(34.237.52.11) 您好!臺灣時間:2021/05/18 11:54
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:陳可欣
研究生(外文):Kee Hsin Chen
論文名稱:以實證知識轉譯架構及應用資訊策略預防住院病人跌倒
論文名稱(外文):Adopting Knowledge Translation Framework and Applying Information Strategies for Fall Prevention among Hospitalized Patients
指導教授:劉雪娥劉雪娥引用關係
指導教授(外文):H. E. Liu
學位類別:博士
校院名稱:長庚大學
系所名稱:臨床醫學研究所
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:219
中文關鍵詞:知識轉譯實證臨床指引住院病人跌倒預防策略跌倒跌倒相關傷害資訊系統
外文關鍵詞:knowledge translation (KT)clinical practice guideline (CPG)hospitalizationfalls prevention strategiesaccidental fallsfall-related injurieshospital information systems
相關次數:
  • 被引用被引用:0
  • 點閱點閱:1486
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
指導教授推薦書
口試委員會審定書
致謝 …………………………………………………………………… iii
中文摘要 …………………………………………………………………… v
英文摘要 …………………………………………………………………… vii
目錄 …………………………………………………………………… ix
圖目錄 …………………………………………………………………… xiii
表目錄 …………………………………………………………………… xv
第一章 緒論 …………………………………………………………………… 1
第一節 研究動機及重要性 …………………………………………………………………… 1
第二節 研究目的 …………………………………………………………………… 3
第二章 文獻查證 …………………………………………………………………… 5
第一節 住院病人跌倒之概述 …………………………………………………………………… 5
一、跌倒的定義、發生率及其對照護品質的衝擊 …………………………………………………………………… 5
二、跌倒預防策略的系統性文獻回顧、及實證防跌指引 …………………………………………………………………… 6
三、知識缺口 (knowledge gap) …………………………………………………………………… 8
第二節 實證知識轉譯的概念架構、障礙及促進策略 …………………………………………………………………… 11
一、知識轉譯的概念架構 …………………………………………………………………… 11
二、知識轉譯的障礙及促進策略 …………………………………………………………………… 13
第三章 研究方法 …………………………………………………………………… 16
第一節 研究設計 …………………………………………………………………… 16
第二節 研究架構 …………………………………………………………………… 17
第三節 研究假說 …………………………………………………………………… 21
第四節 研究步驟 …………………………………………………………………… 22
第一階段:知識創造 …………………………………………………………………… 22
一、知識查詢 …………………………………………………………………… 23
二、知識合成 …………………………………………………………………… 25
三、知識工具 …………………………………………………………………… 29
第二階段:行動循環 - 應用-研究步驟 …………………………………………………………………… 30
一、找出知識與行動的差異 …………………………………………………………………… 30
二、轉化知識到當地環境 …………………………………………………………………… 30
三、評估應用知識時的阻力或助力 …………………………………………………………………… 31
四、選擇、修正、實施介入方式 …………………………………………………………………… 36
五、監督知識應用 …………………………………………………………………… 37
六、評估結果 …………………………………………………………………… 37
七、持續應用知識 …………………………………………………………………… 41
第四節 資料分析方法 …………………………………………………………………… 42
第五節 倫理考量 …………………………………………………………………… 47
第四章 研究結果 …………………………………………………………………… 48
第一階段:知識創造 …………………………………………………………………… 48
一、知識查詢 …………………………………………………………………… 48
二、知識合成 …………………………………………………………………… 52
三、知識工具 …………………………………………………………………… 84
第二階段:行動循環 - 應用-研究步驟 …………………………………………………………………… 87
一、找出知識與行動的差異 …………………………………………………………………… 87
二、轉化知識到當地環境 …………………………………………………………………… 96
三、評估應用知識時的阻力或助力 …………………………………………………………………… 101
四、選擇、修正、實施介入方式 …………………………………………………………………… 120
五、監督知識應用 …………………………………………………………………… 134
六、評值結果 …………………………………………………………………… 136
七、持續應用知識 …………………………………………………………………… 145
第五章 討論 …………………………………………………………………… 146
第一節 知識轉譯架構的臨床適用性 …………………………………………………………………… 146
第二節 知識轉譯架構對降低病人跌倒之成效探討 …………………………………………………………………… 154
第三節 資訊策略對促進知識轉譯的成效 …………………………………………………………………… 160
第六章 結論與建議 …………………………………………………………………… 162
第一節 結論 …………………………………………………………………… 162
第二節 護理與臨床應用 …………………………………………………………………… 163
第三節 研究限制及對後續研究的建議 …………………………………………………………………… 164
參考文獻 …………………………………………………………………… 168 

附錄目錄
附錄一 「運用研究於臨床作業之障礙及促成因子」問卷 (BARRIERS Scale) 原作者授權翻譯及同意使用證明 ……190
附錄二 各資料庫文獻搜尋歷程 …………………………………………………………………… 192

圖目錄
圖2-1 促進知識為照護行動概念架構 (knowledge-to-action conceptual framework) ……………………………… 13
圖3-1 研究架構:知識至行動的概念架構 …………………………………………………………………… 17
圖3-2 跌倒事件通報資料驗證程序 …………………………………………………………………… 40
圖4-1 文獻搜尋及納入/排除歷程流程圖 …………………………………………………………………… 49
圖4-2 本研究納入8篇指引建議之住院病人跌倒管理流程圖 …………………………………………………………………… 86
圖4-3 住院病人跌倒事件發生率(2010-2014年趨勢圖)…………………………………………………………………… 88
圖4-4 住院病人跌倒事件發生率(2010-2014年管制圖)…………………………………………………………………… 88
