Pilsuk Byeon, Kunsei Lee, Seol-Heui Han, Jaekyung Choi
  BMC Geriatrics.2020;[Epub]     CrossRef
• Improving Prediction of Fall Risk Using Electronic Health Record Data With Various Types and Sources at Multiple Times
  Hyesil Jung, Hyeoun-Ae Park, Hee Hwang
  CIN: Computers, Informatics, Nursing.2020; 38(3): 157.     CrossRef
• Factors Influencing Falls in High- and Low-Risk Patients in a Tertiary Hospital in Korea
  Young-Shin Lee, Eun-Ju Choi, Yeon-Hee Kim, Hyeoun-Ae Park
  Journal of Patient Safety.2020; 16(4): e376.     CrossRef
• Comparison of the predictive validity of three fall risk assessment tools and analysis of fall‐risk factors at a tertiary teaching hospital
  Eun Hee Cho, Yun Jung Woo, Arum Han, Yoon Chung Chung, Yeon Hee Kim, Hyeoun‐Ae Park
  Journal of Clinical Nursing.2020; 29(17-18): 3482.     CrossRef
• Use of the Nursing Outcomes Classification for Falls and Fall Prevention by Nurses in South Korea
  Eunjoo Lee
  International Journal of Nursing Knowledge.2019; 30(1): 28.     CrossRef
• Tool for Categorizing Remaining Functional Ability of Nursing Home Residents
  Hyun Ju Kim, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2019; 21(1): 1.     CrossRef
• Triggers and Outcomes of Falls in Hematology Patients: Analysis of Electronic Health Records
  Min Kyung Jung, Sun-Mi Lee
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 1.     CrossRef
• Incidence of Falls and Risk Factors of Falls in Inpatients
  Soo-Jin Yoon, Chun-Kyon Lee, In-Sun Jin, Jung-Gu Kang
  Quality Improvement in Health Care.2018; 24(2): 2.     CrossRef
• Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients
  Young Ok Kang, Rhayun Song
  Korean Journal of Adult Nursing.2018; 30(1): 49.     CrossRef
• A risk-factor analysis of medical litigation judgments related to fall injuries in Korea
  Insook Kim, Seonae Won, Mijin Lee, Won Lee
  Medicine, Science and the Law.2018; 58(1): 16.     CrossRef
• Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals
  Ji Hyun Park, Jung Tae Son
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(4): 269.     CrossRef
• Influencing Factors on Hospital Fall Prevention Activities of Tertiary Hospital Nurses and General Hospital Nurses
  Misook Jin, Yeongmi Ha
  Journal of Health Informatics and Statistics.2017; 42(4): 361.     CrossRef
• Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients
  Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park
  Journal of Korean Academy of Nursing.2017; 47(3): 420.     CrossRef
• Factors influencing fall prevention nursing performance of hospital nurses
  Keong-Sook Jang, Hae-Sook Kim
  The Korean Journal of Emergency Medical Services.2016; 20(3): 69.     CrossRef
• Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis
  Young Ok Kang, Rhayun Song
  Korean Journal of Adult Nursing.2015; 27(1): 29.     CrossRef
• Identifying Characteristics of Fall Episodes and Fall-related Risks of Hospitalized Patients
  Young Ok Kang, Rhayun Song
  Journal of muscle and joint health.2015; 22(3): 149.     CrossRef
• Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis
  Yoon Lee Kim, Seok Hee Jeong
  Journal of Korean Academy of Nursing.2015; 45(4): 469.     CrossRef
• Fall Risk Factors and Characteristics of an Acute Hospital Setting across Clinical Departments
  In-Sil Jang, Sun-Gyo Lee
  Journal of Korean Academy of Fundamentals of Nursing.2014; 21(3): 264.     CrossRef

PURPOSE
The aim of the study was to identify the most appropriate fall-risk assessment tool for neurological patients in an acute care setting.
METHODS
This descriptive study compared the reliability and validity of three fall-risk assessment tools (Morse Fall Scale, MFS; St Thomas's Risk Assessment Tool in Falling Elderly Inpatients, STRATIFY; Hendrich II Fall Risk Model, HFRM II). We assessed patients who were admitted to the Department of Neurology, Neurosurgery, and Rehabilitation at Asan Medical Center between July 1 and October 31, 2011, using a constructive questionnaire including general and clinical characteristics, and each item from the three tools. We analyzed inter-rater reliability with the kappa value, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools.
RESULTS
The analysis included 1,026 patients, and 32 falls occurred during this study. Inter-rater reliability was above 80% in all three tools. and the sensitivity was 50.0% (MFS), 84.4%(STRATIFY), and 59.4%(HFRM II). The AUC of the STRATIFY was 82.8. However, when the cutoff point was regulated as not 50 but 40 points, the AUC of the MFS was higher at 83.7.
CONCLUSION
These results suggest that the STRATIFY may be the best tool for predicting falls for acute neurological patients.

