Düşmeyi Önleme Bilgi Testi’nin Türkçeye uyarlanması

Year 2024, Volume: 49 Issue: 1, 1 - 11, 29.03.2024

Gülden Basit Semra Köse

https://doi.org/10.17826/cumj.1371535

Abstract

Amaç: Bu çalışma, klinik ortamda çalışan hemşirelerin düşmeyi önleme bilgi düzeylerini değerlendirmeye yönelik Düşmeyi Önleme Bilgi Testinin Türkçe geçerlilik ve güvenirliğini test etmeyi amaçlamaktadır.
Gereç ve Yöntem: Bu çalışma, 16 Şubat-31 Mart 2022 tarihleri arasında bir üniversite hastanesinde çalışan hemşireler ile metodolojik olarak gerçekleştirildi. Çalışma grubunu, en az altı aydır hemşire olarak çalışan ve araştırmaya katılmaya gönüllü olan 250 hemşire oluşturdu. Araştırmanın verileri Hemşire Bilgi Formu ve Düşmeyi Önleme Bilgi Testi kullanılarak toplandı. Verilerin analizinde çalışmanın amacı doğrultusunda kapsam geçerliği, madde güçlük indeksi ve madde ayırt edicilik indeksleri, KR-20 katsayısı, sınıf içi korelasyon katsayısı kullanıldı.
Bulgular: Araştırmaya katılan hemşirelerin %75,2'si kadın, %50,8'i evli ve %75,6'sı lisans mezunudur. Araştırmaya katılan hemşirelerin yaş ortalaması 29,22±6,55 yıl, ortalama iş tecrübesi 6,84±6,60 yıl, haftalık ortalama çalışma saati 44,10±6,76 saat idi. Hemşirelerin %96,8'inin düşme riskini bildiği, %96,0'sının ise düşmeyi önleme uygulamalarını bildiği belirlendi. Testin kapsam geçerlik indeksi 0,836 olarak bulundu. Ölçeğin KR-20 güvenirlik katsayısı 0,713 olarak hesaplandı.
Sonuç: Düşmeyi Önleme Bilgi Testi (11 madde) ülkemizdeki hastanelerde çalışan hemşirelerin bilgi düzeylerini ölçmeye yönelik geçerli ve güvenilir bir testtir.

Keywords

düşme, düşmeyi önleme, ölçek uyarlama, hemşirelik

Ethical Statement

The ethical appropriateness of the research has been evaluated and approved by the Ethical Committee for Scientific Research of a university (Date: 03.11.2021 no: 2021/15-93). Permission from the institution (E-14567952-900-155848) and written consent from the participants have been obtained for the implementation of the research. Additionally, permission has been obtained via email from the authors of the scale.

Turkish adaptation of the Fall Prevention Knowledge Test

Abstract

Purpose: This study aims to test the Turkish validity and reliability of the Fall Prevention Knowledge Test assessing the knowledge level of nurses in the clinical setting regarding fall prevention.
Materials and Methods: This study was carried out with nurses working at a university hospital between 16 February and 31 March 2022. The study group consisted of 250 nurses, who had been working as nurses for at least six months and voluntarily agreed to participate in the study. The study data was collected by using The Nurse Information Form and Fall Prevention Knowledge Test. Content validity, item difficulty and item discrimination indices, KR-20 coefficient, and intra-class correlation coefficient were used in the data analyses.
Results: It was determined that 75.2% of the nurses participating in the study were female, 50.8% were married, and 75.6% had a bachelor’s degree. The mean age of the nurses participating in the present study was 29.22±6.55 years, the mean work experience was 6.84±6.60 years, and the mean weekly working hours were 44.10±6.76 hours. It was found that 96.8% of the nurses knew about the risk of fall, and 96.0% knew about fall prevention practices. The content validity index of the test was found to be 0.836 and the KR-20 reliability coefficient for the scale was calculated to be 0.713.
Conclusions: The Fall Prevention Knowledge Test (11 items) is a valid and reliable test for measuring the knowledge level of nurses working in hospitals in Türkiye.

Keywords

fall, fall prevention, scale adaptation, nursing

Ethical Statement

The ethical appropriateness of the research has been evaluated and approved by the Ethical Committee for Scientific Research of a university (Date: 03.11.2021 no: 2021/15-93). Permission from the institution (E-14567952-900-155848) and written consent from the participants have been obtained for the implementation of the research. Additionally, permission has been obtained via email from the authors of the scale.

