Risk Assessment of Pediatric Inpatient Falls: A Systematic Review of Current Instruments

2.50
Hdl Handle:
http://hdl.handle.net/10755/303956
Category:
Abstract
Type:
Presentation
Title:
Risk Assessment of Pediatric Inpatient Falls: A Systematic Review of Current Instruments
Author(s):
Huang, Ya-Hui; Chang, Chia-Chen; Chang, Shin-Yu; Fang, Yueh-Yen
Lead Author STTI Affiliation:
Non-member
Author Details:
Ya-Hui Huang, BSN, RN, j8215612@yahoo.com.tw; Chia-Chen Chang, BSN; Shin-Yu Chang, BSN, RN; Yueh-Yen Fang, PhD, RN;
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose:

 The purposes of this study were to systematically review current evidence of in-hospital pediatric falls assessment instruments and to compare their effectiveness in predicting in-hospital pediatric falls.

Methods:

  A systematic review was conducted to respond to the study purposes. Footnote chasing as well as six English and two Chinese databases were used to search English and Chinese literature published up to August, 2011. The term ‘fall’ with an age limit of 6 months to 12 years was used in an inclusive literature search. The study quality was evaluated by the Johns Hopkins Nursing Evidence-based practice Quality Rating Scale.

Results:

 Nine studies that met the inclusion criteria were located from a review of 6,299 articles. Eight instruments were identified. One of these instruments was originally a measure of geriatric falls risk and assessed for its applicability in a pediatric population. Measures involved intrinsic and extrinsic factors. Intrinsic factors are physical alterations or impairment, cognitive/mental/behavioral dysfunctions, age, gender, and history of falls. Extrinsic factors are invasive procedures, medication use, length of stay, and equipment/environment hazards. However, inclusions of factors and scoring rationales vary across instruments. Redundant items within a scale are commonly seen, especially items related to medication use and physical functions. Sensitivities of included instruments in predicting general risk of pediatric falls ranged from .29 to 1.00, and .30 to .82 for high risk criterion. The instrument specificities ranged from .24 to .79. Their reliabilities ranged from .40 to .77. All included studies used a convenient sample retrieved from chart reviews. The study qualities ranged from III-b to III-c.

Conclusion:

Lacks of rigorous measurement development processes impede the quality of current pediatric falls risk assessment instruments. A comprehensive construct identification presented in this review would benefit future development in measuring risks of pediatric falls in hospitals.

Keywords:
risk assessment; pediatric falls
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleRisk Assessment of Pediatric Inpatient Falls: A Systematic Review of Current Instrumentsen_GB
dc.contributor.authorHuang, Ya-Huien_GB
dc.contributor.authorChang, Chia-Chenen_GB
dc.contributor.authorChang, Shin-Yuen_GB
dc.contributor.authorFang, Yueh-Yenen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsYa-Hui Huang, BSN, RN, j8215612@yahoo.com.tw; Chia-Chen Chang, BSN; Shin-Yu Chang, BSN, RN; Yueh-Yen Fang, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/303956-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b> <p> The purposes of this study were to systematically review current evidence of in-hospital pediatric falls assessment instruments and to compare their effectiveness in predicting in-hospital pediatric falls. <p><b>Methods: </b> <p> <b> </b>A systematic review was conducted to respond to the study purposes. Footnote chasing as well as six English and two Chinese databases were used to search English and Chinese literature published up to August, 2011. The term ‘fall’ with an age limit of 6 months to 12 years was used in an inclusive literature search. The study quality was evaluated by the Johns Hopkins Nursing Evidence-based practice Quality Rating Scale. <p><b>Results: </b> <p> Nine studies that met the inclusion criteria were located from a review of 6,299 articles. Eight instruments were identified. One of these instruments was originally a measure of geriatric falls risk and assessed for its applicability in a pediatric population. Measures involved intrinsic and extrinsic factors. Intrinsic factors are physical alterations or impairment, cognitive/mental/behavioral dysfunctions, age, gender, and history of falls. Extrinsic factors are invasive procedures, medication use, length of stay, and equipment/environment hazards. However, inclusions of factors and scoring rationales vary across instruments. Redundant items within a scale are commonly seen, especially items related to medication use and physical functions. Sensitivities of included instruments in predicting general risk of pediatric falls ranged from .29 to 1.00, and .30 to .82 for high risk criterion. The instrument specificities ranged from .24 to .79. Their reliabilities ranged from .40 to .77. All included studies used a convenient sample retrieved from chart reviews. The study qualities ranged from III-b to III-c. <p><b>Conclusion: </b> <p>Lacks of rigorous measurement development processes impede the quality of current pediatric falls risk assessment instruments. A comprehensive construct identification presented in this review would benefit future development in measuring risks of pediatric falls in hospitals.<b></b>en_GB
dc.subjectrisk assessmenten_GB
dc.subjectpediatric fallsen_GB
dc.date.available2013-10-22T20:26:34Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:26:34Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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