Skip to main content

Open Access The Safety of Safety Research: The Case of Patient Fall Research La fiabilité de la recherche sur la sécurité : le cas de l'évaluation des risques de chute

Download Article:
 Download
(PDF 141.09375 kb)
 
Most fall intervention programs consist of 2 components: fall risk prediction instruments to identify the patient who is likely to fall, and fall intervention strategies to prevent the patient from falling or to protect the patient from injury should a fall occur. While critical to the effectiveness of a fall intervention program, many of the fall risk prediction instruments have been criticized for their failure to accurately identify the fall-prone patient. In this article, in the context of the validity assessments conducted on the Morse Fall Scale, the research conducted in the past 2 decades on fall risk assessment is critiqued. Some fall prediction research is based upon invalid assumptions and/or errors in design, both in the development of risk scales and in the evaluation of these instruments. Many of these instruments have been constructed with inappropriate reliance on face validity, have been evaluated inadequately, or have been tested in the clinical setting using an invalid design. Finally, improper use of fall scales in the clinical area may increase the risk of injury to the patient. The author concludes that much nursing research on patient falls does not contribute to improved patient safety.

French
La plupart des programmes de prévention des chutes comportent deux volets : d'une part, des instruments de prédiction du risque de chute chez les patients et, d'autre part, des stratégies visant à empêcher les chutes ou à prévenir les blessures en cas de chute. Malgré leur rôle essentiel, un grand nombre de ces instruments ont fait l'objet de critiques parce qu'ils ne permettent pas d'identifier avec précision les patients sujets aux chutes. Le présent article examine, à la lumière des essais sur la validité touchant l'échelle de Morse [Morse Fall Scale], les recherches menées au cours des vingt dernières années sur l'évaluation du risque de chute. Certains travaux en la matière s'appuient sur des hypothèses erronées ou des erreurs de conception, tant en ce qui concerne la mise au point des échelles de risque que leur évaluation. Bon nombre de ces instruments ont été élaborés uniquement en fonction de leur validité apparente et n'ont pas bénéficié d'une évaluation adéquate ou, s'ils ont été mis à l'essai en milieu clinique, d'un plan expérimental valide. Enfin, l'usage à mauvais escient des échelles d'évaluation du risque de chute peut accroître le risque de chute chez les patients. L'auteure conclut qu'une grande part de la recherche menée en sciences infirmières sur ce thème ne contribue pas à améliorer la sécurité des patients.

25 References.

No Supplementary Data.
No Data/Media
No Metrics

Keywords: COCHRANE CRITERIA; FALL INTERVENTION; FALL PREDICTION; MORSE FALL SCALE; PATIENT FALL RISK ASSESSMENT

Document Type: Research Article

Publication date: 2006-06-01

More about this publication?
  • To the CJNR Readership:

    We are excited to report that as of January 2016, the CJNR (Canadian Journal of Nursing Research) is being published under the SAGE Publications, Inc. banner.

    All inquiries relating to future issues of CJNR should be directed to:

    Daniel Ruth
    Senior Acquisitions Editor
    SAGE Publications In
    T (805) 410-7251
    E dan.ruth@sagepub.com
    www.sagepub.com

    Currently published issues of the CJNR (1969-2015) are being moved to the McGill online archives where they will be hosted in perpetuity. This migration should be completed by Spring 2016. During this transition, all issues of CJNR remain accessible to our readers as before:

    1) Past issues of CJNR from 2003 to December 2015 through ingentaconnect.

    2) Issues from 2002 to 1969 can be accessed through the CJNR digital archive.

    We understand that this is a significant change. Please be confident that all parties are working diligently to make this a seamless transition that will further advance the scope and impact of CJNR.

    Thank you.
  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • Archives
  • Overview / Permissions
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more