<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec id="j_sjph-2021-0034_s_006">
<h3>Objectives</h3>
<p>Patient falls deteriorate patients’ functional condition and quality of life, and increase their treatment costs. E-learning is considered an effective way to gain knowledge and competencies for quality and safety in nursing practice. The aim of the study is to evaluate the effectiveness of an e-learning course for nurses in preventing in-patient falls.</p></sec>
<sec id="j_sjph-2021-0034_s_007">
<h3>Methods</h3>
<p>The research design was mixed. In the first phase of the study, a five-year retrospective analysis of 2,280 in-patient falls was performed. Based on the analysis of risk factors for patient falls and group interviews with clinic managers an e-learning course was designed and completed by 250 nurses from five surgical and internal departments. The course’s effectiveness was evaluated based on the incidence of patient falls and the consequences of the falls before and after e-learning.</p></sec>
<sec id="j_sjph-2021-0034_s_008">
<h3>Results</h3>
<p>At surgical departments, there was a statistically significant decrease in patient fall indices after the implementation of the e-learning course (from 4.4 to 2.6 falls per 1,000 patients; p=0.022). On the contrary, in internal departments, this index increased in the monitored period (from 19.0 to 26.9 falls per 1,000 patients; p=0.001). In all departments, there was a decrease in the incidence of patient injuries caused by falls after the implementation of the e-learning course; in internal medicine, this decrease was statistically significant (from 54.5% to 33.3%; p=0.014).</p></sec>
<sec id="j_sjph-2021-0034_s_009">
<h3>Conclusions</h3>
<p>The study confirmed that e-learning forms of education for healthcare professionals have a positive effect in preventing patient falls.</p></sec></abstract>

Objectives
Patient falls deteriorate patients’ functional condition and quality of life, and increase their treatment costs. E-learning is considered an effective way to gain knowledge and competencies for quality and safety in nursing practice. The aim of the study is to evaluate the effectiveness of an e-learning course for nurses in preventing in-patient falls.

Methods
The research design was mixed. In the first phase of the study, a five-year retrospective analysis of 2,280 in-patient falls was performed. Based on the analysis of risk factors for patient falls and group interviews with clinic managers an e-learning course was designed and completed by 250 nurses from five surgical and internal departments. The course’s effectiveness was evaluated based on the incidence of patient falls and the consequences of the falls before and after e-learning.

Results
At surgical departments, there was a statistically significant decrease in patient fall indices after the implementation of the e-learning course (from 4.4 to 2.6 falls per 1,000 patients; p=0.022). On the contrary, in internal departments, this index increased in the monitored period (from 19.0 to 26.9 falls per 1,000 patients; p=0.001). In all departments, there was a decrease in the incidence of patient injuries caused by falls after the implementation of the e-learning course; in internal medicine, this decrease was statistically significant (from 54.5% to 33.3%; p=0.014).

Conclusions
The study confirmed that e-learning forms of education for healthcare professionals have a positive effect in preventing patient falls.

E-learning as an effective method in the prevention of patient falls

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

E-izobraževanje kot učinkovit ukrep za preprečevanje padcev pacientov

Objectives
Patient falls deteriorate patients’ functional condition and quality of life, and increase their treatment costs. E-learning is considered an...

Characteristics	injuries – overall		serious injuries
	internal departments	surgical departments	internal departments	surgical departments
	p=0.014	p=1	p=0.353	p=0.713
before e-learning	54.5%	53.3%	36.4%	46.7%
after e-learning	33.3%	53.3%	28.8%	40.0%

Fields/ Departments	falls / 1,000 patients			falls / 1,000 treatment days			injuries / 1,000 patients			injuries / 1,000 treatment days			serious injuries / 1,000 patients			serious injuries / 1,000 treatment days
	before	after	trend	before	after	trend	before	after	trend	before	after	trend	before	after	trend	before	after	trend
			p-val			p-val			p-val			p-val			p-val			p-val
Internal	19.0	26.9	↑	1.8	2.5	↑	9.9	9.8	↔	0.9	0.9	↔	3.1	1.1	↓	0.3	0.1	↓
			0.001			0.002			0.931			0.903			0.009			0.009
			**			**			**			**			**			**

Surgical	4.4	2.6	↓	0.8	0.5	↓	2.5	1.1	↓	0.5	0.2	↓	0.5	0.4	↔	0.1	0.1	↔
			0.022			0.028			0.025			0.030			0.801			0.826
			*			*			*			*			*			*

E-learning as an effective method in the prevention of patient falls

Article Category: Original scientific article

Online veröffentlicht: 20. Okt. 2021

Seitenbereich: 253 - 259

Eingereicht: 27. Juli 2020

Akzeptiert: 23. Juli 2021

DOI: https://doi.org/10.2478/sjph-2021-0034

Schlüsselwörter
falls, patients, nurses, e-learning, effectiveness, prevention

© 2021 National Institute of Public Health, Slovenia, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Occurrence of patient injuries at the intervened departments in the individual periods – matching.

Statistically significant results of the intervened departments.

E-learning as an effective method in the prevention of patient falls

Article Category: Original scientific article

Online veröffentlicht: 20. Okt. 2021

Seitenbereich: 253 - 259

Eingereicht: 27. Juli 2020

Akzeptiert: 23. Juli 2021

DOI: https://doi.org/10.2478/sjph-2021-0034

Schlüsselwörterfalls, patients, nurses, e-learning, effectiveness, prevention

© 2021 National Institute of Public Health, Slovenia, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Occurrence of patient injuries at the intervened departments in the individual periods – matching.

Statistically significant results of the intervened departments.

Schlüsselwörter
falls, patients, nurses, e-learning, effectiveness, prevention