TY  - JOUR
PY  - 2021//
TI  - Development and validation of a fall prevention efficiency scale
JO  - Journal of patient safety
A1  - Dykes, Patricia C.
A1  - Khasnabish, Srijesa
A1  - Burns, Zoe
A1  - Adkison, Lesley E.
A1  - Alfieri, Lois
A1  - Bogaisky, Michael
A1  - Carroll, Diane L.
A1  - Carter, Eileen J.
A1  - Hurley, Ann C.
A1  - Jackson, Emily
A1  - Kurian, Susan
A1  - Lindros, Mary Ellen
A1  - Ryan, Virginia
A1  - Scanlan, Maureen
A1  - Sessler, Kelly
A1  - Shelley, Alexandra
A1  - Spivack, Linda B.
A1  - Walsh, Mary-Ann
A1  - Bates, David W.
A1  - Adelman, Jason S.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1549-8417
UR  - http://dx.doi.org/10.1097/PTS.0000000000000811
ID  - ref1
ER  -