Citations

• Effects of Forest Environment on Peak Cough Flow and Dyspnea in Patients with Neurological Disorders
  Jung Woo Shin, Jong Hwan Choi
  Journal of People, Plants, and Environment.2025; 28(2): 209.     CrossRef
• Changes in Health Risks, Daily Activities and Antipsychotic Use After Humanitude Care for People With Dementia: A Retrospective Study
  Sungjun Kim, Jiyoung Kim, SungWoo Chung, Ju Young Sim
  Journal of Clinical Nursing.2025;[Epub]     CrossRef
• Sensitivity of Fall Risk Perception and Associated Factors in Hospitalized Patients with Mental Disorders
  Ji Young Kim, Sung Reul Kim, Yusun Park, Jin Kyeong Ko, Eunmi Ra
  Asian Nursing Research.2024; 18(5): 443.     CrossRef
• Congruency and its related factors between patients' fall risk perception and nurses' fall risk assessment in acute care hospitals
  Jieun Choi, Sujin Lee, Eunjin Park, Sangha Ku, Sunhwa Kim, Wonhye Yu, Eunmi Jeong, Sookhee Park, Yusun Park, Sung Reul Kim
  Journal of Nursing Scholarship.2024; 56(4): 507.     CrossRef
• Falls in Patients of Medical Institutions in South Korea: A Literature Review
  Jongwon Choi, Woochol Joseph Choi
  Physical Therapy Korea.2023; 30(1): 1.     CrossRef
• Development and validation of interpretable machine learning models for inpatient fall events and electronic medical record integration
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PURPOSE
The purpose of this study was to identify risk factors of fall and to examine its results among patients aged 60 and over diagnosed with osteoporosis.
METHODS
A retrospective descriptive survey was conducted with 91 patients admitted in a university hospital in a city. Data were collected using an interview method with a structured questionnaire, and were analyzed using descriptive statistics and multiple logistic regression.
RESULTS
In patients with osteoporosis, the intrinsic risk factors of falls were aging (OR = 3.742), gait disturbance (OR = 12.565), taking one or fewer medicine (OR = 7.873), and having two or more diseases (OR = 5.173). The extrinsic risk factors included the use of a bed (OR = 3.093), slippery floors (OR = 12.130), bathroom mat without anti-slip rubber backing (OR = 3.564), and presence of a night light on the passage from the bedroom to the bathroom (OR = 2.980).
CONCLUSION
For the elderly aged over 70 who are most vulnerable to falls, screening tests such as bone mineral density (BMD) should be conducted in health examinations and the risk of fracture caused by osteoporosis should be communicated to the vulnerable elderly. Besides, development of new exercise programs combining weightbearing exercise is needed to prevent bone loss and increase functional activities.

PURPOSE
The purpose of this study was to determine the effects of the seniorobic program on physical function and fall in elderly.
METHODS
The experimental group and control group was composed of 22 subjects each. The subjects in the experimental group had participated in the seniorobic program for 12 weeks which consisted of exercise and education. Muscle strength, flexibility, balance and the frequency of fall for each subject were measured before, and at the 6th and 12th weeks of the seniorobic program. Data were analyzed using SPSS /WIN 12.0 program.
RESULTS
The experimental group had significantly increased their flexibility at the 6th and 12th weeks of the seniorobic program, their the lower limb muscle strength and balance at the 12th week of the seniorobic program. There was no significant difference in the frequency of fall between the experimental group and the control group during the period of seniorobic program.
CONCLUSION
These results suggest that the seniorobic program can increase lower limb muscle strength, flexibility and improve the balance of the elderly

PURPOSE
The purpose of this study was to identify the influencing factors on the single and recurrent falls in community-dwelling older women.
METHODS
Seventy eight volunteers aged over 65 were included in the study. The participants experienced at least one fall within the past one year. Data were measured on each participant from May 2007 to September 2007, collected using structured researcher-administered sheets and measuring their physical strengths and analyzed by descriptive statistics, t-test, chi-square test, Mann-Whitney U test and logistic regression analysis.
RESULTS
The prevalence of recurrent falls were 53.8%. The level of education(Z = -2.455, p = .014) and the presence of spouse(chi-square = 4.843, p = .044) showed significant differences between the single-fall group and the recurrent-fall group in the study. Significantly predicting factor on the recurrent falls was the level of education and the variable explained 20.1% of variants in the occurrence of recurrent falls.
CONCLUSION
Although a variety of factors affected the single fall in the elderly women, the level of education and the presence of spouse proved to be the significant factors in their recurrent falls. These factors proven to be significant as the result of this should be reflected in the development of effective programs for preventing the elderly from recurrent falls.

