Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice

. 2021 Mar 20 ; 18 (6) : . [epub] 20210320

Jazyk angličtina Země Švýcarsko Médium electronic

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid33804715

(1) Background: The use of standardized tools is regarded as the basis for an evidence-based assessment. The tools enable monitoring of complex events and the effectiveness of adopted interventions. Some healthcare facilities use standardized tools such as the Morse Fall Scale, but many use non-standardized tools created based on patient needs. Our study question was, why are non-standardized tools used when standardized tools are more beneficial and can be statistically evaluated and compared to other results; (2) Methods: We used a quantitative, non-standardized questionnaire to survey 1200 nurses, which was representative sample for the entire Czech Republic. All questionnaires were assessed in two phases (a) the frequency evaluation and descriptive analysis, and (b) hypotheses testing and correlation analyses; (3) Results: We found that the Conley Scale, Barthel test, and IADL test were preferred by many nurses. Furthermore, we found that nurses using standardized assessment scales noticed risk factors significantly more frequently but regarded the increased complexity of care to be psychologically demanding. (4) Conclusions: In patients with physical disabilities, both types of tools (internal non-standardized and standardized) are used to assess the risk of falls and independence; nurses generally welcomed the increase use of standardized tools in their facilities.

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Spaner D., Caraiscos V.B., Muystra C., Furman M.L., Zaltz-Dubin J., Wharton M., Whitehead K. Use of Standardized Assessment Tools to Improve the Effectiveness of Palliative Care Rounds. J. Palliat. Care. 2017;32:134–140. doi: 10.1177/0825859717740051. PubMed DOI

Lyon A.R., Ludwig K., Wasse J.K., Bergstrom A., Hendrix E., McCauley E. Determinants and Functions of Standardized Assessment Use Among School Mental Health Clinicians: A Mixed Methods Evaluation. Adm. Policy Ment. Health. 2016;43:122–134. doi: 10.1007/s10488-015-0626-0. PubMed DOI PMC

Borntrager C., Lyon A.R. Client Progress Monitoring and Feedback in School-Based Mental Health. Cogn. Behav. Pract. 2015;22:74–86. doi: 10.1016/j.cbpra.2014.03.007. PubMed DOI PMC

Lotfi M., Zamanzadeh V., Valizadeh L., Khajehgoodari M., Ebrahimpour Rezaei M., Khalilzad M.A. The implementation of the nursing process in lower-income countries: An integrative review. Nurs. Open. 2019;7:42–57. doi: 10.1002/nop2.410. PubMed DOI PMC

Semachew A. Implementation of nursing process in clinical settings: The case of three governmental hospitals in Ethiopia, 2017. BMC Res. Notes. 2018;11 doi: 10.1186/s13104-018-3275-z. PubMed DOI PMC

Christalle E., Zill J.M., Frerichs W., Härter M., Nestoriuc Y., Dirmaier J., Scholl I., Chaabna K. Assessment of patient information needs: A systematic review of measures. PLoS ONE. 2019;14 doi: 10.1371/journal.pone.0209165. PubMed DOI PMC

Wales K., Clemson L., Lannin N.A., Cameron I.D. Functional assessment used by occupational therapists with older adults at risk of activity and participation limitations: A systematic review and evaluation of measurement properties. Syst. Rev. 2012;1 doi: 10.1186/2046-4053-1-45. PubMed DOI PMC

Stewart S. The Use of Standardised and Non-Standardised Assessment in a Social Services Setting: Implications for Practice. Br. J. Occup. Ther. 2016;62:417–423. doi: 10.1177/030802269906200907. DOI

Neugebauer J., Tóthová V. Physical disabilities in nursing—the use of selected tools to monitor physically disabled patients’ needs. Kontakt. 2019;21:344–351. doi: 10.32725/kont.2019.032. DOI

Appelgren M., Bahtsevani C., Persson K., Borglin G. Nurses’ experiences of caring for patients with intellectual developmental disorders: A systematic review using a meta-ethnographic approach. BMC Nurs. 2018;17 doi: 10.1186/s12912-018-0316-9. PubMed DOI PMC

