Factors Influencing Nursing Interns' Engagement in Fall Prevention Activities in Saudi Arabia.
Saeed Asiri, Ali Kerari
PMID 39832264WHAT IT FOUND
Nursing interns in Saudi Arabia showed low knowledge of fall prevention but high self-reported engagement.
Their attitudes predicted this engagement, while knowledge did not. This suggests their practice may rely more on workplace culture and support than on what they have learned.
Key findings
01Nursing interns reported low knowledge of fall prevention (mean 3.81 out of 11) but high engagement in fall prevention activities (mean 73.59 out of 80).
02Positive attitudes toward hospital falls were the only significant predictor of engagement in fall prevention activities, whereas knowledge of falls was not a significant predictor.
03There was a low-to-moderate positive association between attitudes and engagement in fall prevention activities.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling, which limits the generalizability of the findings to all nursing interns in Saudi Arabia. All data, including engagement in fall prevention activities, were self-reported. This may have introduced social desirability bias, where interns reported higher engagement than they actually performed. The study was conducted in only three hospitals in one city, so variations in hospital culture and preceptorship quality across other settings were not captured. The cross-sectional design cannot establish causality; it is unclear whether positive attitudes lead to engagement or if engaging in practices fosters positive attitudes.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not assume that high self-reported engagement in fall prevention activities reflects accurate knowledge or safe practice. The interns' knowledge scores were low, and engagement was not predicted by knowledge, suggesting that their reported practice may not be evidence-based or may be driven by social desirability rather than competence.