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Turkish adaptation of Wilson-Sims psychiatric fall risk assessment scale
Fatma Kantaş Yılmaz1, Selda Polat2, Rabia Bilici3
1Department of Health Management, University of Health Sciences Turkey, Istanbul, Turkey.
Purpose:
This study aimed to adapt the Wilson-Sims Fall Scale to Turkish and assess the levels of sensitivity and selectivity.
Design And Methods:
The scale consisting of two sections and 15 items including age, gender, mental and physical status, elimination, impairments, gait/balance, falls' history, medications, and detox protocol was administered to 750 patients in psychiatric clinic.
Findings:
The kappa coefficient of the study (K: 0.44, p < .000) showed a moderate agreement. The sensitivity and selectivity rates of the scale were 78.5% and 77.6%, respectively. Positive and negative predictive values were 6.25% and 99.4%.
Practice Implications:
The scale has acceptable sensitivity and selectivity values. It is best practice to use both Wilson-Sims and Itaki Scale simultaneously for identification of patients at risk of falling.
