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Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
Jul, 2024;56 (4): 507-516.

Congruency and its related factors between patients' fall risk perception and nurses' fall risk assessment in acute care hospitals.

Jieun Choi, Sujin Lee, Eunjin Park, Sangha Ku, Sunhwa Kim, Wonhye Yu, Eunmi Jeong, Sookhee Park, Yusun Park, Sung Reul Kim
Author Information
  1. Jieun Choi: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  2. Sujin Lee: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  3. Eunjin Park: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  4. Sangha Ku: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  5. Sunhwa Kim: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  6. Wonhye Yu: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  7. Eunmi Jeong: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  8. Sookhee Park: Department of Nursing, Asan Medical Center, Seoul, South Korea.
  9. Yusun Park: College of Nursing, Korea University Nursing Research Institute, Korea University, Seoul, South Korea.
  10. Sung Reul Kim: College of Nursing, Korea University Nursing Research Institute, Korea University, Seoul, South Korea. ORCID
PMID: 38402575 DOI: 10.1111/jnu.12964

Abstract

INTRODUCTION: Inpatients need to recognize their fall risk accurately and objectively. Nurses need to assess how patients perceive their fall risk and identify the factors that influence patients' fall risk perception.
PURPOSE: This study aims to explore the congruency between nurses' fall risk assessment and patients' perception of fall risk and identify factors related to the non-congruency of fall risk.
DESIGNS: A descriptive and cross-sectional design was used. The study enrolled 386 patients who were admitted to an acute care hospital. Six nurses assessed the participants' fall risk. Congruency was classified using the Morse Fall Scale for nurses and the Fall Risk Perception Questionnaire for patients.
FINDINGS: The nurses' fall risk assessments and patients' fall risk perceptions were congruent in 57% of the participants. Underestimation of the patient's risk of falling was associated with gender (women), long hospitalization period, department (orthopedics), low fall efficacy, and history of falls before hospitalization. Overestimation of fall risk was associated with age group, gender (men), department, and a high health literacy score. In the multiple logistic regression, the factors related to the underestimation of fall risk were hospitalization period and department, and the factors related to the overestimation of fall risk were health literacy and department.
CONCLUSIONS: Nurses should consider the patient's perception of fall risk and incorporate it into fall prevention interventions.
CLINICAL RELEVANCE: Nurses need to evaluate whether patients perceive the risk of falling consistently. For patients who underestimate or overestimate their fall risk, it may be helpful to consider clinical and fall-related characteristics together when evaluating their perception of fall risk.

Keywords

acute care hospitals congruency fall fall risk inpatients perception

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Grants

  1. NRF-2021R1F1A1048955/National Research Foundation of Korea grant funded by the Korea government

MeSH Term

Humans
Accidental Falls
Female
Male
Cross-Sectional Studies
Risk Assessment
Middle Aged
Aged
Adult
Surveys and Questionnaires
Nursing Staff, Hospital
Inpatients
Aged, 80 and over
Perception
Journal Article

Word Cloud

Created with Highcharts 10.0.0fallriskperceptionpatientsfactorspatients'relateddepartmentneedNursesnurses'acutecarehospitalizationperceiveidentifystudycongruencyassessmentnursesCongruencyFallpatient'sfallingassociatedgenderperiodhealthliteracyconsiderhospitalsINTRODUCTION:InpatientsrecognizeaccuratelyobjectivelyassessinfluencePURPOSE:aimsexplorenon-congruencyDESIGNS:descriptivecross-sectionaldesignusedenrolled386admittedhospitalSixassessedparticipants'classifiedusingMorseScaleRiskPerceptionQuestionnaireFINDINGS:assessmentsperceptionscongruent57%participantsUnderestimationwomenlongorthopedicslowefficacyhistoryfallsOverestimationagegroupmenhighscoremultiplelogisticregressionunderestimationoverestimationCONCLUSIONS:incorporatepreventioninterventionsCLINICALRELEVANCE:evaluatewhetherconsistentlyunderestimateoverestimatemayhelpfulclinicalfall-relatedcharacteristicstogetherevaluatinginpatients

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