Developing an Assessment Scale to Identify Risk of Falling Residents in Nursing Homes

2.50
Hdl Handle:
http://hdl.handle.net/10755/153790
Type:
Presentation
Title:
Developing an Assessment Scale to Identify Risk of Falling Residents in Nursing Homes
Abstract:
Developing an Assessment Scale to Identify Risk of Falling Residents in Nursing Homes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Huang, Tzu-Ting, PhD, RN
P.I. Institution Name:Chang Gung University
Title:Full Professor
Co-Authors:Yah-Ling Chen RN, MSN, Head Nurse
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Assessment of a resident's risk of falling can be performed using a fall-risk assessment tool. However, few assessment tools have been subjected to extensive evaluation, and no tool are developed targeting residents of nursing homes. The aim of this study is developing a falling assessment tool with psychometric evaluation for residents of nursing homes. We targeted 235 residents who lived in 4 nursing homes in northern Taiwan. During a 12-month follow-up, the results showed that the new scale includes 6 items: falls history (past year); dizziness/ syncope; use assistive devices: with cane, walker or wheelchair, with handrail or others; using medicines that may cause orthostatic hypotension; attempts to arise: uses arm to help and requires more than twice, unable arise and unable without help; and cognitive impaired (MMSE<24). We found that this new scale with good inter-rater reliability (K = .91, p < .001), a 2-week test-retest reliability (r=.88, p < .001), and discriminant validity with GDS ( r = -.57, p<.001). A cutoff point greater than or equal to 7 (the best Youden Index was .89, sensitivity was .94, specificity was .95, and under ROC area was .94) for the new scale would be recommended for screening falls among residents in nursing homes. In conclusion, this new scale with > 7 as cutoff point has good sensitivity and specificity, inter-rater reliability and test-retest reliability among this population in nursing homes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping an Assessment Scale to Identify Risk of Falling Residents in Nursing Homesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153790-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing an Assessment Scale to Identify Risk of Falling Residents in Nursing Homes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huang, Tzu-Ting, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chang Gung University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Full Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">thuang@mail.cgu.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yah-Ling Chen RN, MSN, Head Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Assessment of a resident's risk of falling can be performed using a fall-risk assessment tool. However, few assessment tools have been subjected to extensive evaluation, and no tool are developed targeting residents of nursing homes. The aim of this study is developing a falling assessment tool with psychometric evaluation for residents of nursing homes. We targeted 235 residents who lived in 4 nursing homes in northern Taiwan. During a 12-month follow-up, the results showed that the new scale includes 6 items: falls history (past year); dizziness/ syncope; use assistive devices: with cane, walker or wheelchair, with handrail or others; using medicines that may cause orthostatic hypotension; attempts to arise: uses arm to help and requires more than twice, unable arise and unable without help; and cognitive impaired (MMSE&lt;24). We found that this new scale with good inter-rater reliability (K = .91, p &lt; .001), a 2-week test-retest reliability (r=.88, p &lt; .001), and discriminant validity with GDS ( r = -.57, p&lt;.001). A cutoff point greater than or equal to 7 (the best Youden Index was .89, sensitivity was .94, specificity was .95, and under ROC area was .94) for the new scale would be recommended for screening falls among residents in nursing homes. In conclusion, this new scale with &gt; 7 as cutoff point has good sensitivity and specificity, inter-rater reliability and test-retest reliability among this population in nursing homes.</td></tr></table>en_GB
dc.date.available2011-10-26T12:31:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:31:07Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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