J Korean Clin Nurs Res.  2023 Apr;29(1):56-66. 10.22650/JKCNR.2023.29.1.56.

Performance of Comprehensive Nursing Care Service in an Acute Care Hospital: Focusing on Accidental Falls and Pressure Injuries

• Nam SN
• Ryu HR
• Kim SH
• Seo SR
• Oh YH
• Choi SM
• Chung EJ

• KMID: 2549582
• DOI: http://doi.org/10.22650/JKCNR.2023.29.1.56

Abstract

Purpose
This study aimed to investigate whether the comprehensive nursing care service positively affected accidental falls and pressure injuries.
Methods
This study was a retrospective study that analyzed the accidental falls and pressure injuries cases in an acute care hospital located in Seoul and compared the rates of accidental falls and pressure injuries before and after the comprehensive nursing care service was operated.
Results
Comparing the accidental fall incidence rates per 100 person-months between a comprehensive nursing care ward and a general ward, it showed fewer accidental falls by 0.44 in comprehensive nursing care wards, but the result was not statistically significant. In the case of pressure ulcers, the incident rate per 100 person-month was 6.17 in general wards and 4.77 in comprehensive nursing care wards, which showed that the number of pressure ulcer patients was lower in comprehensive nursing care wards, however it was also not statistically significant.
Conclusion
It is not confirmed that the operation of the comprehensive nursing care service contributes to the reduction of accidental hospital falls or pressure injuries. Follow-up studies are recommended to determine the effectiveness of comprehensive nursing services in quality indicators.

Keyword

Nursing Care; Accidental Falls; Pressure Injury; Quality Indicators