Nursing Research Article
This article, “Relationship between call light use and response time and inpatient falls in acute care settings”, focused on three main points of interest - Nursing Research Article introduction. The first was the use of call lights from inpatients and their families. The second was the nurses’ response time to the call light. Finally, the third was the amount of inpatient falls that occurred. The goal of the study was to determine whether the call light use rate and the average call light response time contributed to the fall and injurious fall rates in acute care settings. The study was conducted in a Michigan community hospital and used archived hospital data for analyses for the period from February 2007 to June 2008. The unit of analysis was unit-week. The results of the study were as follows: more calls for assistance were related to less fall-related harm, longer response time to call lights related to fewer total falls and less fall-related patient harm, and more call light use related to longer response times (3333). So, in conclusion, this study challenged the idea that call lights should be used less or responded to faster.
I understood majority of the information from this article. I understand that while patient call light use can reduce the number of falls for a patient, it does not necessarily mean because there are more calls that the response time will be faster. I understand the importance of hourly rounds as an addition to call lights. Hourly rounds do decrease the use of call light buttons. Perhaps most importantly, I understand that inpatient falls are dangerous and, while caused by a number of things, can be somewhat prevented if the right nursing practice is implicated.
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Information Not Understood
The majority of the information that I had trouble understanding from this article came from the data tables. Although I understood the context and conclusions of this experiment, the math was somewhat confusing to me. I did not understand the “method” listed at the beginning of the article very well because it focused on the entire math approaches they were going to use for the experiment.
Before reading this article, I already possessed knowledge on the points of interest. I already knew what a call light was, what it’s used for, and its importance. I was already aware of what an inpatient fall was and it’s danger, and I already knew about the idea of hourly rounds. However, the relationship between the three is knowledge I have gained from choosing this article. I learned that the more times the call light was used, the less falls that were had that day (3337). This means that if a patient or patient’s family uses the call button often; their patient is less likely to fall. However, ironically, a longer response time to the call light also was in relation to fewer total falls and less fall-related patient injuries (3337). Furthermore, the more times a call light were used, the longer the response time became (3337).
Relation to Competencies
This study is related to five of the six competencies for quality and safety education for nursing. They are patient-centered care, evidence-based practice, quality improvement, safety, and informatics. The study is related to patient-centered care because the call lights assist the nurses in staying in contact with the patients and their families, allowing them to know when they are needed. This can help make the patient feel like they have some control over their care. Quality improvement is related to this study for similar reasons. After obtaining the data of this study, it can be used to make adjustments to the system used for call lights. You can infer that the more often a call light is responded to, the higher quality of care that is given. The data also shows how the numbers of patient falls are affect by variables such as hourly rounds and response time to call lights. By looking at these results the method of care can be adjusted accordingly to help continue to decrease the number of falls. Evidence-based practice plays a large role in this study because the data taken is from actual units, therefore the evidence shown of the relationship between call light usages, call light response time, and patient falls can be used to determine what practices should be encouraged. Informatics is included because call lights are a type of communication technology in hospitals. They can be used both to call the nurse and as a tracker of how needy the patient may be. Finally, safety is related to this study because the goal is to increase patient falls by using call lights and effective response times. Less patient falls means an increase in safety.
Overall, this experiment holds a strong relevance in clinical nursing practice. The study looked at many critical aspects of modern care and technology in hospitals. The results of the experiment can directly be used to modify and improve the standard of care and the patient satisfaction for nurses and hospitals as a whole.
Tzeng, H., & Yin, C. (2009). Relationship between call light use and response time
and inpatient falls in acute care settings. Journal Of Clinical Nursing, 18(23), 3333-3341. doi:10.1111/j.1365-2702.2009.02916.x