Exploring and evaluating five paediatric falls assessment instruments and injury risk indicators: an ambispective study in a tertiary care setting

Journal of Nursing Management
Kimberly HarveyElizabeth Blades

Abstract

To evaluate currently available paediatric falls assessments instruments and to build a predictive fall model while also evaluating injury risk as a predictor of fall likelihood within the paediatric inpatient population. There is lack of paediatric-specific fall assessment instruments and little information on the exploration of injury risk as related to falls in hospitalized children. An ambispective, matched case-control design conducted in a sample of 100 inpatient paediatric patients. Results Two out of five instruments performed well to classify children at risk of falls. Longer length of stay, bleeding cautions/blood disorders and temperament/behaviour issues were significant predictors of fall likelihood. Cognitive impairment or neurological disease was not related to an increased likelihood of fall or injury risk for this sample. More research is required to institute and standardize paediatric fall and injury risk assessments for everyday use. The explicit approach of using predictive modelling is critical in creating a universal, baseline reference for the most reliable and valid measure of assessment in children. Findings of the present study increase awareness of nursing managers and leaders as to the necessity for...Continue Reading

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Citations

Mar 27, 2013·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Patricia Ruth MessmerArthur R Williams
Jul 20, 2010·Journal of Nursing Management·David Newbold, Kristiina Hyrkäs
Jan 8, 2013·Journal for Specialists in Pediatric Nursing : JSPN·Nancy A Ryan-Wenger, Janet S Dufek
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May 29, 2021·Journal of Pediatric Nursing·Eun Joo Kim, Anna Lee

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