圖4-5 住院病人因跌倒所致中度 (含) 以上之傷害率 (2011-2014年趨勢)…………………………………………………………………… 89
圖4-6 住院病人因跌倒所致中度 (含) 以上之傷害率 (2011-2014年管制圖)…………………………………………………………………… 90
圖4-7 住院病人跌倒管理流程圖 (原有流程)…………………………………………………………………… 95
圖4-8 住院病人跌倒管理流程圖 (依實證指引建議修正後)…………………………………………………………………… 99
圖4-9 摩爾斯跌倒量表 (初始評估) (護理資訊系統畫面)…………………………………………………………………… 122
圖4-10 摩爾斯跌倒量表(由每日評估自動轉拋摩爾斯跌倒量表評分總表) (護理資訊系統畫面)…………………………………… 123
圖4-11 摩爾斯跌倒量表風險評估項目及其對應之實證跌倒預防措施(護理資訊系統畫面)………………………………………………… 124
圖4-12 護理診斷:「潛在危險性跌倒」之危險因子、護理目標及照護措施 (護理資訊系統畫面)………………………………… 125
圖4-13 跌倒後立即評估片語 (護理資訊系統畫面)…………………………………………………………………… 126
圖4-14 易致跌藥品衛教模組 (護理資訊系統畫面)…………………………………………………………………… 128
圖4-15 易致跌倒藥物註記 (給藥系統畫面)…………………………………………………………………… 131
圖4-16 易致跌倒藥物風險分級 ≥ 6分之「跌 (藥)」註記 (護理資訊系統畫面)…………………………………………………………………… 132
圖4-17 易致跌倒藥物風險分級自動計分功能 (醫療資訊系統畫面)…………………………………………………………………… 134
圖4-18 住院病歷跌倒預防措施落實度審查結果直條圖 …………………………………………………………………… 136
圖4-19 住院病人跌倒事件發生率趨勢圖及管制圖 …………………………………………………………………… 137
圖4-20 住院病人因跌倒所致中度 (含) 以上傷害率趨勢圖及管制圖 …………………………………………………………………… 140

表目錄
表3-1 文獻搜尋之關鍵字及策略 …………………………………………………………………… 24
表3-2 AGREE II (Appraisal of Guidelines for Research and Evaluation II) 工具評估領域及說明 …………………………………………………………………… 26
表3-3 AGREE II標準化領域分數計算方式說明:以四位評讀者針對「領域一」之標準化領域分數計算為例 ……………… 27
表3-4 評估應用知識時的阻力或助力:研究對象、估計樣本數及取樣/排除條件 …………………………………………………………………… 31
表3-5 用研究於臨床作業之障礙及促成因子問卷(BARRIERS Scale) 信度 …………………………………………………………………… 34
表3-6 資料分析方法一覽表 …………………………………………………………………… 46
表4-1 本研究納入實證跌倒預防指引之特徵 …………………………………………………………………… 51
表4-2 本研究納入8篇指引之AGREE II各領域標準化計分 …………………………………………………………………… 54
表4-3 本研究納入8篇指引之AGREE II各子題計分 …………………………………………………………………… 55
表4-4 本研究納入8篇指引之標的族群、場所、重要結果指標及指引發展方法學 …………………………………………………………… 60
表4-5 本研究納入8篇指引之跌倒風險評估 …………………………………………………………………… 66
表4-6 本研究納入8篇指引之易致跌倒藥品分析 …………………………………………………………………… 71
表4-7 本研究納入8篇指引之實證跌倒預防措施 …………………………………………………………………… 73
表4-8 床欄使用風險矩陣工具 …………………………………………………………………… 75
表4-9 本研究納入8篇指引之環境調整措施 …………………………………………………………………… 81
表4-10 本研究納入8篇指引之跌倒後照護措施 …………………………………………………………………… 83
表4-11 病人跌倒防範完整率:內部及外部稽核結果 …………………………………………………………………… 93
表4-12 摩爾斯跌倒量表之跌倒風險評估項目、及可選擇的實證跌倒預防措施對照表 ………………………………………………… 100
表4-13 研究對象:護理人員基本屬性 …………………………………………………………………… 101
表4-14 運用研究於臨床作業之障礙及促成因子問卷分析結果 …………………………………………………………………… 103
表4-15 研究對象:醫師及醫事人員基本屬性 …………………………………………………………………… 107
表4-16 易致跌倒藥物風險分級表 …………………………………………………………………… 130
表4-17 介入措施實施前後跌倒預防措施落實度住院病歷審查結果表…………………………………………………………………… 135
表4-18 介入措施實施後跌倒案件分析表 …………………………………………………………………… 138
表4-19 介入措施實施後跌倒致中度 (含) 以上傷害案件分析 …………………………………………………………………… 142
表4-20 介入措施實施前後病人跌倒防範措施執行完整率比較表 …………………………………………………………………… 144
Abrahamson, K. A., Fox, R. L., & Doebbeling, B. N. (2012). Facilitators and barriers to clinical practice guideline use among nurses. Am J Nurs, 112(7), 26-35; quiz 46,36. doi: 10.1097/01.NAJ.0000415957.46932.bf
ACSQHC. (2009). Preventing Falls and Harm From Falls in Older People - Best Practice Guidelines for Australian Hospitals: Australia: Australian Commission on Safety and Quality in Health Care (ACSQHC).
Aranda-Gallardo, M., Morales-Asencio, J. M., Canca-Sanchez, J. C., Barrero-Sojo, S., Perez-Jimenez, C., Morales-Fernandez, A., . . . Mora-Banderas, A. M. (2013). Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review and meta-analysis. BMC Health Serv Res, 13, 122. doi: 10.1186/1472-6963-13-122
Asadoorian, J., Hearson, B., Satyanarayana, S., & Ursel, J. (2010). Evidence-based practice in healthcare: an exploratory cross-discipline comparison of enhancers and barriers. J Healthc Qual, 32(3), 15-22. doi: 10.1111/j.1945-1474.2010.00081.x
Balas E. A., B. S. A. (2000). Yearbook of Medical Informatics: Managing Clinical Knowledge for Health Care Improvement. . Stuttgart, Germany: Schattauer Verlagsgesellschaft mbH.
