Individual perceptions related to fall risk among older adults in acute care setting in a Saudi Arabian hospital
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Despite a plethora of research examining fall risk, including numerous fall prevention strategies, falls remain the most common adverse event among the elderly. Frail older adults are at higher risk for falls. With the increase in the geriatric population and their risk for frailty, it is imperative to address the limitations of both diagnosis and treatment of frailty, and the concurrent fall risk for older adults in Saudi Arabia by examining self-perception of fall risk. In older Saudi Arabian adults, falls are a serious health issue affecting up to 49.9% of elderly people, often resulting in fractures, traumatic brain, and limb injuries. Each year an estimated 684,000 individuals die from falls globally and of particular concern 80% of these falls occur in countries considered low to middle income. This study expands the understanding of falls in the elderly by examining the relationship among individual perceptions of fall risk.
Utilizing the Health Belief Model (HBM) as the framework, this study seeks to understand the relationships among individual perceptions related to risk for falling by examining perceived susceptibility, perceived severity, perceived benefits, perceived barriers, frailty, demographic variables, and fall risk level among older adult patients admitted in an acute care setting in King Salman Armed Forces Hospital (KSFAH) in Saudi Arabia.
A descriptive correlational, cross-sectional research design was used to examine the relationships among the variables. Measurement tools included the Health Belief Model (HBM) scale, demographic data, Part B of the Tilburg Frailty Indicator, and the Morse Fall Scale.
Mean scores of individual perceptions were reported significantly higher in the No Fall of risk participants over High fall risk patients (p < 0.05). The mean scores for “No Fall risk” are significantly higher than “High Fall Risk” in all four HBM domains, both individually and in the overall HBM (p < 0.05). Also in this study, age and frailty are positively associated with high fall risk.
The findings of the study inform the public and policymakers about the gaps in the current fall screening tools. Including individual perception and demographic data in the screening tools is of utmost importance to designing fall prevention care plans. This research adds to the scientific knowledge about falls and should be used in the foundation for fall prevention program development that improves individual awareness of fall risk.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30276743; ProQuest document ID: 2766103856. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Elderly Patients; Fall Screening Tool; Patient Falls |
Grantor | Kent State University |
Advisor | Hansen, Dana; Dowell, Jo |
Level | PhD |
Year | 2022 |
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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
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