Strategies to prevent falls in puerperal women: an integrative literature review

Keywords: Postpartum period, Women's health, Patient safety, Accidental falls

Abstract

Objective: To identify scientific evidence published from 2009 to July 2020 on strategies to prevent falls in puerperal women. Methods: This is an integrative review of the literature in the electronic databases: The US National Library of Medicine, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature analysis and Retrieval System Online, Cochrane Library and Scientific Electronic Library Online. Results: We found 429 articles, nine of which were selected for analysis. The thematic axes found were based on the use of protocols and tools for the evaluation and prevention of falls in puerperal women, focusing on the importance of guidance and care measures for fall prevention. The limitation of the study lays on the low number of publications that led specifically with falls among puerperal women, which made it difficult to further analyze. Conclusion: The studies demonstrated that the strategies adopted prevented falls in puerperal women. The contribution of this study is based on the reflection of safe professional practice and contributes to the promotion of patient’s safety culture. The lack of Brazilian research is highlighted as a knowledge gap, which points to the need to conduct studies that address this theme, especially by nurses.

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References

Avanecean D, Calliste D, Contreras T, Lim Y, Fitzpatrick A. Effectiveness of patient-centered interventions on falls in the acute care setting: a quantitative systematic review protocol. The Joanna Briggs Institute. 2017; (15): 55-65. Doi: https://doi.org/10.11124/JBISRIR-2016-002981

Mata LRF, Azevedo C, Policarpo AG, Moraes JT. Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study. Rev. Latino-Am. Enfermagem. 2017; 25: e2904. Doi: https://doi.org/10.1590/1518-8345.1775.2904

Tucker SJ, Bieber PL, Attlesey-Pries JM, Olson ME, Dierkhising RA. Outcomes and challenges in implementing hourly rounds to reduce falls in orthopedic units. Worldv Evid-Based Nurs. 2012; 15: 18-29. Doi: https://doi.org/10.1111/j.1741-6787.2011.00227.x

Agência Nacional de Vigilância Sanitária (BR). Boletim Segurança do Paciente e Qualidade em Serviços de Saúde (ANVISA) – Incidentes Relacionados à Assistência à Saúde - 2016 [Internet]. Brasília, 2017 [citado em 19 de março de 2018]. Disponível em: http://portal.anvisa.gov.br/documents/33852/271855/Boletim+Seguran%C3%A7a+do+Paciente+e+Qualidade+em+Servi%C3%A7os+de+Sa%C3%BAde+n%C2%BA+15/bb637392-4973-4e7f-8907-a7b3af1e297b

Gaffey AD. Fall prevention in our healthiest patients: assessing risk and preventing injury for moms and babies. J. Healthc. Risk Manag. 2015; 34(3): 37-40. Doi: https://doi.org/10.1002/jhrm.21163

Teixeira RC, Teixeira MEN, Corrêa ACP, Marcon SS. Health needs of women in the postpartum. Esc. Anna Nery. 2015; 19(4): 621-628. Doi: https://doi.org/10.5935/1414-8145.20150083

Heafner L, Suda D, Casalenuovo N, Leach LS, Erickson V, Gawlinski A. Development of a tool to assess risk for falls in women in hospital obstetric units. Nurs. Womens Health. 2013; 17(2): 98-107. Doi: https://doi.org/10.1111/1751-486X.12018

Vitor AF, Moura LA, Fernandes APNL, Botarelli FR, Araújo JNM, Vitorino ICC. Risk for falls in patients in the postoperative period. Cogitare Enferm. 2015; 20(1): 29-37. Doi: https://doi.org/10.5380/ce.v20i1.38509

Accreditation Canada, the Healthcare Insurance Reciprocal of Canada, the Canadian Medical Protective Association, and Salus Global Corporation. Obstetrics services in Canada: advancing quality and strengthening safety. Ottawa, 2016. [cited 2018 Feb 19] Available from: https://www.cmpa-acpm.ca/static-assets/pdf/research-and-policy/system-and-practice-improvement/Obstetrics_Joint_Report-e.pdf