Douglas C., Booker C., Fox R., Windsor C., Osborne S., Gardner G. Nursing physical assessment for patient safety in general wards: Reaching consensus on core skills. J. Clin. Nurs. 2016;25:1890–1900. doi: 10.1111/jocn.13201. PubMed DOI

De Clercq H., Naudé A., Bornman J. Factors included in adult fall risk assessment tools (FRATs): A systematic review. Ageing Soc. 2020:1–25. doi: 10.1017/S0144686X2000046X. DOI

Bóriková I., Žiaková K., Tomagová M., Záhumenská J. The risk of falling among older adults in long-term care: Screening by the Morse Fall Scale. Kontakt. 2018;20:111–119. doi: 10.1016/j.kontakt.2017.11.006. DOI

Park J., Koh S.B., Kim H.J., Oh E., Kim J.S., Yun J.Y., Kwon D.Y., Kim Y., Kim J.S., Kwon K.Y., et al. Validity and Reliability Study of the Korean Tinetti Mobility Test for Parkinson’s Disease. J. Mov. Disord. 2018;11:24–29. doi: 10.14802/jmd.17058. PubMed DOI PMC

Pashmdarfard M., Akram A. Assessment tools to evaluate Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults: A systematic review. Med. J. Islam Repub. Iran. 2020;34:33. doi: 10.34171/mjiri.34.33. PubMed DOI PMC

Trad W., Flowers K., Caldwell J., Sousa M., Vigh G., Lizarondo L., Gaudin J., Hooper D., Parker D. Nursing assessment and management of incontinence among medical and surgical adult patients in a tertiary hospital. JBI Database Syst. Rev. Implement Rep. 2019;17:2578–2590. doi: 10.11124/JBISRIR-D-19-00110. PubMed DOI

Read S., Heslop P., Turner S., Mason-Angelow V., Tilbury N., Miles C., Hatton C. Disabled people’s experiences of accessing reasonable adjustments in hospitals: A qualitative study. BMC Health Serv. Res. 2018;18:931. doi: 10.1186/s12913-018-3757-7. PubMed DOI PMC

Temple B., Mordoch E. Nursing Student Perceptions of Disability and Preparation to Care for People with Intellectual Disabilities. J. Nurs Educ. 2012;51:407–410. doi: 10.3928/01484834-20120515-01. PubMed DOI

Neugebauer J., Tóthová V. Assessment of pressure ulcers in physically handicapped patients. Dev. Health Sci. 2020 doi: 10.1556/2066.2020.00006. DOI

De Baets S., Calders P., Schalley N., Vermeulen K., Vertriest S., Peteghem L.V., Coussens M., Malfait F., Vanderstraeten G., Hove G.V., et al. Updating the Evidence on Functional Capacity Evaluation Methods: A systematic Review. J. Occup. Rehabil. 2018;3:418–428. doi: 10.1007/s10926-017-9734-x. PubMed DOI

Volberding P.A., Spicer C.M., Flaubert J.L. Functional Assessment for Adults with Disabilities. National Academies Press; Washington, DC, USA: 2019. PubMed DOI

Nthekang S.D.M., Du Plessis E. Resilience of auxiliary nurses providing nursing care to patients with intellectual disabilities at a public mental healthcare institution. Curationis. 2019;42 doi: 10.4102/curationis.v42i1.1954. PubMed DOI PMC

Shakespeare T., Kleine I. Educating Health Professionals about Disability: A Review of Interventions. Health Soc. Care Educ. 2013;2:20–37. doi: 10.11120/hsce.2013.00026. DOI

Vanpuymbrouck L., Friedman C. Relationships between occupational therapy students’ understandings of disability and disability attitudes. Scand. J. Occup. Ther. 2020;27:122–132. doi: 10.1080/11038128.2019.1596310. PubMed DOI

Institute of Health Information and Statistics of the Czech Republic . Zdravotnická Ročenka České Republiky: Czech Health Statistics Yearbook. Institute of Health Information and Statistics of the Czech Republic; Prague, Czech Republic: 2013.

