TEAM PRACTICES IN FALL PREVENTION IN INSTITUTIONALIZED ELDERLY PEOPLE: SCALE DESIGN AND VALIDATION

Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos

Acessibilidade / Reportar erro

Brasil

Texto & Contexto - Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Texto contexto - enferm. 26 (3) • 2017 • https://doi.org/10.1590/0104-07072017002310016 copy

TEAM PRACTICES IN FALL PREVENTION IN INSTITUTIONALIZED ELDERLY PEOPLE: SCALE DESIGN AND VALIDATION

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

determine and elaborate the psychometric characteristics of nursing team practices and develop a behavior scale for fall risk management in institutionalized elderly people.

Method:

the scale was designed based on a literature review and observation of the work of the teams in a long-term care institution for the elderly. The content of the scale was analyzed and the concordance index of the 14 initial items was checked by nine experts. The scale was applied to a sample of 152 caregivers from six long-term care institutions for the elderly. The research conformed to ethical principles. The anonymity of the participants and the confidentiality of the data were ensured.

Results:

after the determination of the psychometric characteristics, it was observed that the unidimensional scale had six items, with a Cronbach’s alpha of 0.918 and a score ranging from 6 to 30 points. Analysis of the results revealed that information about risk factors and team discussions regarding preventive measures are not always present, allowing specific team members to value different measures, which impairs continuity of the care and individualization of the measures before the assessed risk.

Conclusion:

the scale shows suitable psychometric features and can be used in investigation and clinical practice to assess the practices and behaviors of nursing teams in fall risk management in institutionalized elderly patients.

DESCRIPTORS:
Falls; Elderly people; Caregivers; Risk management; Psychometry; Behavioral assessment scale

Indicators on Scale of Practices and Behaviors of Teams for Fall Prevention	CVII^* * Content validity index applied to the items of the protocol;	IRA^† † Inter-rater agreement applied to the dimensions of the protocol;	CVI^‡ ‡ Content validity index of the protocol.
1. The team discusses the fall risk factors of the different residents.2. The team discusses the fall prevention measures to be applied to each elderly person.	11	0.86	0.92
3. The team decides the preventive measures to be applied to each elderly person.	0.88
4. Communication is crucial to preventing falls.	1
5. Through communication, I can understand, evaluate, interpret and convey relevant elements for fall prevention.	1
6. I usually show interest in identifying the causes of falls.	0.88
7. During the integration of new staff members, I inform them about fall risk factors and preventive measures.	0.77
8. I tell the family about the preventive measures implemented.	0.77
9. I feel fulfilled about the work developed on fall prevention.	1
10. I feel fulfilled about how I identify fall risks.	0.88
11. I feel fulfilled about the fall prevention measures that I implement.	0.88
12. I am interested in identifying fall risks.	1
13. I am interested in fall prevention in elderly people.	1
14. I feel motivated to learn to assess fall risks in the elderly people to whom I provide care.	0.88

Content of the items		Pearson’s coefficient of the total without the item	Cronbach’s alpha without the item
1. The team discusses the fall risk factors for the different residents.		0.807	0.897
2. The team discusses the fall prevention measures to be applied to each elderly person.		0.799	0.898
3. The team decides the preventive measures to be applied to each elderly person.		0.769	0.903
4. Communication is crucial to preventing falls.		0.734	0.907
5. Through communication, I can understand, evaluate, interpret and convey relevant elements for fall prevention.		0.774	0.902
6. I usually show interest in identifying the causes of falls.		0.728	0.908
Total alpha	0.918

Content of the items	H2	Factor
1. The team discusses the fall risk factors for the different residents.	0.752	0.867
2. The team discusses the fall prevention measures to be applied to each elderly person.	0.741	0.861
3. The team decides the preventive measures to be applied to each elderly person.	0.706	0.840
4. Communication is crucial to preventing falls.	0.674	0.821
5. Through communication, I can understand, evaluate, interpret and convey relevant elements for fall prevention.
6. I usually show interest in identifying the causes of falls.	0.666	0.816
Total explained variance 70.088
KMO 0.869
Bartlett’s test of sphericity 731.789; p < 0.001

Content of the items	Mean	SD
1. The team discusses the fall risk factors for the different residents.	3.98	1.05
2. The team discusses the fall prevention measures to be applied to each elderly person.	3.91	1.03
3. The team decides the preventive measures to be applied to each elderly person.	3.91	1.05
4. Communication is crucial to preventing falls.	4.45	0.86
5. Through communication, I can understand, evaluate, interpret and convey relevant elements for fall prevention.	4.27	0.89
6. I usually show interest in identifying the causes of falls.	4.36	0.89
Total (6-30)	24.88	5.79

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Cristina Lavareda Baixinho. Escola Superior de Enfermagem de Lisboa, Avenida Professor Egas Moniz, 1600-190 Lisboa, Portugal. E-mail: crbaixinho@esel.pt