Barker, A. L., Morello, R. T., Wolfe, R., Brand, C. A., Haines, T. P., Hill, K. D., . . . Kamar, J. (2016). 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Bmj, 352, h6781. doi: 10.1136/bmj.h6781
Bass, E., French, D. D., & Bradham, D. D. (2008). A national perspective of Medicare expenditures for elderly veterans with hip fractures. J Am Med Dir Assoc, 9(2), 114-119. doi: 10.1016/j.jamda.2007.10.001
Berwick, D. M. (1991). Controlling variation in health care: a consultation from Walter Shewhart. Med Care, 29(12), 1212-1225.
Best, M., & Neuhauser, D. (2006). Walter A Shewhart, 1924, and the Hawthorne factory. Qual Saf Health Care, 15(2), 142-143. doi: 10.1136/qshc.2006.018093
Brazil, K., Cloutier, M. M., Tennen, H., Bailit, H., & Higgins, P. S. (2008). A qualitative study of the relationship between clinician attributes, organization, and patient characteristics on implementation of a disease management program. Dis Manag, 11(2), 129-137. doi: 10.1089/dis.2008.1120008
Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G., . . . Consortium, A. N. S. (2010). AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ Canadian Medical Association Journal, 182(18), E839-842. doi: 10.1503/cmaj.090449
Bunn, F., Dickinson, A., Simpson, C., Narayanan, V., Humphrey, D., Griffiths, C., . . . Victor, C. (2014). Preventing falls among older people with mental health problems: a systematic review. BMC Nurs, 13(1), 4. doi: 10.1186/1472-6955-13-4
Burl Beasley, E. P. (2009). Development and Implementation of a Pharmacy Fall Prevention Program. Hosp Pharm, 44(12), 1095-1102.
Cameron, I. D., Gillespie, L. D., Robertson, M. C., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2012). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev, 12, Cd005465. doi: 10.1002/14651858.CD005465.pub3
Carlson, C. L., & Plonczynski, D. J. (2008). Has the BARRIERS Scale changed nursing practice? An integrative review. J Adv Nurs, 63(4), 322-333. doi: 10.1111/j.1365-2648.2008.04705.x
Centers for Medicare and Medicaid Services. (2008). Patient Safety: CMS Initiatives Addressing Never Events Retrieved April 12, 2015, from http://downloads.cms.gov/cmsgov/archived-downloads/SMDL/downloads/SMD073108.pdf
Chassin, M. R., & Galvin, R. W. (1998). The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. Jama, 280(11), 1000-1005.
Child, S., Goodwin, V., Garside, R., Jones-Hughes, T., Boddy, K., & Stein, K. (2012). Factors influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies. Implement Sci, 7, 91. doi: 10.1186/1748-5908-7-91
Choi, M., & Hector, M. (2012). Effectiveness of intervention programs in preventing falls: a systematic review of recent 10 years and meta-analysis. J Am Med Dir Assoc, 13(2), 188.e113-121. doi: 10.1016/j.jamda.2011.04.022
Choi, Y. S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., & Zimring, C. M. (2011). Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review. J Adv Nurs, 67(12), 2501-2524. doi: 10.1111/j.1365-2648.2011.05672.x
Coussement, J., De Paepe, L., Schwendimann, R., Denhaerynck, K., Dejaeger, E., & Milisen, K. (2008). Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc, 56(1), 29-36. doi: 10.1111/j.1532-5415.2007.01508.x
da Costa, B. R., Rutjes, A. W., Mendy, A., Freund-Heritage, R., & Vieira, E. R. (2012). Can falls risk prediction tools correctly identify fall-prone elderly rehabilitation inpatients? A systematic review and meta-analysis. PLoS One, 7(7), e41061. doi: 10.1371/journal.pone.0041061
Deandrea, S., Bravi, F., Turati, F., Lucenteforte, E., La Vecchia, C., & Negri, E. (2013). Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis. Arch Gerontol Geriatr, 56(3), 407-415. doi: 10.1016/j.archger.2012.12.006
Deandrea, S., Lucenteforte, E., Bravi, F., Foschi, R., La Vecchia, C., & Negri, E. (2010). Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology, 21(5), 658-668. doi: 10.1097/EDE.0b013e3181e89905
Di Monaco, M., Castiglioni, C., Vallero, F., De Toma, E., De Lauso, L., & Tappero, R. (2011). Adherence to recommendations for fall prevention significantly affects the risk of falling after hip fracture in older women. Bone, 48, S63-S64.
DiBardino, D., Cohen, E. R., & Didwania, A. (2012). Meta-analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. Journal of Hospital Medicine (Online), 7(6), 497-503. doi: 10.1002/jhm.1917
Dykes, P. C., Carroll, D. L., Hurley, A., Lipsitz, S., Benoit, A., Chang, F., . . . Middleton, B. (2010). Fall prevention in acute care hospitals: a randomized trial. Jama, 304(17), 1912-1918. doi: 10.1001/jama.2010.1567
Forsman, H., Rudman, A., Gustavsson, P., Ehrenberg, A., & Wallin, L. (2012). Nurses' research utilization two years after graduation--a national survey of associated individual, organizational, and educational factors. Implement Sci, 7, 46. doi: 10.1186/1748-5908-7-46
Funk, S. G., Champagne, M. T., Wiese, R. A., & Tornquist, E. M. (1991). BARRIERS: the barriers to research utilization scale. Appl Nurs Res, 4(1), 39-45.
