Abstract
How to Obtain Contact Hours by Reading This Article
Instructions
1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at https://villanova.gosignmeup.com/dev_students.asp?action=browse&main=Nursing+Journals&misc=564. To obtain contact hours you must:
| 1. | Read the article, “Do Sitters Prevent Falls? A Review of the Literature” found on pages 24–33, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. | ||||
| 2. | Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. | ||||
| 3. | Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. | ||||
This activity is valid for continuing education credit until April 30, 2016.
Contact Hours
This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated.
Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Activity Objectives
| 1. | Describe the correlation between sitter use and fall prevention. | ||||
| 2. | Review ways that sitters can affect the workflow of nursing care with patient and family satisfaction. | ||||
Disclosure Statement
Neither the planners nor the author have any conflicts of interest to disclose.
Preventing falls is a primary nursing concern, especially among older adult patients. Employing a sitter is a common but costly intervention. This article is a comprehensive review of the literature on sitter use and its effect on fall rates in acute care. The search was conducted in CINAHL, MEDLINE, PsycINFO, and the Psychology and Behavioral Sciences Collection and included articles published between 1995 and 2013. The articles included reported data on studies increasing or decreasing sitter use. Sitter reduction studies showed no increase in fall rates; studies implementing sitters to reduce falls showed conflicting results. Implications include the impact to staffing and nursing practice that results from sitter use, the need for staff education programs, how sitter use can affect patient satisfaction, and the need for additional, more robust research on this topic to determine whether sitter use is evidence-based practice. [Journal of Gerontological Nursing, 40 (5), 24–33.]
- Adams J., Kaplow R. (2013). A sitter-reduction program in an acute health care system. Nursing Economics, 31, 83–89. Medline, Google Scholar
- Bailey M., Amato S., Mouhlas C. (2009). A creative alternative for providing constant observation on an acute-brain-injury unit. Rehabilitation Nursing, 34, 11–16.
10.1002/j.2048-7940.2009.tb00242.x Crossref Medline, Google Scholar - Boswell D.J., Ramsey J., Smith M.A., Wagers B. (2001). The cost-effectiveness of a patient-sitter program in an acute care hospital: A test of the impact of sitters on the incidence of falls and patient satisfaction. Quality Management in Health Care, 10, 10–16.
10.1097/00019514-200110010-00003 Crossref Medline, Google Scholar - Donoghue J., Graham J., Mitten-Lewis S., Murphy M., Gibbs J. (2005). A volunteer companion-observer intervention reduces falls on an acute aged care ward. International Journal of Health Care Quality Assurance, 18, 24–31.
10.1108/09526860510576947 Crossref, Google Scholar - Ganz D.A., Huang C., Saliba D., Shier V., Berlowitz D., Lukas C.V., Neumann P. (2013). Preventing falls in hospitals: A tool-kit for improving quality of care (AHRQ Publication No. 13-0015-EF). Retrieved from http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallpxtoolkit/fallpxtoolkit.pdf Google Scholar
- Giles L.C., Bolch D., Rouvray R., McErlean B., Whitehead C.H., Phillips P.A., Crotty M. (2006). Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design. BMC Geriatrics, 6, 11.
10.1186/1471-2318-6-11 Crossref Medline, Google Scholar - Harding A.D. (2010). Observation assistants: Sitter effectiveness and industry measures. Nursing Economics, 28, 330–336. Medline, Google Scholar
- He J., Dunton N., Staggs V. (2012). Unit-level time trends in inpatient fall rates of US hospitals. Medical Care, 50, 801–807.
10.1097/MLR.0b013e31825a8b88 Crossref Medline, Google Scholar - Hendrich A.L., Bender P.S., Nyhuis A. (2003). Validation of the Hendrich II Fall Risk Model: A large concurrent case/control study of hospitalized patients. Applied Nursing Research, 16, 9–21.
10.1053/apnr.2003.016009 Crossref Medline, Google Scholar - Polit D.F., Beck C.T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Google Scholar
- Rausch D.L., Bjorklund P. (2010). Decreasing the costs of constant observation. Journal of Nursing Administration, 40, 75–81.
10.1097/NNA.0b013e3181cb9f56 Crossref Medline, Google Scholar - Salamon L., Lennon M. (2003). Decreasing companion usage without negatively affecting patient outcomes: A performance improvement project. Medsurg Nursing, 12, 230–236. Medline, Google Scholar
- Shever L.L., Titler M.G., Mackin M.L., Kueny A. (2011). Fall prevention practices in adult medical-surgical nursing units described by nurse managers. Western Journal of Nursing Research, 33, 385–397.
10.1177/0193945910379217 Crossref Medline, Google Scholar - Spiva L., Feiner T., Jones D., Hunter D., Petefish J., VanBrackle L. (2012). An evaluation of a sitter reduction program intervention. Journal of Nursing Care Quality, 27, 341–345.
10.1097/NCQ.0b013e31825f4a5f Crossref Medline, Google Scholar - Stetler C.B., Brunell M., Giuliano K.K., Morsi D., Prince L., Newell-Stokes V. (1998). Evidence-based practice and the role of nursing leadership. Journal of Nursing Administration, 28(7–8), 45–53.
10.1097/00005110-199807000-00011 Crossref Medline, Google Scholar - Tzeng H.M., Yin C.Y., Grunawalt J. (2008). Effective assessment of use of sitters by nurses in inpatient care settings. Journal of Advanced Nursing, 64, 176–183.
10.1111/j.1365-2648.2008.04779.x Crossref Medline, Google Scholar - Tzeng H.M., Yin C.Y., Tsai S.L., Lin S., Yin T.J. (2007). Patient falls and open visiting hours: A case study in a Taiwanese medical center. Journal of Nursing Care Quality, 22, 145–151.
10.1097/01.NCQ.0000263104.08096.f8 Crossref Medline, Google Scholar - Weeks S.K. (2011). Reducing sitter use: Decision outcomes. Nursing Management, 42(12), 37–38.
10.1097/01.NUMA.0000407582.12602.21 Crossref Medline, Google Scholar - Worley L.L., Kunkel E.J., Gitlin D.F., Menefee L.A., Conway G. (2000). Constant observation practices in the general hospital setting: A national survey. Psychosomatics, 41, 301–310.
10.1176/appi.psy.41.4.301 Crossref Medline, Google Scholar - Wright K. (2006). Falling head over heels: Reducing falls in high risk neurosurgical inpatients with the implementation of a ‘high risk falls room.Australasian Journal of Neuroscience, 18, 3–7. Google Scholar
