Patient Perception of Fall Risk and High Fall Risk Screening Scores
type: CreativeWork
description: Purpose: The purpose of the study was to describe the relationship between patient perception of fall risk and high fall risk screening scores. Background: Despite mandated government regulations and multiple hospital interventions, falls are the most prevalent adverse event among hospitalized patients and are the leading driver of health care costs, amounting to over $30 billion each year with projections to double by 2030. Recently, perception was identified as a major component in preventing falls. A dearth of research examines the relationship between a patient’s perceived risk for falls and standardized fall screening scores. Methods: A descriptive correlational design with a convenience sample of 201 inpatient adults aged 65 and older screened as a high fall risk > 11 Johns Hopkins fall risk score (JHFRS) was enrolled from medical surgical units in a Magnet®-designated Southern California hospital from July to September 2018. After providing informed consent, participants completed 4 perception measures. Bivariate analyses examined relationships between select variables and JHFRS group (≥16). Logistic regression model examined odds ratios of 5 variables from the bivariate analysis. Results: The sample (n=201) was diverse (61.7% Caucasian, 16.4% Black, 15.9% Hispanic, 2.5% Asian, 3.5% Other), 91.5% English speaking and 8.5% Spanish speaking. Mean age 77.1 ± 7.9 (range 65-99). Confidence was the only perception scale significantly associated with fall risk (r= -0.194, p=.01). Bivariate analysis indicated significant relationships between 75th percentile high fall risk (JHFRS ≥16) and Central Nervous System (CNS) agents (χ2=5.45, p=.02), Caucasian versus non-Caucasian group (χ2=4.71, p=.03), less than college versus some college or more group (χ2=4.664, p=.03), and number of co-morbidities (χ2=2.120, p=.04). Education was significantly associated with race (χ2=14.121), p<.001). Implications: Study findings indicate patient perception of confidence is associated w…
abstract: Purpose: The purpose of the study was to describe the relationship between patient perception of fall risk and high fall risk screening scores. Background: Despite mandated government regulations and multiple hospital interventions, falls are the most prevalent adverse event among hospitalized patients and are the leading driver of health care costs, amounting to over $30 billion each year with projections to double by 2030. Recently, perception was identified as a major component in preventing falls. A dearth of research examines the relationship between a patient’s perceived risk for falls and standardized fall screening scores. Methods: A descriptive correlational design with a convenience sample of 201 inpatient adults aged 65 and older screened as a high fall risk > 11 Johns Hopkins fall risk score (JHFRS) was enrolled from medical surgical units in a Magnet®-designated Southern California hospital from July to September 2018. After providing informed consent, participants completed 4 perception measures. Bivariate analyses examined relationships between select variables and JHFRS group (≥16). Logistic regression model examined odds ratios of 5 variables from the bivariate analysis. Results: The sample (n=201) was diverse (61.7% Caucasian, 16.4% Black, 15.9% Hispanic, 2.5% Asian, 3.5% Other), 91.5% English speaking and 8.5% Spanish speaking. Mean age 77.1 ± 7.9 (range 65-99). Confidence was the only perception scale significantly associated with fall risk (r= -0.194, p=.01). Bivariate analysis indicated significant relationships between 75th percentile high fall risk (JHFRS ≥16) and Central Nervous System (CNS) agents (χ2=5.45, p=.02), Caucasian versus non-Caucasian group (χ2=4.71, p=.03), less than college versus some college or more group (χ2=4.664, p=.03), and number of co-morbidities (χ2=2.120, p=.04). Education was significantly associated with race (χ2=14.121), p<.001). Implications: Study findings indicate patient perception of confidence is associated w…
author: Pena, Nicole D.
keywords: Fall Risk, Perception, Falls, Elderly Falls, Geriatric Nursing, Nursing Administration, Occupational and Environmental Health Nursing, Other Social and Behavioral Sciences
date published: 2019-05-25T07:00:00Z
date modified: 2026-07-24T05:41:20Z
provider: University of San Diego
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of San Diego