Purpose: This study aimed to provide a detailed understanding of nurses’ experiences with fall management in wards equipped with a video-based fall detection system. Methods: In-depth, semi-structured interviews were conducted with 10 nurses from an integrated nursing care ward at K Hospital in City C, where the system had been implemented. The interviews focused on nurses’ actual experiences and reflections regarding fall management. Data were systematically analyzed using Hsieh and Shannon’s conventional content analysis, which identified meaningful categories and themes. Results: The analysis identified six themes and 15 subthemes. The main themes were: Context of falls and limitations in management falls occurred through interactions between patient behaviors and environmental factors, while current assessment and management systems did not adequately address these complexities. Need for structured response processes after introducing video-based fall detection although video-based systems were implemented, fall recognition and responses remained experience-based and situation-dependent, highlighting the need for standardized, systematic procedures. Perceived limitations of video-based fall detection systems the system presented challenges such as delayed and false alarms, which reduced real-time responsiveness and affected clinical reliability. Practical benefits of video-based fall management and changes in nursing practice video verification improved the objectivity and accuracy of fall reporting, enhancing the consistency and systematization of nursing practice. Strategies for system use according to ward environment tailored use of the system based on ward characteristics and patient composition was suggested to optimize monitoring efficiency and fall prevention. Future directions for improved fall management strategies to enhance patient and caregiver awareness through video-based education and to improve ward environments were proposed as approaches for developing a preventive, smart-care model. Conclusion: The findings of this study indicate future directions and challenges for technology-based nursing practice in fall management, highlighting the need to develop new assessment frameworks, as well as educational and research strategies that reflect nurses’ experiences in diverse contexts, given the practical changes introduced by the video-based fall detection system and the limitations of current assessment tools.

서 론
    1. 연구의 필요성
    2. 연구목적
연 구 방 법
    1. 연구설계
    2. 연구자의 준비
    3. 연구참여자
    4. 자료수집
    5. 윤리적 고려
    6. 자료분석
    7. 연구의 엄격성
연 구 결 과
    주제 1. 병동 내 낙상 발생의 맥락과 관리의 한계
    주제 2. 영상 기반 낙상 감지 시스템 도입 이후, 낙상 대응과정의 구조화 필요성
    주제 3. 영상 기반 낙상 감지 시스템의 한계 인식
    주제 4. 영상 기반 낙상 관리의 효용과 간호 실무 변화
    주제 5. 병동 환경에 따른 낙상 감지 시스템 활용 전략
    주제 6. 더 나은 낙상 관리를 향한 변화의 모색
논 의
결 론 및 제 언
    1. 결론
    2. 제언
REFERENCES

• 최승옥(강원대학교병원 의료혁신과장) | Choi Seung Ok (Director of Medical Innovation Department, Kangwon National University Hospital, Chuncheon, Korea) Corresponding author
• 이동숙(강원대학교 간호대학 교수) | Lee Dong Suk (Professor, College of Nursing, Kangwon National University, Chuncheon, Korea)
• 최문기(강원대학교 간호대학 교수) | Choi MoonKi (Professor, College of Nursing, Kangwon National University, Chuncheon, Korea)