Testing the sensitivity, specificity and feasibility of four falls risk assessment tools in a clinical setting
Testing the sensitivity, specificity and feasibility of four falls risk assessment tools in a clinical setting
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DOI：
10.1111/j.1365-2834.2010.01218.x
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发表时间：
2011-01-01
影响因子：
5.5
通讯作者：
Hyrkaes, Kristiina
中科院分区：
文献类型：
--
作者：
Chapman, Joanne;Bachand, Deborah;Hyrkaes, Kristiina
AimThis paper reports on a study undertaken to test sensitivity，specificity and validity of fall risk assessment tools. Background福尔斯风险评估工具已开发的基础上，文献和实证研究的结果，但该工具往往缺乏进一步的测试，在临床setting.MethodFour福尔斯风险评估工具进行了测试，同时在这项研究中。数据收集于2006年5月至6月。所有评估工具均在总计1546例患者中完成。描述性统计用于dataanalysis.ResultsThe使用的仪器是适度一致的注册护士，但提供的教育并没有完全消除问题的准确性。仪器的敏感性为57.1 ~ 100%，特异性为24.9- 69.3%。结论仪器的敏感性和特异性是选择仪器时应考虑的重要因素。然而，教育工作人员和适当干预的战略是同样重要的一个组织采取积极主动的立场，在减轻风险的福尔斯。影响护理ManagementIt是重要的管理人员测试仪器在自己的组织和特定人群。仔细评估所选仪器是否易于使用和准确也很重要。
AimThis paper reports on a study undertaken to test the sensitivity, specificity and feasibility of four fall risk assessment tools.BackgroundFalls risk assessment tools have been developed based on literature and findings from empirical studies, but the instruments often lack further testing in the clinical setting.MethodFour falls risk assessment tools were tested simultaneously in this study. The data was collected in May-June 2006. All assessment tools were completed on a total of 1546 patients. Descriptive statistics were used for data analysis.ResultsThe use of the instruments was moderately consistent among registered nurses, but the education provided did not entirely eliminate problems with accuracy. The sensitivity of the instruments was 57.1-100% and specificity was 24.9-69.3%.ConclusionThe sensitivity and specificity of the instruments are important factors to consider when choosing an instrument. However, the strategies to educate staff and to intervene appropriately are equally important for an organization undertaking a proactive stance in mitigating the risk of falls.Implications for Nursing ManagementIt is important for managers to test instruments in their own organizations and specific populations. It is also critical to carefully assess that the chosen instrument is easy and accurate in use.