Development and Validation of a Fall Prevention Efficiency Scale

Dykes, PC (通讯作者),Brigham & Womens Hosp, Div Gen & Internal Med & Primary Care, Ctr Patient Safety Res & Practice, 1620 Tremont St,3rd Floor, Boston, MA 02120 USA.
2022-3
Objectives Fall TIPS (Tailoring Interventions for Patient Safety) is an evidence-based fall prevention program that led to a 25% reduction in falls in hospitalized adults. Because it would be helpful to assess nurses' perceptions of burdens imposed on them by using Fall TIPS or other fall prevention program, we conducted a study to learn benefits and burdens. Methods A 3-phase mixed-method study was conducted at 3 hospitals in Massachusetts and 3 in New York: (1) initial qualitative, elicited and categorized nurses' views of time spent implementing Fall TIPS; (2) second qualitative, used nurses' quotes to develop items, research team inputs for refinement and organization, and clinical nurses' evaluation and suggestions to develop the prototype scale; and (3) quantitative, evaluated psychometric properties. Results Four time themes emerged: (1) efficiency, (2) inefficiency, (3) balances out, and (4) valued. A 20-item prototype Fall Prevention Efficiency Scale was developed, administered to 383 clinical nurses, and reduced to 13 items. Individual items demonstrated robust stability with Pearson correlations of 0.349 to 0.550 and paired t tests of 0.155 to 1.636. Four factors explained 74.3% variance and provided empirical support for the scale's conceptual basis. The scale achieved excellent internal consistency values (0.82-0.92) when examined with the test, validation, and paired (both test and retest) samples Conclusions This new scale assess nurses' perceptions of how a fall prevention program affects their efficiency, which impacts the likelihood of use. Learning nurses' beliefs about time wasted when implementing new programs allows hospitals to correct problems that squander time.
JOURNAL OF PATIENT SAFETY
卷号:18|期号:2|页码:94-101
ISSN:1549-8417|收录类别:SCIE
语种
英语
来源机构
Partners Healthcare System; Harvard University; Harvard Medical School; Montefiore Medical Center; Columbia University; NewYork-Presbyterian Hospital
资助机构
Agency for Healthcare Research Quality(United States Department of Health & Human ServicesAgency for Healthcare Research & Quality)
资助信息
This work was supported by the Agency for Healthcare Research Quality (grant number 1R18HS025128-01).
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
0
2013以来使用计数
5
EISSN
1549-8425
出版年
2022-3
DOI
10.1097/PTS.0000000000000811
学科领域
循证公共卫生
关键词
fall prevention scale nursing workflow quality improvement patient safety
WOS学科分类
Health Care Sciences & Services Health Policy & Services