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Agreement in Fall Risk Perception Among Oncohematology Patients, Caregivers, and Nurses: A Cross-Sectional Study
Sandra Cabrera-Jaime1, Nuria Salvadó-Viella, Elena Da Silva-Bohigas
1Author Affiliations: Department of Research, Catalan Institute of Oncology-Germans Trias i Pujol Hospital (Dr Cabrera-Jaime); Department of Nursing, Autonomous University of Barcelona, Barcelona (Dr Cabrera-Jaime); GRIN Group, IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat (Dr Cabrera-Jaime); Department of Care, Catalan Institute of Oncology-Hospital Trueta, Girona (Mmes Salvadó-Viella, Da Silva-Bohigas, and Sola-Mas); Department of Care, Catalan Institute of Oncology-Hospital Germans Trias i Pujol, Badalona (Mmes Garrido-Bueno, Fernández-Rodriguez, Mr Acacio-Chaos, and Mrs Zarza-Arnau); and NURECARE-IGTP Foundation, Badalona, Spain (Mmes Garrido-Bueno, Fernández-Rodriguez, Mr Acacio-Chaos, and Mrs Zarza-Arnau ).
Background:
Falls are preventable adverse events in hospitalized oncology populations.
Purpose:
To determine agreement in perceived fall risk among oncohematologic patients, caregivers, and nurses within 72 hours of admission.
Methods:
A prospective cross-sectional study was conducted in 2 university hospitals involving patient-caregiver-nurse triads. The primary outcome was perceived fall risk assessed with the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients.
Results:
A total of 126 triads (378 assessments) were analyzed. Overall agreement was moderate (72.2%; k = 0.573). "History of falls" showed almost perfect agreement (93.7%; k = 0.824). "Patient agitation" showed fair agreement (k = 0.280), whereas "visual impairment" and "frequent toileting/toilet assistance" showed no significant agreement. Pairwise concordance ranged from 79.4%-83.3% (k = 0.536-0.607), with the highest agreement between caregiver and nurse.
Conclusions:
Overall agreement was moderate, with the highest agreement for history of falls. Standardizing interpretation and incorporating multidimensional assessments may improve fall risk identification.
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