References

• Mert T, Özkan Y. Bir üniversite hastanesinde düşmelerin sıklığı ve düşme önleme uygulamalarının değerlendirilmesi. Türkiye Sağlık Enstitüleri Başkanlığı Dergisi. 2023;6:79-85.
• Özlü ZK, Yayla A, Özer N, Gümüș K, Erdağı S, Kaya Z. Risks of falling in surgical patients. Kafkas J Med Sci. 2015;5:94-9.
• Mitchell D, Raymond M, Jellett J, Webb-St Mart M, Boyd L, Botti M et al. Where are falls prevention resources allocated by hospitals and what do they cost? A cross sectional survey using semi-structured interviews of key informants at six Australian health services. Int J Nurs Stud. 2018;86:52-9.
• WHO. Falls. Geneva, World Health Organization, 2012.
• WHO. World Health Organization. Falls-key facts. Geneva, World Health Organization, 2021.
• Ramsey County Community Health Assessment. Data and Trend Analysis Injury 2018.
• Rutledge D, Schub T. Evidence-based care sheet: Fall prevention in hospitalized patients. Cinahl Information Systems. 2016:1-5.
• Telatar T, Üner S, Özcebe L, Küçük BiçerB, Yavuz S. Defining falls and associated risk factors in elderly among age groups and sex. Selçuk Med J. 2020;36:101-8.
• Şencan İ, Canbal M, Tekin O, Işık B. Fall injuries in elderly people as a public health problem. Yeni Tıp Dergisi. 2011;28:79-82.
• Güner SG, Nural N, Erden A. Evde yaşayan genç yaşlıların ilaç yönetimi, ev içi düzenlemeleri, egzersiz alışkanlıkları ve yaşam kalitesi ile düşme risk düzeylerinin belirlenmesi: Pilot Çalışma. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2017;2:13-9.
• Montero-Odasso M, van der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51:afac205.
• Jin J. Prevention of falls in older adults. JAMA. 2018;319:1734.
• de Moura Sá GG, da Silva Júnior LG, Bezerra MAR, de Carvalho KM, dos Santos AMR, Nunes BMVT et al. Nursing care for the prevention of falls in the elderly: an integrative review. Int Arch Med. 2017;10.
• Dykes PC, Bogaisky M, Carter EJ, Duckworth M, Hurley AC, Jackson EM et al. Development and validation of a fall prevention knowledge test. J Am Geriatr Soc. 2019;67:133-8.
• Uz Tunçay S, Özdinçler AR, Erdinçler DS. The effect of risk factors for falls on activities of daily living and quality of life in geriatric patients. Turkish Journal of Geriatrics. 2011;14:245-52.
• Dykes PC, Curtin-Bowen M, Lipsitz S, Franz C, Adelman J, Adkison L et al. editors. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum. 2023;4:e225125..
• Ishikuro M, Ubeda SRG, Obara T, Saga T, Tanaka N, Oikawa C et al. Exploring risk factors of patient falls: a retrospective hospital record study in Japan. Tohoku J Exp Med. 2017;243:195-203.
• Bayraktar E, Türk G. Hasta düşmelerini önleyici hemşirelik girişimlerinin uygulanma durumu ve etkileyen faktörler. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2021;12:401-10.
• Oksel E. Falls: Nursing approach and evaluation. Aegean J Med Sci. 2018;1:140-2.
• Duman S, Kitiş Y. Determining awareness of nurses who work in ıntensive care units about patient falls. Turkish Journal of Intensive Care. 2013;11:72-9.
• Yaşar G, Türk G. Determination of risk factors in patient falls. J Nurs Sci. 2018;1:15-20.
• Morris ME, Webster K, Jones C, Hill A-M, Haines T, McPhail S et al. Interventions to reduce falls in hospitals: a systematic review and meta-analysis. Age Ageing. 2022;51:afac077.
• Hill AM, McPhail SM, Waldron N, Etherton-Beer C, Ingram K, Flicker L et al. Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. The Lancet. 2015;385:2592-9.
• Kılıç Ü, Güdük Ö, Güdük Ö, Okut G. Investigation of patient falls in hospitals as a nursing care indicator. ERÜ J Faculty of Health Sci. 2021;8:1-9.
• Mollaoğlu M, Fertelli T, Özkan Tuncay F. Investigation of the measures taken and the risk of falling in hospitalized patients in internal medical clinics. TAF Prev Med Bull. 2013;12.
