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

(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-stan...

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Autores principales: Neugebauer, Jan, Tóthová, Valérie, Doležalová, Jitka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004039/
https://www.ncbi.nlm.nih.gov/pubmed/33804715
http://dx.doi.org/10.3390/ijerph18063226
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author Neugebauer, Jan
Tóthová, Valérie
Doležalová, Jitka
author_facet Neugebauer, Jan
Tóthová, Valérie
Doležalová, Jitka
author_sort Neugebauer, Jan
collection PubMed
description (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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spelling pubmed-80040392021-03-28 Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice Neugebauer, Jan Tóthová, Valérie Doležalová, Jitka Int J Environ Res Public Health Article (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. MDPI 2021-03-20 /pmc/articles/PMC8004039/ /pubmed/33804715 http://dx.doi.org/10.3390/ijerph18063226 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Neugebauer, Jan
Tóthová, Valérie
Doležalová, Jitka
Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
title Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
title_full Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
title_fullStr Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
title_full_unstemmed Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
title_short Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
title_sort use of standardized and non-standardized tools for measuring the risk of falls and independence in clinical practice
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004039/
https://www.ncbi.nlm.nih.gov/pubmed/33804715
http://dx.doi.org/10.3390/ijerph18063226
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