Gaal, B. G. I., Schoonhoven, L., Mintjes-de Groot, J. A. J., Defloor, T., Habets, H., Voss, A., . . . Koopmans, R. T. C. M. (2014). Concurrent Incidence of Adverse Events in Hospitals and Nursing Homes. Journal of Nursing Scholarship, 46(3), 187-198. doi: 10.1111/jnu.12063
Gaddis, G. M., Greenwald, P., & Huckson, S. (2007). Toward improved implementation of evidence-based clinical algorithms: clinical practice guidelines, clinical decision rules, and clinical pathways. Acad Emerg Med, 14(11), 1015-1022. doi: 10.1197/j.aem.2007.07.010
Gagnon, M. L. (2011). Moving knowledge to action through dissemination and exchange. J Clin Epidemiol, 64(1), 25-31. doi: 10.1016/j.jclinepi.2009.08.013
Gillespie, L. D. (2013). Preventing falls in older people: the story of a Cochrane review. Cochrane Database Syst Rev, 2, Ed000053. doi: 10.1002/14651858.ed000053
Glasziou, P., & Haynes, B. (2005). The paths from research to improved health outcomes. Evid Based Nurs, 8(2), 36-38.
Goodwin, V. A., Abbott, R. A., Whear, R., Bethel, A., Ukoumunne, O. C., Thompson-Coon, J., & Stein, K. (2014). Multiple component interventions for preventing falls and fall-related injuries among older people: systematic review and meta-analysis. BMC Geriatr, 14, 15. doi: 10.1186/1471-2318-14-15
Goossens, A., Bossuyt, P. M., & de Haan, R. J. (2008). Physicians and nurses focus on different aspects of guidelines when deciding whether to adopt them: an application of conjoint analysis. Med Decis Making, 28(1), 138-145. doi: 10.1177/0272989x07308749
Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: time for a map? J Contin Educ Health Prof, 26(1), 13-24. doi: 10.1002/chp.47
Grol, R., & Wensing, M. (2004). What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust, 180(6 Suppl), S57-60.
Haines, T. P., Bennell, K. L., Osborne, R. H., & Hill, K. D. (2004). Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial. Bmj, 328(7441), 676. doi: 10.1136/bmj.328.7441.676
Hayati, F., Maghsoodloo, S., DeVivo, M. J., Thomas, R. E., & Lemiere, C. (2008). Quality control chart method for analyzing PEF variability in occupational asthma. Am J Ind Med, 51(3), 223-228. doi: 10.1002/ajim.20559
Healey, F., Oliver, D., Milne, A., & Connelly, J. B. (2008). The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing, 37(4), 368-378. doi: 10.1093/ageing/afn112
Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., . . . Ganz, D. A. (2013). Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness. J Am Geriatr Soc, 61(4), 483-494. doi: 10.1111/jgs.12169
Higgins, J. P. T., Green, S., & Cochrane Collaboration. (2008). Cochrane handbook for systematic reviews of interventions. Chichester, England ; Hoboken, NJ: Wiley-Blackwell.
HIGN. (2012). Fall prevention: assessment, diagnoses, and intervention strategies. In C. E. Boltz M, Fulmer T, Zwicker D (Ed.), Evidence-based geriatric nursing protocols for best practice ( 4th ed ed., pp. 268-297): New York (NY): Springer Publishing Company.
Hill, K. D., Moore, K. J., Dorevitch, M. I., & Day, L. M. (2008). Effectiveness of falls clinics: An evaluation of outcomes and client adherence to recommended interventions. J Am Geriatr Soc, 56(4), 600-608.
Ho, K., Bloch, R., Gondocz, T., Laprise, R., Perrier, L., Ryan, D., . . . Wenghofer, E. (2004). Technology-enabled knowledge translation: frameworks to promote research and practice. J Contin Educ Health Prof, 24(2), 90-99. doi: 10.1002/chp.1340240206
Hook, M. L., Devine, E. C., & Lang, N. M. (2008). Advances in Patient Safety
Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care. In K. Henriksen, J. B. Battles, M. A. Keyes & M. L. Grady (Eds.), Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). Rockville (MD): Agency for Healthcare Research and Quality.
Hutchinson, A. M., & Johnston, L. (2004). Bridging the divide: a survey of nurses' opinions regarding barriers to, and facilitators of, research utilization in the practice setting. J Clin Nurs, 13(3), 304-315.
ICSI. (2012). Prevention of falls (acute care). Health care protocol. : Bloomington (MN): Institute for Clinical Systems Improvement (ICSI).
Institute of Medicine. (1992). Guidelines for clinical practice : from development to use [xi, 426 p.].
Institute of Medicine. (2009). Roundtable on evidence-based medicine. Leadership commitments to improve value in healthcare: Finding common ground: Workshop summary., from http://www.ncbi.nlm.nih.gov/books/NBK52857/
JBI. (2010). Interventions to reduce the incidence of falls in older adult patients in acute care hospitals Best Practice, 14(15), 1-4.
Jones, P. S., Lee, J. W., Phillips, L. R., Zhang, X. E., & Jaceldo, K. B. (2001). An adaptation of Brislin's translation model for cross-cultural research. Nurs Res, 50(5), 300-304.
Kajermo, K. N., Bostrom, A. M., Thompson, D. S., Hutchinson, A. M., Estabrooks, C. A., & Wallin, L. (2010). The BARRIERS scale -- the barriers to research utilization scale: A systematic review. Implement Sci, 5, 32. doi: 10.1186/1748-5908-5-32
Khoddam, H., Mehrdad, N., Peyrovi, H., Kitson, A. L., Schultz, T. J., & Athlin, A. M. (2014). Knowledge translation in health care: a concept analysis. Med J Islam Repub Iran, 28, 98.
