From the Partners HealthCare.
Montefiore Medical Center Hospitals.
J Patient Saf. 2022 Mar 1;18(2):94-101. doi: 10.1097/PTS.0000000000000811.
Fall TIPS (Tailoring Interventions for Patient Safety) is an evidence-based fall prevention program that led to a 25% reduction in falls in hospitalized adults. Because it would be helpful to assess nurses' perceptions of burdens imposed on them by using Fall TIPS or other fall prevention program, we conducted a study to learn benefits and burdens.
A 3-phase mixed-method study was conducted at 3 hospitals in Massachusetts and 3 in New York: (1) initial qualitative, elicited and categorized nurses' views of time spent implementing Fall TIPS; (2) second qualitative, used nurses' quotes to develop items, research team inputs for refinement and organization, and clinical nurses' evaluation and suggestions to develop the prototype scale; and (3) quantitative, evaluated psychometric properties.
Four "time" themes emerged: (1) efficiency, (2) inefficiency, (3) balances out, and (4) valued. A 20-item prototype Fall Prevention Efficiency Scale was developed, administered to 383 clinical nurses, and reduced to 13 items. Individual items demonstrated robust stability with Pearson correlations of 0.349 to 0.550 and paired t tests of 0.155 to 1.636. Four factors explained 74.3% variance and provided empirical support for the scale's conceptual basis. The scale achieved excellent internal consistency values (0.82-0.92) when examined with the test, validation, and paired (both test and retest) samples.
This new scale assess nurses' perceptions of how a fall prevention program affects their efficiency, which impacts the likelihood of use. Learning nurses' beliefs about time wasted when implementing new programs allows hospitals to correct problems that squander time.
Fall TIPS（Tailoring Interventions for Patient Safety 的缩写）是一个基于证据的预防跌倒计划，该计划使住院成年人的跌倒率降低了 25%。由于评估护士对使用 Fall TIPS 或其他预防跌倒计划给他们带来的负担的看法会有所帮助，因此我们进行了一项研究以了解其益处和负担。
这项研究在马萨诸塞州的 3 家医院和纽约的 3 家医院进行了 3 个阶段的混合方法研究：（1）初步定性，引出并分类护士对实施 Fall TIPS 所花费时间的看法；（2）第二次定性，使用护士的引述来开发项目，研究团队的投入进行完善和组织，以及临床护士的评估和建议以开发原型量表；（3）定量，评估心理测量特性。
出现了四个“时间”主题：（1）效率，（2）低效率，（3）平衡，（4）有价值。开发了一个包含 20 个项目的预防跌倒效率量表，对 383 名临床护士进行了评估，并将其简化为 13 个项目。单个项目的皮尔逊相关系数为 0.349 至 0.550，配对 t 检验为 0.155 至 1.636，显示出稳健的稳定性。四个因素解释了 74.3%的方差，并为量表的概念基础提供了实证支持。在对测试、验证和配对（测试和复测）样本进行检查时，该量表的内部一致性值达到了优秀水平（0.82-0.92）。
这个新量表评估了护士对预防跌倒计划如何影响他们效率的看法，这会影响他们使用该计划的可能性。了解护士在实施新计划时对浪费时间的看法，使医院能够纠正浪费时间的问题。