PURPOSE
The purpose of this study was to investigate the relationships between a experience of falling, fear of falling, depression, and perceived health status in urban areas.
METHODS
After obtaining Institutional Review Board (IRB) approval, a one-time, face-to-face, and private interview was conducted with each participant who was eligible and agreed to participate in this study from May 2007 to August 2007 by trained graduate-level nursing students. The questionnaires consisted of Fall Efficacy Scale, K-GDS, and SF-36. The collected data were analyzed with SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, and hierarchical regression.
RESULTS
The major findings of this study were as follows; 1) approximately 9% of participants had fallen within one year. Study participants reported moderate fear of falling(M=43.80); moderate physical health (M=42.31) and mental health(M=46.05); and low depression status(M=10.38). 2) there were significant differences in fear of falling according to gender, experience of falling, exercise, and depression. 3) significant factors influencing on fear of falling were experience of falling and physical health status.
CONCLUSION
The results of this study indicate that nurses working closely with older adults should be taught the impact of previous falls and physical health status on fear of falling and need to reinforce exercise behavior for older adults who are vulnerable to fear of falling.

PURPOSE
The purposes of this study were to examine 1) functional status at 2 months after hip fracture surgery 2) health care utilization after a fall episode and 3) fear of falling experienced during first 2 months after a fall episode.
METHOD
With a convenient sample of 99 elderly from six university or general hospitals with hip fracture from a fall, data were collected at 2-3 days before discharge and at 2 months after hip fracture surgery.
RESULT
1) At 2 months after hip fracture from a fall, significant proportion (25.3%) of elderly was not able to walk indoors. 2) Average length of hospital stay was 27.6 days with a range of 8 to 86 days. About 51% subjects received physical therapy during hospital stay, and only 6.1% subjects received physical therapy following discharge from the hospital. 3) Significant proportion (72.7%) had fear of falling after the fall episode. About 51% reported that they restricted their activities because they had fear of falling.
CONCLUSION
Fall is a dreaded event which result in loss of independence and restriction of activity. Development and application of fall prevention program is critical especially for those with risk factors of fall.

This study was conducted to identify physical, psychological and environmental factors affecting elderly falls and to identify fall frequencies according to each dwelling places and types and to provide basic data for developing preventive strategies following fall accident of the elderly. The research design was a reprospective survey study which analyzed fall experiences during the past year. Data was collected from Nov, 1997 to Mar, 1998 for four months by personal interview. The research subjects were 475 people over 65 years old, who dwelled in their homes, two free nursing homes, one elderly sanatorium town and five general hospitals. Research results were as follow ; The mean age of the subjects was 73.1 years. Of the subjects, 69.9% was female, 64% was separate or bereaved, 55.8% had no education, 34.7% had no religion, 43.1% was extreme poverty. 73.1% of the elderly dwelled in their homes and 20% of the subjects were living at fishing and agraian villages. Mean number of diseases per subject was 2.63 of which musculo-skeletal problem was most common. Elderlies who experienced falls were 48.2%, 55.9% of them had fallen once a year. The most frequent fall occurrence time was from noon to 3 pm, the season was winter and the fall places were outdoors. Highest fall cause was sliding. 60.6% of the injuries were minor, 14.2% were serious( fracture, dislocation, amputation or head injuries ), which were treated by hospitalization or surgery. Especially most house facilities had potential risk factors of the fall. There were no handrail, slippy surface and narrow space of the bathrooms, high door sill and dangerous stairs etc. There were significant differences on the presence of falls in the elderly according to sex, education level, number of diseases, use of brace and living together with children. There were significant differences on the presence of the falls in the elderly according to toilet type, presence of threshold and stairs, surface of bathroom, depression level, cognitive function and ADL ability. Variables which affected ADL ability of the elderly were age, house type, self-rating health status and gait ability. Variables which affected depression of the elderly were age, religion, education level, marital status, living together with children, self-rating health status and number of diseases. Variables which affected cognitive function of the elderly were religion, age and house type. In conclusion, this study showed various physical, psychological and environmental fall risk factors of the elderly. So there is a need to development suitable intervention programs to reduce risk factors, to make elderly life sage and to increase the quality of their life.