Kim, Y. L., & Jeong, S. H. (2015). [Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis]. J Korean Acad Nurs, 45(4), 469-482. doi: 10.4040/jkan.2015.45.4.469
Koh, S. S., Manias, E., Hutchinson, A. M., Donath, S., & Johnston, L. (2008). Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals. BMC Health Serv Res, 8, 105. doi: 10.1186/1472-6963-8-105
Kuhlenschmidt, M. L., Reeber, C., Wallace, C., Chen, Y., Barnholtz-Sloan, J., & Mazanec, S. R. (2016). Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial. Clin J Oncol Nurs, 20(1), 84-89. doi: 10.1188/16.cjon.84-89
Lamb, S. E., Becker, C., Gillespie, L. D., Smith, J. L., Finnegan, S., Potter, R., & Pfeiffer, K. (2011). Reporting of complex interventions in clinical trials: development of a taxonomy to classify and describe fall-prevention interventions. Trials, 12, 125. doi: 10.1186/1745-6215-12-125
Leveille, S. G., Jones, R. N., Kiely, D. K., Hausdorff, J. M., Shmerling, R. H., Guralnik, J. M., . . . Bean, J. F. (2009). Chronic musculoskeletal pain and the occurrence of falls in an older population. Jama, 302(20), 2214-2221. doi: 10.1001/jama.2009.1738
Lincoln, Y. S., & Guba, E. G. (1994). Hand book of qualitative research. . Beverly Hill, CA: Sage.
Lyons, S. S., Tripp-Reimer, T., Sorofman, B. A., Dewitt, J. E., Bootsmiller, B. J., Vaughn, T. E., & Doebbeling, B. N. (2005). VA QUERI informatics paper: information technology for clinical guideline implementation: perceptions of multidisciplinary stakeholders. J Am Med Inform Assoc, 12(1), 64-71. doi: 10.1197/jamia.M1495
Matarese, M., Ivziku, D., Bartolozzi, F., Piredda, M., & De Marinis, M. G. (2014). Systematic review of fall risk screening tools for older patients in acute hospitals. J Adv Nurs. doi: 10.1111/jan.12542
McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., & Kerr, E. A. (2003). The quality of health care delivered to adults in the United States. N Engl J Med, 348(26), 2635-2645. doi: 10.1056/NEJMsa022615
Milisen, K., Coussement, J., Arnout, H., Vanlerberghe, V., Paepe, L. D., Schoevaerdts, D., . . . Dejaeger, E. (2013). Feasibility of implementing a practice guideline for fall prevention on geriatric wards: A multicentre study. Int J Nurs Stud, 50(4), 495-507. doi: 10.1016/j.ijnurstu.2012.09.020
Mills, J., Field, J., & Cant, R. (2009). The place of knowledge and evidence in the context of Australian general practice nursing. Worldviews Evid Based Nurs, 6(4), 219-228. doi: 10.1111/j.1741-6787.2009.00163.x
National Patient Safety Agency, N. (2007). Bedrails Safer Practice Notice. Retrieved Apr. 7, 2015, from http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59815
NICE. (2013). National Institute for Health and Clinical Excellence: Guidance Falls: Assessment and Prevention of Falls in Older People. London: National Institute for Health and Care Excellence (UK)
Copyright (c) National Institute for Health and Care Excellence, 2013.
NSGPFF. (2008). Strategy to Prevent Falls and Fractures in Ireland’s Ageing Population: Ireland: National Steering Group to Prevent Falls and Fractures.
O'Keeffe S, T. (2013). Bedrails rise again? Age Ageing, 42(4), 426-427.
Oermann, M. H. (2012). Building evidence for practice: not without dissemination. MCN Am J Matern Child Nurs, 37(2), 77. doi: 10.1097/NMC.0b013e318245dd7a
Pentland, D., Forsyth, K., Maciver, D., Walsh, M., Murray, R., Irvine, L., & Sikora, S. (2011). Key characteristics of knowledge transfer and exchange in healthcare: integrative literature review. J Adv Nurs, 67(7), 1408-1425. doi: 10.1111/j.1365-2648.2011.05631.x
Pogorzelska, M., & Larson, E. L. (2008). Assessment of attitudes of intensive care unit staff toward clinical practice guidelines. Dimens Crit Care Nurs, 27(1), 30-38. doi: 10.1097/01.dcc.0000304673.29616.23
Prasad, V., Vandross, A., Toomey, C., Cheung, M., Rho, J., Quinn, S., . . . Cifu, A. (2013). A decade of reversal: an analysis of 146 contradicted medical practices. Mayo Clin Proc, 88(8), 790-798. doi: 10.1016/j.mayocp.2013.05.012
RNAO. (2011). Prevention of falls and fall injuries in the older adult 2011 supplement: Toronto (ON): Registered Nurses' Association of Ontario (RNAO).
Rubenstein, L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing, 35 Suppl 2, ii37-ii41. doi: 10.1093/ageing/afl084
Selvaganapathi, N., Ismail, N., Wong, W., Ramason, R., Kua, E., Lee, J., & Loo, Y. (2014). Factors influencing adherence to recommended interventions for prevention of falls. J Am Geriatr Soc, 62, S56.
Sharon Straus, J. T., Ian D. Graham. (2013). Knowledge Translation in Health Care: Moving from Evidence to Practice: BMJ Books.
Shekelle, P. G., Ortiz, E., Rhodes, S., Morton, S. C., Eccles, M. P., Grimshaw, J. M., & Woolf, S. H. (2001). Validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated? Jama, 286(12), 1461-1467.
Sinuff, T., Eva, K. W., Meade, M., Dodek, P., Heyland, D., & Cook, D. (2007). Clinical practice guidelines in the intensive care unit: a survey of Canadian clinicians' attitudes. Can J Anaesth, 54(9), 728-736. doi: 10.1007/bf03026869
Somasundaram, A., Christian, J., Chaudhry, N., Thapliyal, A., Zirker, W., Eiser, A., & Musuku, M. (2013). Encore presentation a multi-center study of physician knowledge of patient fall risk. J Am Geriatr Soc, 61, S193.
Stel, V. S., Smit, J. H., Pluijm, S. M., & Lips, P. (2004). Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing, 33(1), 58-65.
Stenberg, M., & Wann-Hansson, C. (2011). Health care professionals' attitudes and compliance to clinical practice guidelines to prevent falls and fall injuries. Worldviews Evid Based Nurs, 8(2), 87-95.
