Journal of Education and
Research in Nursing
Research Article - Çocuk Sağlığı Ve Hastalıkları Hemşireliği

Development of Diagnostic Falling Risk Scale for Child Patients


İzmir Dr. Behçet Uz Çocuk Hastanesi


İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü


Dokuz Eylül Üniversitesi Hemşirelik Fakültesi

Journal of Education and Research in Nursing 2013; 10: 34-41
Read: 570 Downloads: 246 Published: 01 July 2013

OBJECTIVE: According to "Hospital Service Quality Standards" published by Turkish Ministry of Health in June 2011, hospital executives should assess falling risk of patients during hospitalization by developing their own scales. Currently no valid scale for falling risk of hospitalized children is available in our country. In this respect, the present study has been designed methodologically to develop a valid and reliable scale which can be used for defining accurately the falling risk of children hospitalized at a Children’s Research and Training Hospital.

METHODS: The scale which was constituted after receiving specialist opinion and performing a pilot study, was put into practice on 1000 patients whom their ages ranged from 0 to 18 years and hospitalized at various departments between 15 July 2011 and 16 August 2011. In the study group 36.4% of patients were female and 65.4% were male. The majority of patients were 3 years of age (51.2%). Seven patients had experienced falling (5.3%) during their hospitalization. In order to perform statistical analysis patients were divided into two groups. Group I involved patients who had fallen during their hospitalization and Group II involved the ones who had not fallen.

RESULTS: Election of scale items was performed by "total item point correlation" analysis and coefficients (values between 0.175 and 0.610) were found to be statistically significant. Similarly, "t-test for independent groups" demonstrated a statistically significant difference between mean values of two study groups (p=0.001). This data was interpreted as a strong evidence for the validity of the scale. Cut-off value obtained by ROC analysis was 16.5 points. While specificity of the scale was calculated as 0.833, the specificity was calculated as 0.496. According to this data, the AUC (Area under curve) of our scale was calculated between 0.690 and 0.818. This was a reasonable value for demonstrating the differentiative feature of the scale. Besides, by using our novel scale, we achieved to define 83.3% of patients who had fallen to be in the high risk group. This data proved that the scale was efficient enough for defining risk groups.

CONCLUSION: it was found that "Diagnostic Scale for Falling Risk of Children" is a valid and reliable scale which can be used in routine daily practice. 

EISSN 2757-9204