J Korean Acad Nurs Adm. 2013 Jun;19(3):394-403. Korean.
Published online Jun 30, 2013.
Copyright © 2013 Korean Academy of Nursing Administration
Original Article

A Study on Self-leadership, Fall Attitude, and Nurses' Behavior to Prevent Patient Falls

Ae Shin Choi,1 and Pok Ja Oh2
    • 1Department of Nursing, Graduate School, Sahmyook University, Korea.
    • 2Department of Nursing, Sahmyook University, Korea.
Received March 04, 2013; Revised April 11, 2013; Accepted May 24, 2013.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to identify self-leadership and attitude to patient falls and fall prevention behavior in nurses.

Methods

The participants were 178 nurses from two general hospitals in Seoul. Data were collected from March 20 to May 10, 2012 using structured questionnaires which included a Self-leadership scale, Fall attitude scale, and Fall prevention scale. Data were analyzed using descriptive statistics, Pearson correlation and Hierarchial multiple regression with the SPSS/WIN 20.0 program.

Results

The mean score for nurses' self-leadership was 3.48 (5 point scale). The average reported fall attitude was 3.59 (5 point scale) and fall prevention behavior was 3.26 (4 point scale). Self-leadership had a 18% explanatory power in fall attitude and a 5% explanatory power in fall prevention behavior. The factors which influenced fall prevention behavior were nurses' fall attitude (β=.21, p=.009), fall prevention education (β=.20, p=.007) and self-leadership (β=.16, p=.047). All of the factors together had a 13.1% explanatory power.

Conclusion

The results of this study suggest that provision of regularly fall prevention education to nurses is required and should include a program to activate their positive attitude and self-leadership in order to improve fall prevention behavior in nurses.

Keywords
Falls; Leadership; Attitude; Behavior; Nurses

Tables

Table 1
Level of the Self-leadership, Fall Attitude and Fall Prevention Behavior in Nurses (N=178)

Table 2
Difference in Self-leadership, Fall Attitude and Fall Prevention Behavior according to General Characteristics (N=178)

Table 3
Factors of Self Leadership affecting Fall Attitude and Fall Prevention Behavior (N=178)

Table 4
Factors affecting Fall Prevention Behavior in Nurses (N=178)

Notes

This article is based on a part of the first author's master's thesis from Sahmyook University.

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