An Integrative Review of Pediatric Fall Risk Assessment Tools
| Autor: | Katherine Finn Davis, Kimberly DiGerolamo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Population Psychological intervention Risk Assessment Pediatrics 03 medical and health sciences Accident Prevention 0302 clinical medicine Humans Medicine 030212 general & internal medicine Child education Fall risk assessment Philadelphia Inpatients education.field_of_study 030504 nursing business.industry Incidence Hospitals Pediatric Critical appraisal Child Preschool Accidental Falls Abstract problem Patient Safety 0305 other medical science Risk assessment business Inclusion (education) Fall prevention |
| Zdroj: | Journal of Pediatric Nursing. 34:23-28 |
| ISSN: | 0882-5963 |
| DOI: | 10.1016/j.pedn.2017.02.036 |
| Popis: | Problem Patient fall prevention begins with accurate risk assessment. However, sustained improvements in prevention and quality of care include use of validated fall risk assessment tools (FRATs). The goal of FRATs is to identify patients at highest risk. Adult FRATs are often borrowed from to create tools for pediatric patients. Though factors associated with pediatric falls in the hospital setting are similar to those in adults, such as mobility, medication use, and cognitive impairment, adult FRATs and the factors associated with them do not adequately assess risk in children. Eligibility Criteria Articles were limited to English language, ages 0–21 years, and publish date 2006–2015. Sample The search yielded 22 articles. Ten were excluded as the population was primarily adult or lacked discussion of a FRAT. Critical appraisal and findings were synthesized using the Johns Hopkins Nursing evidence appraisal system. Results Twelve articles relevant to fall prevention in the pediatric hospital setting that discussed fall risk assessment and use of a FRAT were reviewed. Comparison between and accuracy of FRATs is challenged when different classifications, definitions, risk stratification, and inclusion criteria are used. Conclusions Though there are several pediatric FRATs published in the literature, none have been found to be reliable and valid across institutions and diverse populations. Implications This integrative review highlights the importance of choosing a FRAT based on an institution's identified risk factors and validating the tool for one's own patient population as well as using the tool in conjunction with nursing clinical judgment to guide interventions. |
| Databáze: | OpenAIRE |
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