A Survey Study on the Competency of Urology Nurses in the Prevention and Control of Fall Risk Among Elderly Patients with Multimorbidity and Polypharmacy
Objective: To investigate the current status of fall risk prevention and control competency among urology nurses caring for elderly patients with multimorbidity and polypharmacy, and to analyze its correlation with polypharmacy knowledge and general self-efficacy, thereby providing a reference for targeted training. Methods: Using cluster sampling, all 45 registered nurses in the urology department of our hospital were selected in September 2026. A cross-sectional survey was conducted using a general information questionnaire, the Nurse Fall Risk Prevention and Control Competency Questionnaire, the Nurse Polypharmacy Knowledge Questionnaire, and the General Self-Efficacy Scale. Results: The total competency score for fall risk prevention and control was 29.04 ± 4.28 (out of 40), with a scoring rate of 72.6%, indicating a moderate-to-high level. The polypharmacy knowledge score was 7.44 ± 2.97 (out of 12), with a scoring rate of 62.0%. The general self-efficacy score was 29.27 ± 4.45 (out of 40). Competency was positively correlated with both polypharmacy knowledge (r = 0.524, P < 0.01) and general self-efficacy (r = 0.486, P < 0.01). Conclusion: The fall risk prevention and control competency of urology nurses was at a moderate-to-high level, and polypharmacy knowledge and self-efficacy were associated factors. Nursing administrators should strengthen systematic training in polypharmacy knowledge and enhance nurses’ self-efficacy to improve fall risk prevention and control competency.
[1] Zhao Y, Wang J, Zhu X, et al., 2023, Multimorbidity and Polypharmacy in Hospitalized Older Patients: A Cross-Sectional Study. BMC Geriatrics, 23(1): 423.
[2] Ramos KA, Colosimo EA, Duarte YADO, et al., 2023, Effect of Polypharmacy and Fall-Risk-Increasing Drugs (FRIDs) on Falls Among Brazilian Older Adults: The SABE Cohort Study. Archives of Gerontology and Geriatrics, 115: 105127.
[3] Welsh TJ, Mitchell A, 2023, Centrally Acting Antihypertensives and Alpha-Blockers in People at Risk of Falls: Therapeutic Dilemmas—A Clinical Review. European Geriatric Medicine, 14(4): 675–682.
[4] Oppegaard KR, Kime J, Seid K, et al., 2026, Fall History Is the Only Morse Fall Scale Item That Differentiates Nursing Home Residents Who Fall From Those Who Do Not. Journal of the American Medical Directors Association, 27(5): 106160.
[5] Mier PD, van den Hurk JJ, 1975, Lysosomal Hydrolases of the Epidermis. I. Glycosidases. British Journal of Dermatology, 93(1): 1–10.
[6] American Geriatrics Society 2023 Updated AGS Beers Criteria® Expert Panel, 2023, American Geriatrics Society 2023 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. Journal of the American Geriatrics Society, 71(7): 2052–2081.
[7] Mekler LB, 1975, On the Problem of Oncogene of Tumour Viruses. Acta Virologica, 19(6): 501–508.
[8] Zhu M, Ou X, Shu X, et al., 2026, Knowledge, Attitude, and Practice Toward Fall Risk-Increasing Drugs Among Nurses: A Cross-Sectional Survey. Frontiers in Public Health, 13: 1714722.
[9] Juola AL, Bjorkman MP, Pylkkanen S, et al., 2015, Nurse Education to Reduce Harmful Medication Use in Assisted Living Facilities: Effects of a Randomized Controlled Trial on Falls and Cognition. Drugs & Aging, 32(11): 947–955.
[10] Liu M, Liu L, Lv Z, et al., 2024, Effects of Burnout and Work Engagement in the Relationship Between Self-Efficacy and Safety Behaviours—A Chained Mediation Modelling Analysis. Journal of Advanced Nursing, 80(4): 1473–1483.
