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Meanings of Falls and Prevention of Falls According to Rehabilitation Nurses: A Qualitative Descriptive Study

Purpose: Guided by Friedemann's theoretical framework, this survey explored the meaning of a fall of an institutionalized older adult or fall prevention to rehabilitation registered nurses and whether the experience changed the nurse's practice. Design: Qualitative, descriptive survey. Methods: A convenience sample of 742 rehabilitation nurses was asked to describe these experiences and the impact on their practice. Findings: Themes discovered related to the meaning of a fall include negative feelings (incongruence) and positive feelings (congruence). Themes related to the meaning of preventing a fall include positive feelings (congruence). Practice change themes emerged from both the experience of a fall and fall prevention. Practice change themes were drawn to Friedemann's (1995) process dimensions. Conclusions and Clinical Relevance: Nurses' experiences and meanings of falls uncovered negative and positive feelings about these falls. New findings of this study were the positive feelings expressed by nurses, when there was no injury or when a fall was prevented.