J Korean Acad Nurs Adm.  2022 Jun;28(3):273-284. 10.11111/jkana.2022.28.3.273.

Factors Influencing Probability and Increase of Patients’ Call Bell Use in Integrated Nursing Care Wards

• Seong J
• Cho SH

• KMID: 2536038
• DOI: http://doi.org/10.11111/jkana.2022.28.3.273

Abstract

Purpose
This study examined patients’ call bell use and the relationship between call bell use and nursing care needs.
Methods
Nursing staff was asked to report patients’ call bell use during 15 shifts over five days in integrated nursing care wards. Nursing care needs were measured using summary scores of nursing activities and activities of daily living (ADLs). The relationship between call bell use and nursing care needs was analyzed using a zero-inflated negative binomial regression model.
Results
A total of 251 patients used call bells 235 times, with an average of 0.94 times per day. Only 72 patients (28.7%) used call bells once or more per day (range, 1~14 times), whereas the rest did not use call bells. Male gender, a high risk for falling, and a higher score on nursing activities were associated with a greater likelihood of using call bells. Pain and higher dependency on ADLs were associated with an increase in the frequency of call bell use.
Conclusion
Patients' call bell use needs to be minimized by meeting their nursing care needs to improve patient safety and nursing performance.

Keyword

Hospital; Nurse; Integrated nursing care service; Call bell