首页> 外文期刊>International journal of nursing studies >Frequencies of falls in Swiss hospitals: Concordance between nurses' estimates and fall incident reports
【24h】

Frequencies of falls in Swiss hospitals: Concordance between nurses' estimates and fall incident reports

机译:瑞士医院的跌倒频率:护士估计与跌倒事件报告之间的一致性

获取原文
获取原文并翻译 | 示例
       

摘要

Background: Patient falls are frequent incidents in hospitals, and various measurement methods are described in the literature to assess in-patient fall rates. However, the literature includes no validation of nurses' estimates of fall frequencies, which are the preferred assessment method in multi-centre surveys.Objectives: To explore the concordance of nurses' estimated fall frequencies with continuously collected data. Design: Cross-sectional, correlational secondary data analysis.Sample/Setting: Patient fall data from 21 wards in 2 Swiss acute care hospitals participating in the RICH Nursing Study. Methods: Registered nurses' (N=233) estimated fall frequencies, assessed by the International Hospital Outcome Study questionnaire in absolute number of falls over the last month, and, using a four-point Likert scale (never = 1; frequently = 4), over the last year, were compared to standardized hospital fall incident reports compiled over the same periods. Fall incident reports for the last month were assessed in absolute numbers and were calculated as fall rates per 1000 patient days, with data computed at the ward level. The concordance with nurses' estimates was then tested using Spearman's rho and Kendall's tau correlations. Results: The mean last-year fall frequencies estimated by nurses on the four-point Likert scale ranged from 1.4 to 3.1 for non-injurious falls and from 1.0 to 2.6 for injurious falls per ward. The fall rates assessed using fall incident reports over the same period ranged from 0.1 to 3.8 non-injurious falls per 1000 patient days and from 0.1 to 2.6 injurious falls per ward.Nurses' estimates and fall incident reports correlated significantly regarding the last year, both for injurious falls (r = 0.685, p - 0.014) and non-injurious falls (r = 0.630, p = 0.028), although no statistically significant correlations were found regarding the 1 month estimates.Conclusions: Nurses' long-term estimates of patient incidents are concordant with continuously and systematically assessed data, and offer valid data where other measurement methods are unavailable.
机译:背景:患者跌倒是医院中经常发生的事件,文献中描述了各种测量方法以评估患者的跌倒率。然而,文献中没有对护士的跌倒频率估计进行验证,这是多中心调查中首选的评估方法。目的:探讨护士的跌倒频率与连续收集的数据之间的一致性。设计:横断面,相关的二次数据分析。样本/地点:参加RICH护理研究的2家瑞士急诊医院的21个病房的患者跌倒数据。方法:注册护士(N = 233)的估计跌倒频率,由国际医院结果研究问卷调查评估上月的绝对跌倒次数,并使用四点李克特量表(从不= 1;经常= 4)与去年同期的标准医院跌倒事件报告进行了比较。上个月的跌倒事件报告以绝对数字进行评估,并计算为每1000个患者日的跌倒率,数据以病房级别计算。然后使用Spearman的rho和Kendall的tau相关性检验与护士估计的一致性。结果:护士在四点李克特量表上估计的非伤害跌倒的平均去年跌倒频率范围为每病房1.4至3.1,伤害跌倒的平均跌落频率为1.0至2.6。同期使用跌倒事故报告评估的跌倒率范围为每1000个患者日0.1至3.8次无伤害跌倒以及每病房0.1至2.6次无伤害跌倒。伤害跌倒(r = 0.685,p-0.014)和非伤害跌倒(r = 0.630,p = 0.028),尽管在1个月的估计值上没有统计学上的显着相关性。结论:护士对患者的长期估计突发事件与持续和系统评估的数据相一致,在其他测量方法不可用的情况下提供有效数据。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号