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| Research article summary (published 30 May 2003): |
Fall risk assessment: a prospective investigation of nurses' clinical judgement and risk assessment tools in predicting patient falls.
Full Abstract
A prospective cohort study was used to determine the reliability and validity of two fall risk assessment tools and nurses' clinical judgement in predicting patient falls. The study wards comprised two aged care and rehabilitation wards within a 570 bed acute care tertiary teaching hospital in Western Australia. Instrument testing included test-retest reliability and calculations of sensitivity, specificity, positive predictive value, negative predictive value and accuracy. The test retest reliability of all methods was good. In this setting, the three methods of assessing fall risk showed good sensitivity but poor specificity. Also, all methods had limited accuracy, and overall, exhibited an inability to adequately discriminate between patient populations at risk of falling and those not at risk of falling. Consequently, neither nurses' clinical judgement nor the fall risk assessment tools could be recommended for assessing fall risk in this clinical setting.
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Author information
Author/s: Myers, Helen (H); Nikoletti, Sue (S);
Affiliation: Centre for Nursing Research, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.Helen.Myers(-atsign-)health.wa.gov.au
Journal and publication information
Publication Type: Comparative Study; Journal Article; Validation Studies
Journal: International journal of nursing practice (Int J Nurs Pract), published in Australia. (Language: eng)
Reference: 2003-Jun; vol 9 (issue 3) : pp 158-65
Dates: Created 2003/06/12; Completed 2003/09/11; Revised 2006/11/15;
PMID: 12801247, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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