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Development and Validation of a Fall Prevention Knowledge Test.

Patricia C Dykes1,2, Michael Bogaisky3, Eileen J Carter4,5

  • 1Brigham and Women's Hospital, Boston, Massachusetts.

Journal of the American Geriatrics Society
|October 10, 2018
PubMed
Summary
This summary is machine-generated.

Hospital falls are a major issue. This study developed and validated a Fall Prevention Knowledge Test (FPKT) to accurately assess and improve nursing staff knowledge, enhancing patient safety.

Keywords:
falls preventionhospitalsknowledgenursesscale or test

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Area of Science:

  • Gerontology
  • Nursing Education
  • Patient Safety

Background:

  • Falls represent a significant and ongoing challenge within hospital settings.
  • Adequate knowledge of fall prevention strategies among hospital staff is crucial for effective prevention.
  • A systematic review revealed a scarcity of validated Fall Prevention Knowledge Tests (FPKTs).

Purpose of the Study:

  • To develop and evaluate a psychometrically sound FPKT to assess nurses' knowledge of fall prevention.
  • To address the identified gap in validated instruments for measuring fall prevention knowledge.
  • To provide a tool for informing and evaluating fall prevention educational programs.

Main Methods:

  • A literature search for validated FPKTs was conducted.
  • A new FPKT was developed, including item generation, format design, and psychometric evaluation.
  • A 209-subject dataset was randomly split into test and validation samples for reliability and validity analysis.

Main Results:

  • The developed 11-item FPKT demonstrated initial reliability with a tetrachoric coefficient of 0.73.
  • Mean FPKT scores significantly improved from 5.1 to 6.6 after fall prevention education (p < .001).
  • The typical respondent was an experienced female nurse, confident in fall prevention abilities.

Conclusions:

  • A validated FPKT is essential for assessing nurses' knowledge and informing effective fall prevention education.
  • The developed FPKT offers a robust method for evaluating fall prevention knowledge.
  • Addressing the need for validated FPKTs can lead to improved patient safety and reduced falls in hospitals.