{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:51:29Z","timestamp":1789267889199,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T00:00:00Z","timestamp":1512518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>To understand the patient's perspective of falling in hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A fall in hospital can affect a patient physically and psychologically, increasing their hospital length of stay and potentially putting them at risk of further complications. Despite a wealth of literature on falls that focuses on risk assessment, preventive interventions and cost, very little research has focused on the experience of the patient that has fallen, particularly within the acute hospital setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative phenomenological design was used to investigate the experience of falling in hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve hospital inpatients that had recently fallen were interviewed while in hospital using unstructured interviews. The methodology was guided by Van Manen's approach to data collection and analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Three key themes emerged from the analysis:\n                      <jats:italic>Feeling safe<\/jats:italic>\n                      ,\n                      <jats:italic>Realising the risk<\/jats:italic>\n                      and\n                      <jats:italic>Recovering independence and identity<\/jats:italic>\n                      . These themes describe a continuum whereby falling was not initially a concern to participants, who trusted staff to keep them safe, and tended to not seek assistance. As participants began to appreciate the reality of their falls risk, they felt disempowered by their loss of independence but were more receptive to receiving assistance. Finally, as participants recovered, their desire to regain independence increased. They wanted others to perceive them as physically competent, rather than as a frail older person, meaning they were more willing to take risks with mobility.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The participants\u2019 perspective of falling describes a continuum of responses with participants positioned at different psychosocial standpoints: from initial denial of their risk of falling to realisation of the importance of their fall and acceptance of its repercussions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>By understanding the patient's perspective of falling, nurses and other health professionals conducting risk assessment can tailor their discussions and interventions to the patient's perceptions and needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.14075","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T10:46:46Z","timestamp":1505818006000},"page":"743-752","source":"Crossref","is-referenced-by-count":33,"title":["The patients\u2019 perspective of sustaining a fall in hospital: A qualitative study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6881-4789","authenticated-orcid":false,"given":"Stephanie","family":"Gettens","sequence":"first","affiliation":[{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital Brisbane QLD Australia"},{"name":"School of Nursing, Midwifery and Paramedicine Australian Catholic University Banyo QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6547-1861","authenticated-orcid":false,"given":"Paul","family":"Fulbrook","sequence":"additional","affiliation":[{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital Brisbane QLD Australia"},{"name":"School of Nursing, Midwifery and Paramedicine Australian Catholic University Banyo QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5243-9117","authenticated-orcid":false,"given":"Melanie","family":"Jessup","sequence":"additional","affiliation":[{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital Brisbane QLD Australia"},{"name":"School of Nursing, Midwifery and Paramedicine Australian Catholic University Banyo QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1924-0667","authenticated-orcid":false,"given":"Nancy","family":"Low Choy","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy The Prince Charles Hospital Brisbane QLD Australia"},{"name":"School of Physiotherapy Australian Catholic University Banyo QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,6]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Australian Commission on Safety and Quality in Health Care. (2012).Standard 10: Preventing Falls and Harm from Falls. Safety and Quality Improvement Guide. [Online]. Retrieved fromhttps:\/\/www.safetyandquality.gov.au\/wp-content\/uploads\/2012\/10\/Standard10_Oct_2012_WEB.pdf"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2008.00836.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12015"},{"issue":"6","key":"e_1_2_12_5_1","first-page":"e51","article-title":"A 10\u2010year cohort study of the burden of risk of in\u2010hospital falls and fractures using routinely collected hospital data","volume":"19","author":"Brand C. A.","year":"2010","journal-title":"Quality and Safety in Health Care"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2008.10.003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05672.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13240"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2011.03990.x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNA.0b013e3181a7788a"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12226"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12026"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2011.01786.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90063-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6787.2012.00258.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2010.01907.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12624"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.1994.tb01177.x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00901.x"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05707.x"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2011.00299.x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X14001123"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja15.00296"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-172X.2003.00409.x"},{"key":"e_1_2_12_26_1","volume-title":"Nursing research: Generating and assessing evidence for nursing practice","author":"Polit D.","year":"2013"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-199312000-00002"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-011-0202-8"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/45.6.P239"},{"issue":"6","key":"e_1_2_12_30_1","first-page":"290","article-title":"Cost of hospital care for elderly at risk of falling","volume":"23","author":"Titler M.","year":"2005","journal-title":"Nursing Economics"},{"issue":"3","key":"e_1_2_12_31_1","first-page":"754","article-title":"Qualitative interview design: A practical guide for novice investigators","volume":"15","author":"Turner D. W.","year":"2010","journal-title":"The Qualitative Report"},{"key":"e_1_2_12_32_1","volume-title":"Researching lived experience: Human science for an action sensitive pedagogy","author":"Manen M.","year":"1990"},{"key":"e_1_2_12_33_1","volume-title":"Phenomenology of practice: Meaning\u2010giving methods in phenomenological research and writing","author":"Manen M.","year":"2014"},{"key":"e_1_2_12_34_1","unstructured":"Wolf L. &Hignett S.(2015).Are patients at risk for falling? \u2026.Not if you ask them. Melbourne Australia:Proceedings 19th Triennial Congress of the IEA [International Ergonomics Association] 9\u201314 August 2015. [Online]. Retrieved fromhttp:\/\/www.iea.cc\/congress\/2015\/97.pdf"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.14075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.14075","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:19:32Z","timestamp":1693898372000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.14075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,6]]},"references-count":33,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/jocn.14075"],"URL":"https:\/\/doi.org\/10.1111\/jocn.14075","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,6]]}}}