Institute of Nursing Midwifery and Social Sciences, Faculty of Health and Social Sciences, University of South Bohemia in Ceske Budejovice, 370 11 Ceske Budejovice, Czech Republic.
Int J Environ Res Public Health. 2021 Mar 20;18(6):3226. doi: 10.3390/ijerph18063226.
(1) Background: The use of standardized tools is regarded as the basis for an evidence-based assessment. The tools enable monitoring of complex events and the effectiveness of adopted interventions. Some healthcare facilities use standardized tools such as the Morse Fall Scale, but many use non-standardized tools created based on patient needs. Our study question was, why are non-standardized tools used when standardized tools are more beneficial and can be statistically evaluated and compared to other results; (2) Methods: We used a quantitative, non-standardized questionnaire to survey 1200 nurses, which was representative sample for the entire Czech Republic. All questionnaires were assessed in two phases (a) the frequency evaluation and descriptive analysis, and (b) hypotheses testing and correlation analyses; (3) Results: We found that the Conley Scale, Barthel test, and IADL test were preferred by many nurses. Furthermore, we found that nurses using standardized assessment scales noticed risk factors significantly more frequently but regarded the increased complexity of care to be psychologically demanding. (4) Conclusions: In patients with physical disabilities, both types of tools (internal non-standardized and standardized) are used to assess the risk of falls and independence; nurses generally welcomed the increase use of standardized tools in their facilities.
(1) 背景：标准化工具的使用被视为循证评估的基础。这些工具能够监测复杂事件和已采取干预措施的效果。一些医疗机构使用标准化工具，如 Morse 跌倒量表，但许多机构使用根据患者需求创建的非标准化工具。我们的研究问题是，为什么在标准化工具更有益且可以进行统计评估并与其他结果进行比较的情况下，使用非标准化工具；(2) 方法：我们使用定量、非标准化问卷对整个捷克共和国的 1200 名护士进行了代表性抽样调查。所有问卷都分两个阶段进行评估(a) 频率评估和描述性分析，以及(b) 假设检验和相关分析；(3) 结果：我们发现许多护士更喜欢 Conley 量表、Barthel 测试和 IADL 测试。此外，我们发现使用标准化评估量表的护士更频繁地注意到风险因素，但认为增加护理的复杂性在心理上具有挑战性。(4) 结论：在身体残疾患者中，两种类型的工具（内部非标准化和标准化）都用于评估跌倒和独立性的风险；护士普遍欢迎在其机构中增加使用标准化工具。