• Ueda T, Higuchi Y, Imaoka M, Todo E, Kitagawa T, Ando S. Tailored education program using home floor plans for falls prevention in discharged older patients: A pilot randomized controlled trial. Arch Gerontol Geriatr. 2017;71:9-13.
• Oyur Çelik G, Zıngal H. The determination of falling risk of patients and precautions taken in neurosurgery clinic. İKÇÜSBFD. 2016;1:7-11.
• Rowan L, Veenema TG. Decreasing falls in acute care medical patients: An integrative review. J Nurs Care Qual. 2017;32:340-7.
• Kim KS, Kim JA, Choi YK, Kim YJ, Park MH, Kim HY et al. A comparative study on the validity of fall risk assessment scales in Korean hospitals. Asian Nurs Res. 2011;5:28-37.
• Vassallo M, Stockdale R, Sharma JC, Briggs R, Allen S. A comparative study of the use of four fall risk assessment tools on acute medical wards. J Am Geriatr Soc. 2005;53:1034-8.
• Tezcan B, Karabacak BG. Fall risk assessment scales which are frequently used in clinical practice. JAREN. 2021;7:105-12.
• Gözüm S, Aksayan S. Guide to cross-cultural scale adaptation II: scale adaptation stages and language adaptation. Journal of Research and Development in Nursing. 2002;4:9-14.
• Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. JMIR. 2019;21:e10008.
• Cohen J. Statistical Power Analysis for the Behavioral Sciences. New York, Academic Press, 2013.
• Coster WJ, Mancini MC. Recommendations for translation and cross-cultural adaptation of instruments for occupational therapy research and practice. Rev Ter Ocup Univ São Paulo. 2015;26:50-7.
• Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the cross-cultural adaptation of the DASH & QuickDASH outcome measures. Toronto, CA, Institute for Work & Health. 2007.
• Sönmez V, Alacapınar F. Exemplified Scientific Research Methods. Ankara, Anı publishing, 2014.
• Çapık C, Gözüm S, Aksayan S. Interculturalscale adaptation stages, language and culture adaptation: Updated guideline. Florence Nightingale J Nurs. 2018;26:199-210.
• Erdoğan S, Nahcivan N, Esin MN. Research in Nursing: Process, Practice and Criticism. İstamnul, Nobel Medical Bookstore, 2015.
• Aker S, Dündar C, Pekşen Y. Two vitaly consept of measurement instruments: Validity and reliability. Ondokuz Mayıs Üniversitesi Tıp Dergisi. 2005;22:50-60.
• Chu RZ. Preventing in-patient falls: The nurse's pivotal role. Nursing. 2022. 2017;47:24-30.
• Australian Commission on Safety and Quality in Health Care. Falls Facts for Nurses, Preventing Falls and Harm from Falls in Older People: Best Practice Guidelines For Australian Hospitals. Australia, Australian Commission on Safety and Quality in Health Care, 2009.
• Karaçam Z. Adaptation of scales to Turkish. Journal of Midwifery and Health Sciences. 2019;2:28-37.
• Esin MN. Data collection methods and tools & reliability and validity of data collection tools. In Research in Nursing: Process, Practice and Criticism (Eds SN Erdoğan, MN Esin):. İstanbul, Nobel Medical Bookstore, 2014.
• Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28:563-75.
• Öngöz S. Development of an electronic textbook evaluation form: Validity and reliability study 11th internatıonal educatıonal technology conference, IETC Proceedings Book; İstanbul. 2011;1481-5.
• Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Meas Eval Couns Dev. 2014;47:79-86.
• İlhan N, Hoşgören G. Developing of context based achievement test towards science: Acids and bases. Fen Bilimleri Öğretimi Dergisi. 2017;5:87-110.
• Karslı F, Ayas A. A study on the development of a test about measurement of science and technology teachers' science process skills. TUSED. 2013;10:66-84.
• Tosun C, Taşkesenligil Y. Development of an achievement test about solutions and their physical properties based on Bloom’s revised taxonomy: validity and reliability. Kastamonu Education Journal. 2011;19:499-522.
• Şencan H. Reliability and Validity. Ankara, Seçkin Publishing, 2005.
• Metin M. Quantitative data collection tools. In Scientific Research Methods in Education from Theory to Practice:161-214.. Ankara, Pegem Akademi, 2015.