Najafpour Z., Godarzi Z., Arab M., Yaseri M. Risk Factors for Falls in Hospital In-Patients: A Prospective Nested Case Control Study. Int. J. Health Policy Manag. 2019;8:300–306. doi: 10.15171/ijhpm.2019.11. PubMed DOI PMC

Kaya G., Ward K.J.R., Clarkson P.J. A framework to support risk assessment in hospitals. Int. J. Qual. Health Care. 2019;31:393–401. doi: 10.1093/intqhc/mzy194. PubMed DOI PMC

Farokhzadian J., Dehghan Nayeri N., Borhani F. Assessment of Clinical Risk Management System in Hospitals: An Approach for Quality Improvement. Glob. J. Health Sci. 2015;7 doi: 10.5539/gjhs.v7n5p294. PubMed DOI PMC

Achrekar M., Murthy V., Kanan S., Shetty R., Nair M., Khattry N. Introduction of Situation, Background, Assessment, Recommendation into Nursing Practice: A Prospective Study. Asia Pac. J. Oncol. Nurs. 2016;3 doi: 10.4103/2347-5625.178171. PubMed DOI PMC

Osakwe Z.T., Larson E., Agrawal M., Shang J. Assessment of Activity of Daily Living Among Older Adult Patients in Home Healthcare and Skilled Nursing Facilities. Home Healthc. Now. 2017;35:258–267. doi: 10.1097/NHH.0000000000000537. PubMed DOI PMC

Liebzeit D., King B., Bratzke L. Measurement of function in older adults transitioning from hospital to home: An integrative review. Geriatr. Nurs. 2018;39:336–343. doi: 10.1016/j.gerinurse.2017.11.003. PubMed DOI PMC

Roedl K.J., Wilson L.S., Fine J. A systematic review and comparison of functional assessments of community-dwelling elderly patients. J. Am. Assoc. Nurse Pract. 2016;28:160–169. doi: 10.1002/2327-6924.12273. PubMed DOI

Yi Y., Ding L., Wen H., Wu J., Makimoto K., Liao X. Is Barthel Index Suitable for Assessing Activities of Daily Living in Patients with Dementia? Front. Psychiatry. 2020;11 doi: 10.3389/fpsyt.2020.00282. PubMed DOI PMC

Park S.H. Tools for assessing fall risk in the elderly: A systematic review and meta-analysis. Aging Clin. Exp. Res. 2018;30:1–16. doi: 10.1007/s40520-017-0749-0. PubMed DOI

Rivolta M.W., Aktaruzzaman M.D., Rizzo G., Lafortuna C.L., Ferrarin M., Bovi G., Bonardi R.D., Caspani A., Sassi R. Evaluation of the Tinetti score and fall risk assessment via accelerometry-based movement analysis. Artif. Intell. Med. 2019;95:38–47. doi: 10.1016/j.artmed.2018.08.005. PubMed DOI

Pasa T.S., Magnago T.S.B.D.S., Urbanetto J.D.S., Baratto M.A.M., Morais B.X., Carollo J.B. Risk assessment and incidence of falls in adult hospitalized patients. Rev. Lat. Am. Enferm. 2017;25 doi: 10.1590/1518-8345.1551.2862. PubMed DOI PMC

Gringauz I., Shemesh Y., Dagan A., Israelov I., Feldman D., Pelz-Sinvani N., Justo D., Segal G. Risk of falling among hospitalized patients with high modified Morse scores could be further Stratified. BMC Health Serv. Res. 2017;17 doi: 10.1186/s12913-017-2685-2. PubMed DOI PMC

Miertová M., Bóriková I., Tomagová M., Žiaková K. Risk factors of falling in patients with neurological diseases. Kontakt. 2018;20:217–222. doi: 10.1016/j.kontakt.2018.07.002. DOI

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