Use of a Content Analysis Procedure for the Development of a Falls Management Audit Tool

被引:2
作者
Wagner, Laura M. [1 ]
Clark, Patricia C. [2 ]
Parmelee, Patricia [3 ]
Capezuti, Elizabeth [4 ]
Ouslander, Joseph [3 ]
机构
[1] Baycrest Ctr Geriatr Care, Toronto, ON, Canada
[2] Georgia State Univ, Atlanta, GA 30303 USA
[3] Emory Univ, Ctr Hlth Aging, Atlanta, GA 30322 USA
[4] NYU, New York, NY USA
基金
美国医疗保健研究与质量局;
关键词
accidental falls; instrument development; nursing and medical audit; nursing homes; process assessment;
D O I
10.1891/jnum.2005.13.2.101
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The Falls Management Audit Tool (FMAT) was developed to assess the documentation of the falls management process in nursing homes. The multistep content analysis procedure was used to guide tool development and obtain reliability and validity of the FMAT. Established fall guidelines and national experts were used for item development. Trained gerontological nurse practitioners conducted chart audits in nursing home residents with a fall history. Adequate content validity (content validity index > .88) and interrater and intrarater reliability were established (kappas > .78) in the final version of the 57-item FMAT and pilot testing demonstrated feasibility. This study provided evidence that the FMAT is a reliable and valid tool, which can be used to assess the documentation of the falls management process and for measuring the effect of research or quality improvement interventions.
引用
收藏
页码:101 / 113
页数:13
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