BIBLIOS

Document type
Journal articles

Document subtype
Full paper

Title
Validation of the nursing diagnosis risk for falls in elderly

Participants in the publication
Cristina Marques-Vieria (Author)
Luís Sousa (Author)
Débora Costa (Author)
Cláudia Mendes (Author)
Lisete Sousa (Author)
Dep. Estatística e Investigação Operacional
CEAUL
Sílvia Caldeira (Author)

Summary
Objective: To validate the nursing diagnosis risk for falls in a sample of elderly. \nMethods: Observational, cross-sectional and quantitative study conducted in three phases. The first phase, corresponded to a systematic literature review to identify the risk factors of risk for falls. The second phase consisted of the translation, linguistic and cultural adaptation of the nursing diagnosis for European Portuguese language. The third, was the clinical validation of the diagnosis using the clinical validation model of Richard Fehring, in a sample of elderly and counting on the collaboration of registered nurses and rehabilitation nurses to collect the data and fill the questionnaires, which comprised demographic data, the risk factors and falls efficacy scale international. The study was approved by the ethical committee of SESARAM. E.P.E (Madeira Island Healthcare System).\n Results: A total of 50 risk factors of risk for falls have been identified in the systematic literature review. A European Portuguese version was obtained and submitted to the clinical validation in a sample of 126 elderly, whose average age was 73.86 years, mostly female, with the primary school, in a situation of retirement, widowed and with history of falls. The prevalence of risk for falls was 68.3% in the expert's opinion and 63.5% in the opinion of the elderly. All risk factors have been validated. The most sensitive risk factor was history of falls, comorbidities, feminine gender, polymedication, difficulty with gait, and drugs.


Where published
BMC Health Services Research

Publication Identifiers
ISSN - 1472-6963

Organizers
Proceedings of the 4th IPLeiria’s International Health Congress

Publisher
Springer Science and Business Media LLC



Document Identifiers
DOI - https://doi.org/10.1186/s12913-018-3444-8
URL - https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3444-8

Rankings
SCIMAGO Q1 (2018) - 1.057 - Health Policy