Development of an evidence-based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test

Aim: The aim of the study was to develop an evidence-based care bundle protocol for preventing falls in hospitalized children.

Design: Delphi method.

Methods: Based on the four basic concepts of nursing, the theoretical dimension and item pool of the care bundle first draft were constructed by searching evidence and referring to the care bundle for preventing inpatient fall issues by the China Nursing Quality Promotion Alliance. The Delphi method and trial tests were used to select and adjust items of the care bundle to form the care bundle protocol for preventing falls in hospitalized children.

Results: The first draft care bundle for preventing falls in hospitalized children included 4 dimensions and 21 items. In the 2-round Delphi study, one item was removed, and three items were adjusted. One item was adjusted by trial test. Finally, the care bundle protocol for preventing falls in hospitalized children consisted of 4 dimensions and 20 items.