Urbanetto JS, Creutzberg M, Franz F, Ojeda BS, Gustavo AS, Bittencourt HR, et al. Morse Fall Scale: translation and transcultural adaptation for the portuguese language. Rev. Esc. Enferm. USP. 2013; 47(3): 569-75. Doi: https://doi.org/10.1590/S0080-623420130000300007

Mendes KDS, Silveira RCCP, Galvão CM. Integrative literature review: a research method to incorporate evidence in health care and nursing. Texto Contexto Enferm. 2008; 17(4): 758-764. Doi: https://doi.org/10.1590/S0104-07072008000400018

Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it?. Einstein (São Paulo). 2010; 8(1): 102-106. Doi: https://doi.org/10.1590/s1679-45082010rw1134

Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7): e1000097. Doi: https://doi.org/10.1371/journal.pmed.1000097

Ursi ES, Galvão CM. Perioperative prevention of skin injury: an integrative literature review. Rev. Latino-Am. Enfermagem. 2006; 14(1): 124-31. Doi: http://dx.doi.org/10.1590/S0104-11692006000100017

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lamp; 2012.

Thompson K, Haddad L, Smith S. Reliability and validity of the postepidural fall risk assessment score. J. Nurs. Care Qual. 2014; 29(3): 263–268. Doi: http://dx.doi.org/10.1097/NCQ.0000000000000043

Frank BJ, Carrie L, Heather H. Designing a postepidural fall risk assessment score for the obstetric patient. J. Nurs. Care Qual. 2009; 24(1): 50-4. Doi: http://dx.doi.org/10.1097/01.NCQ.0000342937.99036.7b

Auger JE, Gingras DA. Fall Risk Prevention in postpartum patients. J. Obstet. Gynecol. Neonatal Nurs. 2012; 41: S12-13. Doi: http://dx.doi.org/10.1111/j.1552-6909.2012.01359.x

Chen KH, Chen LR, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual. Saf. Health Care. 2010; 19: 138e143. Doi: http://dx.doi.org/10.1136 / qshc.2008.028787

Simpson KR. Patient falls in the perinatal setting. MCN: am. j. matern. child nursing. 2010; 35(6):364. Doi: http://dx.doi.org/10.1097/NMC.0b013e3181f07418

Lockwood S, Anderson K. Postpartum safety: a patient-centered approach to fall prevention.MCN: am. j. matern. child nursing. 2013; 38 (1): 15-8. Doi: http://dx.doi.org/10.1097/NMC.0b013e31826bae4b

Garzin ACA, Melleiro MM. Safety in the training of health professionals. Ciênc., Cuid. Saúde. 2019; 18(4). Doi: https://doi.org/10.4025/cienccuidsaude.v18i4.45780

Simpson E. We must, we must, we must reduce our maternal fall rate: strategies implemented. J. Obstet. Gynecol. Neonatal Nurs. 2013; 42(1): S23-4. Doi: https://doi.org/10.1111/1552-6909.12080

Pasa TS, Magnago TSBS, Urbanetto JS, Baratto MAM, Morais BX, Carollo JB. Risk assessment and incidence of falls in adult hospitalized patients. Rev. Latino-Am. Enfermagem. 2017; 25: e2862. Doi: https://doi.org/10.1590/1518-8345.1551.2862

Published
2020-08-26
How to Cite
Costa, A. G. T., Nascimento Firmino, V. H., Milfont Boeckmann, L. M., Magalhães, A. S., Lopes, P. A., & Soares Rodrigues, M. C. (2020). Strategies to prevent falls in puerperal women: an integrative literature review. Ciência, Cuidado E Saúde, 19. https://doi.org/10.4025/ciencuidsaude.v19i0.48470
Section
Review articles