Stenvall, M., Olofsson, B., Lundstrom, M., Englund, U., Borssen, B., Svensson, O., . . . Gustafson, Y. (2007). A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. Osteoporos Int, 18(2), 167-175. doi: 10.1007/s00198-006-0226-7
Straus, S., Tetroe, J., & Graham, I. D. (2009). Defining knowledge translation. CMAJ Canadian Medical Association Journal, 181(3-4), 165-168. doi: 10.1503/cmaj.081229
Straus, S., Tetroe, J., & Graham, I. D. (2011). Knowledge translation is the use of knowledge in health care decision making. J Clin Epidemiol, 64(1), 6-10. doi: 10.1016/j.jclinepi.2009.08.016
Straus, S., Tetroe, J., & Graham, I. D. (2013). Knowledge translation in health care: moving from evidence to practice: John Wiley & Sons.
Streubert, H. J., & Carpenter, D. R. (2010). Qualitative research in nursing: Advancing the humanistic imperative (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Strickland, R. J., & O'Leary-Kelley, C. (2009). Clinical nurse educators' perceptions of research utilization: barriers and facilitators to change. J Nurses Staff Dev, 25(4), 164-171; quiz 172-163. doi: 10.1097/NND.0b013e3181ae142b
Sudsawad, P. (2007). Knowledge translation: introduction to models, strategies,and measures. Austin: Southwest Educational DevelopmentLaboratory, National Center for the Dissemination of Disability Research.
The Appraisal of Guidelines for Research & Evaluation [AGREE] Instrument. (2013). The AGREE II Instrument [Electronic version]. Retrieved Apr., 4th, 2015, from http://www.agreetrust.org/wp-content/uploads/2013/10/AGREE-II-Users-Manual-and-23-item-Instrument_2009_UPDATE_2013.pdf
The WHO Collaborating Centre for Drug Statistics Methodology. (2009, Last updated: 2009-10-12). Purpose of the ATC/DDD system. Retrieved 6/10, 2016, from http://www.whocc.no/atc_ddd_methodology/purpose_of_the_atc_ddd_system/
TTSH. (2005). Prevention of Falls in Hospitals and Long Term Care Institutions: Singapore: Ministry of Health.
Vlayen, J., Aertgeerts, B., Hannes, K., Sermeus, W., & Ramaekers, D. (2005). A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care, 17(3), 235-242. doi: 10.1093/intqhc/mzi027
Weng, Y. H., Kuo, K. N., Yang, C. Y., Lo, H. L., Chen, C., & Chiu, Y. W. (2013). Implementation of evidence-based practice across medical, nursing, pharmacological and allied healthcare professionals: a questionnaire survey in nationwide hospital settings. Implement Sci, 8, 112. doi: 10.1186/1748-5908-8-112
WHO. (2007). WHO Global Report on Falls Prevention in Older Age Retrieved from http://www.who.int/ageing/publications/Falls_prevention7March.pdf?ua=1
WHO. (2012). Falls. Retrieved 12th April, 2015, from http://www.who.int/mediacentre/factsheets/fs344/en/

朱月英、賴琬姿、蔡宛庭、吳姿瑤、溫雁凱 (2014)‧住院病人跌倒發生率改善專案‧榮總護理,31(3),234-243。[Ju, Y. L., Lai, W. T., Tsai, W. T., Wu, T. Y., & Wen, Y. K. (2014). The Project on Improvement of the Inpatient Fall Rate. VGH Nursing, 31(3), 234-243] doi: 10.6142/vghn.31.3.234
吳筱萍 (2011)‧病人對跌倒預防的知識、態度和行為之研究-以某區域教學醫院為例(未發表的碩士論文)‧台中市:朝陽科技大學‧取自華藝線上圖書館。[Wu, H. P. (2011). The Study on Knowledge, Attitude and Behavior of Patients’ Fall Prevention - An Example of a Regional Hospital (Unpublished master’s thesis). Chaoyang University of Technology, Taichung, ROC. Available from Airiti AiritiLibrary database.]
李宗育、陸鳳屏、詹鼎正 (2014)‧老年人跌倒之危險因子、評估、及預防‧內科學誌,25(3),137-142。[Li, Z. Y., Lu, F. P., & Chan, D. C. Risk Factors, Evaluation and Prevention of Falls in Older Adults. Journal of Internal Medicine of Taiwan. 25(3), 137-142.]
沈瑞晶、林小玲、邱幼華 (2010)‧某醫學中心內科病房改善跌倒發生率之專案‧醫療品質雜誌,4(5),80-86。[Shen, J. C., Lin, S. L., & Ciou, Y. H. A quality improvement project of fall prevention in a medical ward in medical center. Journal of Healthcare Quality. 4(5), 80-86.]
林賢璋、翁書偉、張劭聿 (2013)‧轉譯研究在臺灣的現況與發展‧臺灣東亞文明研究學刊,10(1),347-359。[Lin, H. C., Wong, S. W., & Chang, S. Y. The Development of Translational Research in Taiwan. Taiwan Journal of East Asian Studies. 10(1), 347-359.] doi: 10.6163/tjeas.2013.10(1)347
洪一仁、廖慧伶、李明輝 (2013)‧藥物與老人跌倒‧醫學與健康期刊,2(1),9-17。[Hung, Y. J., Liao, H. L., & Lee, M. H. The Medication and Fall in Elderly. Journal of Medicine and Health, 2(1), 9-17.]
徐圭璋 (2008)‧實證醫學(EBM)與醫療品質‧醫療品質雜誌,2(1),16-20。[Syu, G. J. Evidence-based medicine (EBM) and medical quality. Journal of Healthcare Quality, 2(1), 16-20.]
