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Scales for assessing self-efficacy of nurses and assistants for preventing falls

Authors

  • Patricia C. Dykes,

    1. Patricia C. Dykes RN DNSc
      Corporate Manager Nursing Informatics and Research
      Clinical Informatics Research and Development, Partners HealthCare System, Boston, Massachusetts, USA
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  • Diane Carroll,

    1. Diane Carroll PhD RN FAAN
      Nurse Researcher Munn Center for Nursing Research,
      Massachusetts General Hospital, Boston,Massachusetts, USA
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  • Kerry McColgan,

    1. Kerry McColgan BS
      Research Assistant
      Clinical Informatics Research and Development, Partners HealthCare System,
      Boston, Massachusetts, USA
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  • Ann C. Hurley,

    1. Ann C. Hurley RN DNSc FAAN
      Sr. Nurse Scientist
      Brigham and Women’s Hospital, Center for Nursing Excellence, Boston, Massachusetts, USA
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  • Stuart R. Lipsitz,

    1. Stuart R. Lipsitz ScD
      Biostatistician
      Department of General Medicine, Brigham and Women’s Hospital, Boston, Massachusetts,
      and,
      Harvard Medical School, Boston, Massachusetts, USA
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  • Lisa Colombo,

    1. Lisa Colombo DNP RN
      Corporate VP and Chief Nursing Officer
      Health Alliance Hospitals, Milton, Massachusetts, USA
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  • Lyubov Zuyev,

    1. Lyubov Zuyev MA
      Applications Analyst
      Massachusetts General Hospital, Boston, Massachusetts, USA
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  • Blackford Middleton

    1. Blackford Middleton MSc MPH MD
      Corporate Director
      Clinical Informatics Research and Development, Partners HealthCare System,
      Department of General Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
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P.C. Dykes: e-mail: pdykes@partners.org

Abstract

dykes p.c., carroll d., mccolgan k., hurley a.c., lipsitz s.r., colombo l., zuyev l. & middleton b. (2011) Scales for assessing self-efficacy of nurses and assistants for preventing falls. Journal of Advanced Nursing67(2), 438–449.

Abstract

Aim.  This paper is a report of the development and testing of the Self-Efficacy for Preventing Falls Nurse and Assistant scales.

Background.  Patient falls and fall-related injuries are traumatic ordeals for patients, family members and providers, and carry a toll for hospitals. Self-efficacy is an important factor in determining actions persons take and levels of performance they achieve. Performance of individual caregivers is linked to the overall performance of hospitals. Scales to assess nurses and certified nursing assistants’ self-efficacy to prevent patients from falling would allow for targeting resources to increase SE, resulting in improved individual performance and ultimately decreased numbers of patient falls.

Method.  Four phases of instrument development were carried out to (1) generate individual items from eight focus groups (four each nurse and assistant conducted in October 2007), (2) develop prototype scales, (3) determine content validity during a second series of four nurse and assistant focus groups (January 2008) and (4) conduct item analysis, paired t-tests, Student’s t-tests and internal consistency reliability to refine and confirm the scales. Data were collected during February–December, 2008.

Results.  The 11-item Self-Efficacy for Preventing Falls Nurse had an alpha of 0·89 with all items in the range criterion of 0·3–0·7 for item total correlation. The 8-item Self-Efficacy for Preventing Falls Assistant had an alpha of 0·74 and all items had item total correlations in the 0·3–0·7 range.

Conclusions.  The Self-Efficacy for Preventing Falls Nurse and Self-Efficacy for Preventing Falls Assistant scales demonstrated psychometric adequacy and are recommended to measure bedside staff’s self-efficacy beliefs in preventing patient falls.

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