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.

Fulltext View|Download

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

Article Metrics:

Article Info

Section: Articles

Language : EN

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

Recent articles

The Difference of Perceived HIV Stigma between People Living with HIV Infection and Their Families The Degree of Diabetic Wounds Affects Kidney Function Damage Impacts of Manual Handling Training and Lifting Devices on Risks of Back Pain among Nurses: An Integrative Literature Review Editorial Front Matter Editorial Back Matter More recent articles

Most cited articles

Caring Science within Islamic Contexts: A Literature Review Motivation among Indonesian Nurses in Pursuing Continuing Professional Education and Its Relationship to Their Competencies The Effect of Dietary and Exercise Self-Management Support Program on Dietary Behavior Exercise Behavior and Clinical Outcomes in Muslim Patients with Poorly Controlled Type 2 DM in a Community Setting in Indonesia The Lived Experiences of Mentoring Nurses in Malaysia Effects of Acupoint Stimulation with Digital Massager of Oxytocin on the Breast Milk Production of Working Mothers More cited articles

Black, A. D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., … Sheikh, A. (2011). The impact of ehealth on the quality and safety of health care: A systematic overview. PLoS Medicine, 8(1), 1–16. https://doi.org/10.1371/journal.pmed.1000387
Choi, Y.-S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., & Zimring, C. M. (2011). Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review. Journal of Advanced Nursing, 67(12), 2501–2524. https://doi.org/10.1111/j.1365-2648.2011.05672.x
ICN. The ICN code of ethics for nurses. , Nursing ethics § (2012)
Jamerson, P. A., Graf, E., Messmer, P. R., Fields, H. W., Barton, S., Berger, A., … Lunbeck, M. (2014). Inpatient falls in freestanding children’s hospitals. Pediatric Nursing, 40(3), 127–135. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25134226
Joint Commission International. (2012). International Patient Safety Goals. Retrieved from Joint Commission International website: www.jointcommissioninternational.org
Maslow, A. H. (1943). A theory of human motivation. A Theory of Human Motivation, 50, 370–396. https://doi.org/10.4324/9781912282517
Mason, Diana J., Isaac, Stephen L., Colby, D. C. (2011). The Nursing profession: development, challenges, and opportunities. In D. C. Mason, Diana J., Isaac, Stephen L., Colby (Ed.), Choice Reviews Online. https://doi.org/10.5860/choice.49-6322
Miake-Lye, I. M., Hempel, S., Ganz, D. A., & Shekelle, P. G. (2013). Inpatient fall prevention programs as a patient safety strategy: a systematic review. Annals of Internal Medicine, 158(5 Pt 2), 390–396. https://doi.org/10.7326/0003-4819-158-5-201303051-00005
Ministry of Health, R. of I. No Titleｐ. , Phys. Rev. E § (2011)
Pauley, B. J., & Houston, L. S. (2014). HD Falls scale. 40(3)
Polit, D. F., & Beck, C. T. (2012). Nursing research: generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippinctot Williams Wilkins
Raeder, K., Siegmund, U., Grittner, U., Dassen, T., & Heinze, C. (2010). The use of fall prevention guidelines in German hospitals - A multilevel analysis. Journal of Evaluation in Clinical Practice, 16(3), 464–469. https://doi.org/10.1111/j.1365-2753.2009.01143.x
Razmus, I., & Davis, D. (2012). The Epidemiology of Falls In Hospitalized Children. Pediatric Nursing, 38(1), 31–35. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=71827256&site=ehost-live&scope=site
Roberts, C. (2012). Nurses’ Perceptions of Unaccompanied Hospitalized Children. Continuing Nursing Education, 38(3), 133–136. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22908455
Ryan-wenger, N. A., Kimchi-woods, J., & Erbaugh, M. A. (2012). Ryan-Wenger, 2012 #1197. 38(3), 159–168
The World Health Organization Europe. (2013). Patient safety. https://doi.org/10.4324/9781315113968
Tzeng, H.-M. (2011). Nurses’ Caring Attitude: Fall Prevention Program Implementation as an Example of Its Importance. Nursing Forum, 46(3), 137–145. https://doi.org/10.1111/j.1744-6198.2011.00222.x

Last update:

No citation recorded.

Last update: 2024-11-22 23:10:14

No citation recorded.

Journal Author(s) Rights

In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.

As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including:

use for classroom teaching by the author or the author’s institution and presentation at a meeting or conference, including distributing copies to attendees;
use for internal training by the author’s company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author’s works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgment of the final article);
preparation of derivative works (other than for commercial purposes) (with full acknowledgment of the final article);
voluntary posting on open websites operated by the author or the author’s institution for scholarly purposes;

following the open access license of the Creative Commons CC BY-SA License.

Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.

Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).

Copyright Transfer Agreement for Publishing (Publishing Right)

The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).

Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.

Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.

Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.

The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]

The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:

Dr. Meira Erawati (Editor-in-Chief)
Editorial Office of Nurse Media Journal of Nursing
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: media_ners@live.undip.ac.id

(This policy statements has been updated at 24th January 2024)

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

Journal Author(s) Rights

Copyright Transfer Agreement for Publishing (Publishing Right)

OFFICE INFORMATION