財團法人醫院評鑑暨醫療品質策進會 (2014)‧台灣病人安全通報系統 - 2013年年報‧2015年4月10日,取自 http://www.tpr.org.tw/images/pic/files/2013%E5%B9%B4TPR%E5%B9%B4%E5%A0%B1_Final_201411071335.pdf [Joint Commission of Taiwan. (2014). Taiwan Patient-safety Reporting system Annual Report 2013 Retrieved from http://www.tpr.org.tw/images/pic/files/2013%E5%B9%B4TPR%E5%B9%B4%E5%A0%B1_Final_201411071335.pdf]
馬秀玲 (2013)‧住院跌倒病人跌倒傷害預測模式之探討(未發表的碩士論文)‧高雄醫學大學‧取自華藝線上圖書館。[Ma, S. L. (2013). The Prediction Models of Falls Injury among Hospitalized Patients (Unpublished master’s thesis). Kaohsiung Medical University, ROC. Available from Airiti AiritiLibrary database.]
張嘉芳 (2012)‧統計流程管控的概念介紹與應用‧2015年4月8日,取自http://www.kmuh.org.tw/www/Administration/MQPS/newspaper_10202.html [Jhang, J. F. (2012). Evidence-based medicine (EBM) and medical quality. Retrieved from http://www.kmuh.org.tw/www/Administration/MQPS/newspaper_10202.html]
莊銀清、陳郁慧、陳志金 (2009)‧以外部稽核提升院內感控品質‧醫療品質雜誌,3(4),54-58。[Jhuang, Y. C., Chen, Y. H. & Chen, J. J. Using external audit to improve the quality of infection control in hospital. Journal of Healthcare Quality, 3(4), 54-58.]
莊蕙琿、黃焜煌、王素美、劉穗蘭 (2008)‧住院病患跌倒事件分析-以某區域教學醫院為例 ‧澄清醫護管理雜誌,4(3),23-28。 [Chuang, H. H., Huang, K. H., Wang, S, M. & Lin, S. L. Falls among Hospital Inpatients: The Case of a Regional Teaching Hospital in Taiwan. Cheng Ching Medical Journal. 4(3), 23-28.]
陳玉枝、林麗華、簡淑芬 (2002)‧住院病患傷害性跌倒的影響因素與其醫療資源耗用之相關性‧志為護理-慈濟護理雜誌,1(3),66-77。[Chen, Y. C., Lin, L. H., & Chien, S. F. Correlation between Risk Factors and Resource Utilization in Fall-Related Injuries among Hospitalized Patients. Tzu Chi Nursing Journal. 1(3), 66 -77.]
陳明怡、余偉華、歐李美智 (2014)‧運用模擬訓練減少神經科住院病人跌倒之風險‧臺灣醫學,18(5),566-571。[Chen, M. Y., Yu, W. H., & Ou Li, M. C. Reduction of Fall Risk in Hospitalized Neurological Patients by a Simulative Training Program. Formosan Journal of Medicine. 18(5), 566-571.] doi: 10.6320/ fjm.2014.18(5).10
陳杰峰、邱文達 (2008)‧實證醫學之知識轉譯地圖‧臺灣醫學,12(4),455-460。[Chen, C. F. & Chiu, W. T. The Knowledge Translation Map of EBM. Formosan Journal of Medicine. 12(4), 455-460.]
陳杰峰、王慈蜂、羅德毓、邱文達 (2007)‧實證臨床診療指引評估工具與AGREE‧醫療爭議審議報導系列,28,5-11。[Chen, C. F.,Wang, T. F., Lo, T. Y. & Chiu, W. T. CPG Evaluation Tool and AGREE Instrument. Formosan Journal of Medicine. 28, 5-11.]
鄒怡真、游婷芳、王桂芸 (2014)‧轉譯研究在品質促進之應用與建議‧源遠護理,8(3),19-24。[Tsou, Y. C.,Yiu, T. F. & Wang, K. Y. The Application and Recommendation of Translational Research in Quality Improvement. Yuan-Yuan Nursing. 8(3), 19-24.] doi: 10.6530/yyn/2014.a.11
蔡燿州、陳政友、蔡明世 (2010)‧嘉義縣某地區醫院護理之家及精神病房慢性住院病人跌倒傷害嚴重程度相關因素研究‧健康促進暨衛生教育雜誌‧30,87-107。[Tsai, Y. C.,Chen, Y. C. & Tsai, M. S. Identify and Analyze the Characteristics of Patients Who Fall and the Severity of Injuries at the Nursing Home and Psychiatric Ward Chron ic Hospitalized Patients in a District Hospital in Chiayi County. Health Promotion & Health. 30, 87-107.]
衛生福利部 (2014)‧103~104年度醫院醫療品質及病人安全工作目標‧取自 http://www.patientsafety.mohw.gov.tw/upfile/www/2014/0207/%E6%AA%94%E6%A1%88%E4%B8%8B%E8%BC%89103-104%E5%B9%B4%E5%BA%A6%E5%B7%A5%E4%BD%9C%E7%9B%AE%E6%A8%99%EF%BC%88%E9%86%AB%E9%99%A2%E7%89%88%EF%BC%89.pdf [Ministry of Health and Welfare, Taiwan, ROC. (2014). Introduction of the Annual Patient Safety Goal in hospital (2014-2015). Retrieved from http://www.patientsafety.mohw.gov.tw/upfile/www/2014/0207/%E6%AA%94%E6%A1%88%E4%B8%8B%E8%BC%89103-104%E5%B9%B4%E5%BA%A6%E5%B7%A5%E4%BD%9C%E7%9B%AE%E6%A8%99%EF%BC%88%E9%86%AB%E9%99%A2%E7%89%88%EF%BC%89.pdf]
衛生福利部國民健康署 (2014)‧2014國民健康署年報中文版‧台北市: 衛生福利部國民健康署。[Health Promotion Administration, Taiwan, ROC. (2014). 2014 Health Promotion Administration Annual Report. Taipei City, Taiwan, ROC : Health Promotion Administration.]
