Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

Natalia Ratna Yulianti; Dianne Noviandini; Kasmirah Kasmirah; Sri E. P. Sudarko; Ann Bolton; Kobi Schutz; Cheryl Hunt; David G. Arthur

doi:10.14710/nmjn.v9i2.23481

DOI: https://doi.org/10.14710/nmjn.v9i2.23481

Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

*Natalia Ratna Yulianti - St. Elisabeth School of Nursing, Indonesia

Dianne Noviandini - Faculty of Math and Sciences, Satya Wacana Christian University, Indonesia

Kasmirah Kasmirah - Salatiga Local Public Hospital, Indonesia

Sri E. P. Sudarko - Salatiga Local Public Hospital, Indonesia

Ann Bolton - Charles Darwin University, Australia

Kobi Schutz - Charles Darwin University, Australia

Cheryl Hunt - Central Australia Health Service, Department of Health, Australia

David G. Arthur - The Aga Khan University, Pakistan

BibTex Citation Data :

@article{NMJN23481,
    author = {Natalia Yulianti and Dianne Noviandini and Kasmirah Kasmirah and Sri Sudarko and Ann Bolton and Kobi Schutz and Cheryl Hunt and David Arthur},
    title = {Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context},
    journal = {Nurse Media Journal of Nursing},
  volume = {9},
    number = {2},
    year = {2019},
    keywords = {Culture; Indonesia; pediatric falls; prevention; safety},
    abstract = {  Background : Falls in the hospital have become an important issue internationally with numerous studies and assessment tools developed with a focus mainly on elderly adults. However, little has been written about falls in children in the hospital, which reveals evidence that falls and the sequels are significant problems.   Purpose : This study aimed to develop a culturally-based instrument for paediatric falls prevention.   Methods : In this action research study, participants, in this case, clinical nurses, joined the researcher in progressive problem-solving in two phases, starting with composing tool items based on the previous tools and research, then conducting validity and reliability tests. The instrument, the Paediatric Risk of Falls (PROF) Scale, was developed based on a literature review, contemporary models and the local context, and its content validity. In phase two, the staff of one local hospital participated in an education programme in the use of the tool, then were involved in the screening of all falls within two months on 156 p a ediatric patients in the paediatric ward in a local hospital in Indonesia. Data were analysed to examine the validity and reliability of the PROF Scale using Pearson Product Moment and Cronbach's alpha coefficients.   Results : Two of nine items related to medication and surgery were judged as not valid, possibly because of study parameters and technical problems in completing the items. One item on parental involvement, which was developed based on cultural practice in Central Java, was judged as a valid item. All items demonstrated acceptable reliability statistics.   Conclusion : The PROF Scale demonstrates satisfactory validity and reliability as a scale for assessing falls in pediatric settings in an Indonesian context, but needs to be tested in other settings to further test validity and reliability as well as its application and acceptability. },
   issn = {2406-8799},   pages = {151--158}  doi = {10.14710/nmjn.v9i2.23481},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/23481}
}

Citation Format:

Abstract

Background: Falls in the hospital have become an important issue internationally with numerous studies and assessment tools developed with a focus mainly on elderly adults. However, little has been written about falls in children in the hospital, which reveals evidence that falls and the sequels are significant problems.

Purpose: This study aimed to develop a culturally-based instrument for paediatric falls prevention.

Methods: In this action research study, participants, in this case, clinical nurses, joined the researcher in progressive problem-solving in two phases, starting with composing tool items based on the previous tools and research, then conducting validity and reliability tests. The instrument, the Paediatric Risk of Falls (PROF) Scale, was developed based on a literature review, contemporary models and the local context, and its content validity. In phase two, the staff of one local hospital participated in an education programme in the use of the tool, then were involved in the screening of all falls within two months on 156 paediatric patients in the paediatric ward in a local hospital in Indonesia. Data were analysed to examine the validity and reliability of the PROF Scale using Pearson Product Moment and Cronbach's alpha coefficients.

Results: Two of nine items related to medication and surgery were judged as not valid, possibly because of study parameters and technical problems in completing the items. One item on parental involvement, which was developed based on cultural practice in Central Java, was judged as a valid item. All items demonstrated acceptable reliability statistics.

Conclusion: The PROF Scale demonstrates satisfactory validity and reliability as a scale for assessing falls in pediatric settings in an Indonesian context, but needs to be tested in other settings to further test validity and reliability as well as its application and acceptability.

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Keywords: Culture; Indonesia; pediatric falls; prevention; safety

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In Vol 9, No 2 (2019): (DECEMBER 2019)

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The World Health Organization Europe. (2013). Patient safety. https://doi.org/10.4324/9781315113968
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Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

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