2024-03-29T11:00:18Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016898
2022-02-22T07:19:03Z
1642838163960:1642838198944:1642838199408:1642838231558
1642838403551:1642838412624
A short form of the modified Japanese Nursing Associationʼs fall-risk assessment tool
Higaonna, Miki
Odo, Sumie
Kajiki, Yorie
Iramina, Mika
accidental falls
assessment tool development
inpatients
nursing assessment
reproducibility of the results
Falls remain a significant concern for the safety of hospitalized patients internationally. We developed a short form of the modified Japanese Nursing Association’s fall-risk assessment tool to assess inpatients’ fall risks. We conducted a retrospective cohort study to evaluate the predictive validity of two brief versions of a fall-risk assessment tool in 7-, 14-, 21-, and 28-day observation periods. The study was conducted at a Japanese university hospital. Among 11,333 patients (median age: 61years, 51.3% women), 123 patients fell within 28 days of admission. Neither the modified Japanese Nursing Association’s fall-risk assessment tool nor the short-form version 1 achieved sensitivity and specificity of>.70; therefore, we developed a 2ndversion by eliminating two items (i.e., bone/joint problems and laxatives) and adding two items (i.e., impaired extremities and decreased strength). The second version exhibited good predictive validity used as a brief assessment of fall risks: sensitivity=.76,specificity=.78, positive likelihood ratio=3.47, negative likelihood ratio=.30, and the area under the receiver operating characteristics curve of .83 in a 7-day observation sample. We recommend that the study hospital implements the short-form (version 2) with careful monitoring of patients’ fall rate and collects feedback from clinical nurses.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
VoR
1346-888X
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
1-4
37
39
29
eng
open access
琉球医学会