RNOtherJournal of nursing care quality

Using Patient Simulation to Promote Best Practices in Fall Prevention and Postfall Assessment in Nursing Homes.

Daniela J Acosta, Amber Rinfret, Jennifer Plant and 1 others

PMID 34593738

WHAT IT FOUND

Nursing home staff rated fall simulation training highly, with 98.5% calling it good or very good.

Over half identified postfall assessment as a key learning, and 81.6% planned to apply these skills in future care.

Key findings

0198.5% of survey respondents rated the simulation as good or very good.

0253.7% of participants identified the importance of postfall assessment as a key learning.

0381.6% of participants indicated they would apply the learning by using the simulation as a reference or completing more detailed postfall assessments.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study evaluated staff perceptions and learning intentions, not actual patient outcomes or changes in clinical practice. Response rate was 73.4%, leaving a quarter of participants' views unrecorded. The simulation was conducted in a single nursing home, limiting generalizability to other settings. Self-reported intentions to change practice may not translate to actual behavioral change.

The easy way to misread this

Do not interpret high staff satisfaction and stated intentions to apply learning as evidence that patient fall rates or care quality improved. The study measured staff perspectives, not clinical outcomes.

Read it on PubMed →