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Purpose: This study is to explore the risk factors of injurious falls among hospitalized patients at psychiatric units in a medical center of southern Taiwan. Methods: This retrospective matched case-control study selected patients who were hospitalized in psychiatric units and had at least one fall event from 2010 to 2015. A total of 352 cases were reviewed using chart audit and data were analyzed using a logistic regression. Results: The risk factors of injurious falls among psychiatric inpatients were as follow: the number of falls during hospitalization (OR=1.58 - 95% CI = 1.22-2.03), non-cancer diagnosis (OR=9.12 - 95% CI = 2.72-30.60), having an acute infection (OR=2.11 - 95% CI=1.12-3.97), sleep disturbance in nursing record (OR=3.29 - 95% CI=1.98-5.46), without providing fall-preventive education (OR=17.35 - 95% CI=1.55-194.60), and case in handover report (OR=4.34 - 95% CI=1.49-12.59). Conclusion: The results suggested that nurses should give an individualized nursing care for preventing the occurrences of injurious falls for the following conditions: fall history, having acute infections, having sleep disorders and case in handover report. [ABSTRACT FROM AUTHOR]

Taiwan experienced an unprecedented catastrophe during the SARS outbreak in 2003. That shock and sorrow experience enabled health professionals to learn many precious infectious preventions at the cost of some of their colleagues' lives. Evaluation mechanism on hospital infection inspections has been established, and efforts to evaluate the infection control have been strengthen in the past 17 years. Hospitals and their staff are now ready to deal with the COVID-19 outbreak. The authors of the article, as Infection Control Practitioners in a hospital, would share their experiences of involvement in the COVID-19 control. It is hoped that such sharing could inspire more frontline medical personnel to be aware of the necessity and the importance of hospital infection control. [ABSTRACT FROM AUTHOR]

Purpose: This study is to explore psychiatric nurses' beliefs, attitudes and communicative behaviors related to patients' use of Complementary and Alternative Medicine (CAM) and its relationships. Methods: This correlational research with a cross-sectional design was used to investigate psychiatric nurses who worked in the psychiatry teaching hospital. A total of 225 convenience samples was recruited during Feb. to Apr. 2016. A structured questionnaire was used to collect data, including demographic characteristics, the knowledge, attitude, behavior on CAM. Data were analyzed with SPSS 18 statistical software. Results: Amongst the psychiatric nurses, 22.2% of them have used CAM and 10.7% have received CAM education in the past year, but only 8.4% have practiced CAM in clinical settings. Among 60.8% of participants believed in CAM; 63.9% hold positive attitudes towards CAM; however, the communicative behaviors to CAM remained low (55.9%). Each domain was significantly positive correlated (p<0.001) which indicated that participants who have higher level of beliefs and attitudes towards CAM were more positive communicative behaviors to patients' CAM use. Conclusion/Implications for Practice: This study found the positive relationships between beliefs, attitudes and communicative behaviors of CAM. It is recommended that the practical trainings for CAM education should be arranged initiatively to implement the assessment and discussion of CAM in clinical practice in order to promote the safety of psychiatric patients' CAM use. [ABSTRACT FROM AUTHOR]

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The integrative review method was used to explore the effects of Tai Chi on the impact of balance, lower extremity muscle strength, and the range of motion in order to examine the effect of fall prevention for community-dwelling elderly. This review method by searching databases has found nine clinical trials, including three randomized clinical trials, four controlled clinical trials and two uncontrolled clinical trial. The results showed that: (1) the training program for Tai Chi is at least 40 to 60 minutes a time, and 2 to 3 times a week for 8 to 12 weeks, (2) there is significant improvement on balance, lower extremity muscle strength, and joint mobility and flexibility for elderly through Tai Chi training program. It is suggested for the future that this exercise can be used as a quality physical movement to promote health in community health care organizations for elderly. [ABSTRACT FROM AUTHOR]