鄭浩民 (2013)‧轉譯科學-一個未來實證照護及醫學研究的重要趨勢‧榮總護理,30(2),111-120。[Cheng, H. M. Introduction of Translational Health Science-An Important Future Trend in Evidenced-Based Health Care and Research. VGH Nursing. 30(2), 111-120.] doi: 10.6142/vghn.30.2.111
謝雅惠、張偉洲、黃建民 (2012)‧醫療異常事件通報系統之病人跌倒事件分析‧醫務管理期刊,13(1),20-31. [Hsieh, Y. H., Chang, W. G. & Huang, C. M. Factors Influencing Inpatient Falls: An Analysis of the Medical Incident Reporting System. Health Journal of Healthcare Management. 13(1), 20-31.]
Bulechek, G. M., Butcher, H. K. & Dochterman, J. M. (2011)‧護理措施分類系統(NIC)(第五版)(吳艾瑄編譯)‧台北市:台灣愛思唯爾。[Bulechek, G. M., Butcher, H. K. & Dochterman, J. M. (2011) Nursing Interventions Classification, 5th ed (A. S. Wu, Trans.). Taipei City, Taiwan, ROC: Elsevier]
North American Nursing Diagnosis Association International. (2012)‧NANDA International護理診斷:定義與分類 2012~2014 (高紀惠,曾詩雯,莊琬筌譯)‧台北市:華杏。[North American Nursing Diagnosis Association International. (2012). NANDA International nursing diagnoses : definitions and classification 2012-2014 (J. H. Gao., S. W. Zeng & W. C. Jhuang Trans.). Taipei City, Taiwan, ROC : Farseeing]
連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
1. 李宗育、陸鳳屏、詹鼎正 (2014)‧老年人跌倒之危險因子、評估、及預防‧內科學誌,25(3),137-142。[Li, Z. Y., Lu, F. P., & Chan, D. C. Risk Factors, Evaluation and Prevention of Falls in Older Adults. Journal of Internal Medicine of Taiwan. 25(3), 137-142.]
2. 林賢璋、翁書偉、張劭聿 (2013)‧轉譯研究在臺灣的現況與發展‧臺灣東亞文明研究學刊,10(1),347-359。[Lin, H. C., Wong, S. W., & Chang, S. Y. The Development of Translational Research in Taiwan. Taiwan Journal of East Asian Studies. 10(1), 347-359.] doi: 10.6163/tjeas.2013.10(1)347
3. 洪一仁、廖慧伶、李明輝 (2013)‧藥物與老人跌倒‧醫學與健康期刊,2(1),9-17。[Hung, Y. J., Liao, H. L., & Lee, M. H. The Medication and Fall in Elderly. Journal of Medicine and Health, 2(1), 9-17.]
4. 徐圭璋 (2008)‧實證醫學(EBM)與醫療品質‧醫療品質雜誌,2(1),16-20。[Syu, G. J. Evidence-based medicine (EBM) and medical quality. Journal of Healthcare Quality, 2(1), 16-20.]
5. 莊蕙琿、黃焜煌、王素美、劉穗蘭 (2008)‧住院病患跌倒事件分析-以某區域教學醫院為例 ‧澄清醫護管理雜誌,4(3),23-28。 [Chuang, H. H., Huang, K. H., Wang, S, M. & Lin, S. L. Falls among Hospital Inpatients: The Case of a Regional Teaching Hospital in Taiwan. Cheng Ching Medical Journal. 4(3), 23-28.]
6. 陳玉枝、林麗華、簡淑芬 (2002)‧住院病患傷害性跌倒的影響因素與其醫療資源耗用之相關性‧志為護理-慈濟護理雜誌,1(3),66-77。[Chen, Y. C., Lin, L. H., & Chien, S. F. Correlation between Risk Factors and Resource Utilization in Fall-Related Injuries among Hospitalized Patients. Tzu Chi Nursing Journal. 1(3), 66
7. 陳明怡、余偉華、歐李美智 (2014)‧運用模擬訓練減少神經科住院病人跌倒之風險‧臺灣醫學,18(5),566-571。[Chen, M. Y., Yu, W. H., & Ou Li, M. C. Reduction of Fall Risk in Hospitalized Neurological Patients by a Simulative Training Program. Formosan Journal of Medicine. 18(5), 566-571.] doi: 10.6320/
8. 陳杰峰、邱文達 (2008)‧實證醫學之知識轉譯地圖‧臺灣醫學,12(4),455-460。[Chen, C. F. & Chiu, W. T. The Knowledge Translation Map of EBM. Formosan Journal of Medicine. 12(4), 455-460.]
9. 蔡燿州、陳政友、蔡明世 (2010)‧嘉義縣某地區醫院護理之家及精神病房慢性住院病人跌倒傷害嚴重程度相關因素研究‧健康促進暨衛生教育雜誌‧30,87-107。[Tsai, Y. C.,Chen, Y. C. & Tsai, M. S. Identify and Analyze the Characteristics of Patients Who Fall and the Severity of Injuries at the Nursing Home and Psychiatric Ward Chron
10. 鄭浩民 (2013)‧轉譯科學-一個未來實證照護及醫學研究的重要趨勢‧榮總護理,30(2),111-120。[Cheng, H. M. Introduction of Translational Health Science-An Important Future Trend in Evidenced-Based Health Care and Research. VGH Nursing. 30(2), 111-120.] doi: 10.6142/vghn.30.2.111
11. 謝雅惠、張偉洲、黃建民 (2012)‧醫療異常事件通報系統之病人跌倒事件分析‧醫務管理期刊,13(1),20-31. [Hsieh, Y. H., Chang, W. G. & Huang, C. M. Factors Influencing Inpatient Falls: An Analysis of the Medical Incident Reporting System. Health Journal of Healthcare Management. 13(1), 20-31.]
 
無相關點閱論文