Abstract
This scoping review will aim to map the scientific evidence on the implementation of person-centred care for fall prevention among hospitalized adults and older adults in clinical settings. Considering the relevance of falls as a major adverse event and the need for more participatory preventive strategies aligned with patients’ needs, this review will seek to understand how person-centred care has been implemented in this context. The review will be conducted in accordance with the JBI methodology and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Searches will be performed in national and international databases, as well as grey literature sources, without restrictions on language or publication dates. Additionally, the snowballing technique will be employed using the Citation Chaser tool. Sources of evidence will be screened in the Rayyan software by two independent reviewers, with a third reviewer involved in resolving disagreements according to the eligibility criteria. Data analysis and presentation will be conducted through narrative synthesis, organized according to the PCC framework (Population, Concept, and Context), using visual resources such as tables, charts, graphs, frequency diagrams, and thematic maps.
References
World Health Organization (WHO). Patient safety [Internet]. Geneva: WHO; 2023 [citado em 26 mar 2026]. Disponível em: https://www.who.int/health-topics/patient-safety
Lelaurin JH, Shorr RI. Preventing falls in hospitalized patients: state of the science. Clin Geriatr Med. 2019;35(2):273-83. https://doi.org/10.1016/j.cger.2019.01.007
Morris ME, Webster K, Jones C, Hill AM, Haines T, McPhail S, et al. Interventions to reduce falls in hospitals: a systematic review and meta-analysis. Age Ageing. 2022;51(5):afac077. https://doi.org/10.1093/ageing/afac077
Cruz LGTD, Seabra ES, Gomes LHC, Cabral VB, Martins MOD, Sousa MOF. Desenvolvimento de ferramentas e indicadores de gestão em saúde: experiência da segurança do paciente. Glob Acad Nurs. 2023;4(3):e372. https://doi.org/10.5935/2675-5602.20200372
Ventura F, Moreira IMPB, Raposo V, Queirós PJP, Mendes A. A prática centrada na pessoa: da idiossincrasia do cuidar à organização dos sistemas de saúde. Cad Saude Publica. 2022;38(10):e00278121. https://doi.org/10.1590/0102-311XPT278121
Xu Q, Liu X, Wang Q, Liu M, Liu J, Li N, et al. The risk of falls among the aging population: a systematic review and meta-analysis. Front Public Health. 2022;10:902599. https://doi.org/10.3389/fpubh.2022.902599
Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000;51(7):1087-100. https://doi.org/10.1016/S0277-9536(00)00098-8
McCormack B, McCance T. Person-centred practice in nursing and health care: theory and practice. 3rd ed. Oxford: Wiley-Blackwell; 2021.
Ekman I, Swedberg K, Taft C, Lindseth A, Norberg A, Brink E, et al. Person-centered care: ready for prime time. Eur J Cardiovasc Nurs. 2011;10(4):248-51. https://doi.org/10.1016/j.ejcnurse.2011.06.008
World Health Organization (WHO). Framework on integrated people-centred health services [Internet]. Geneva: WHO; 2016 [citado em 26 mar 2026]. Disponível em: https://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_39-en.pdf
Albertini ACS, Ferreira MBG, Silva LFM, Rodrigues PS, Almeida TMS, Santos FR, et al. Person-centered care approach to prevention and management of falls among adults and aged in a Brazilian hospital: a best practice implementation project. JBI Evid Implement. 2023;21(1):14-24. https://doi.org/10.1097/XEB.0000000000000356
Avanecean D, Calliste D, Contreras T, Lim Y, Fitzpatrick A. Effectiveness of patient-centered interventions on falls in the acute care setting compared to usual care: a systematic review. JBI Database Syst Rev Implement Rep. 2017;15(12):3006-48. https://doi.org/10.11124/JBISRIR-2016-003331
Barker A, Cameron P, Hill KD, Flicker L, Haines T, Bowers A, et al. Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: a randomised controlled trial. PLoS Med. 2019;16(5):e1002807. https://doi.org/10.1371/journal.pmed.1002807
McLennan C, McKay M, Watt K, Hill AM, Barker A, Sherrington C, et al. Features of effective hospital fall prevention trials: intervention component analysis of randomized controlled trials. BMC Geriatr. 2024;24:246. https://doi.org/10.1186/s12877-024-05587-w
Forsgren E, Ekman I, Olsson L-E. Person-centred care as an evolving field of research: a recent snapshot. Front Health Serv. 2025;5:1534178. https://doi.org/10.3389/frhs.2025.1534178
Jung W, Lim S, Wi D, Ustach A, Thompson HJ. Person-focused interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review. Inj Prev. 2025;31(5):357-67. https://doi.org/10.1136/ip-2024-045385
Peters MDJ, Godfrey CM, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping reviews. In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis [Internet]. Adelaide (AU): JBI; 2024 [citado em 26 mar 2026]. Disponível em: https://synthesismanual.jbi.global
Pollock D, Peters MDJ, Khalil H, McInerney P, Tricco AC, Alexander L, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023;21(3):520-32. https://doi.org/10.11124/JBIES-22-00123
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850
Assad LG, Oliveira JS, Pereira RM, Santos LFM, Carvalho MFS, Batista RLS, et al. Scoping review protocol: implementation of person-centred care for fall prevention in hospitalized adults and older adults [Internet]. OSF; 2025 [citado em 26 mar 2026]. https://doi.org/10.17605/OSF.IO/TB6JQ
BIREME. DeCS: descritores em ciências da saúde [Internet]. São Paulo: BIREME; 2024 [citado em 26 mar 2026]. Disponível em: https://decs.bvsalud.org/
National Library of Medicine (US). Medical Subject Headings (MeSH) [Internet]. Bethesda (MD): National Library of Medicine; 2024 [citado em 26 mar 2026]. Disponível em: https://meshb.nlm.nih.gov/
National Library of Medicine (US). PubMed [Internet]. Bethesda (MD): National Library of Medicine; 2024 [citado em 26 mar 2026]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/
Elsevier. Scopus [Internet]. Amsterdam: Elsevier; 2004- [citado em 26 mar 2026]. Disponível em: https://www.scopus.com
Lefebvre C, Glanville J, Briscoe S, Littlewood A, Marshall C, Metzendorf MI, et al. Searching for and selecting studies. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al., editors. Cochrane handbook for systematic reviews of interventions [Internet]. 2nd ed. Chichester (UK): John Wiley & Sons; 2019. p. 67-107. https://doi.org/10.1002/9781119536604.ch4
Haddaway NR, Grainger MJ, Gray CT. citationchaser: an R package and Shiny app for forward and backward citation chasing in academic searching [Internet]. Geneva: Zenodo; 2021 [citado em 26 mar 2026]. https://doi.org/10.5281/zenodo.4543513
DeepL GmbH. DeepL translator [Internet]. Cologne: DeepL GmbH; 2024 [citado em 26 mar 2026]. Disponível em: https://www.deepl.com
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
Brasil. Lei nº 14.874, de 28 de maio de 2024. Dispõe sobre a pesquisa com seres humanos e institui o Sistema Nacional de Ética em Pesquisa com Seres Humanos (SINEP). Diário Oficial da União. 29 mai 2024; Seção 1.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Global Academic Nursing Journal
