J Korean Clin Nurs Res.  2019 Aug;25(2):179-188. 10.22650/JKCNR.2019.25.2.179.

Development of Fall Assessment Scale in Adult Inpatients

• Choi EH
• Ko MS
• Hong SH
• Kim IS

• KMID: 2457429
• DOI: http://doi.org/10.22650/JKCNR.2019.25.2.179

Abstract

PURPOSE
The purpose of this study was to develop a valid Adult Fall Assessment Scale Korean version (FAS-K) for inpatients in general hospitals in Korea.
METHODS
This a 14 item FAS-K was developed based on a review of national and international research and expert opinions in related field. Interrater reliability of FAS-K was analyzed using the ICC (Intraclass Correlation Coefficients). To examine the validity of FAS-K, a CVI (Content Validity Index), the Pearson correlation coefficients between FAS-K and two widely used scales, the Morse Fall Scale (MFS) and the Johns Hopkins Hospital Fall Risk Assessment Tool (JHFRAT), and the Mann-Whitney test were used.
RESULTS
The ICC was .958. The CVI ranged from .70 to 1.00. The FAS-K was significantly associated with the MFS (r=.74, p<.001) and with the JHFRAT (r=.87, p<.001), verifying the concurrent validity of FAS-K. As for the construct validity of FAS-K, significant differences between the fall and non-fall groups were found not only in the MFS (Z=−3.23, p=.001) but also in the FAS-K (Z=−3.10, p=.002).
CONCLUSION
The findings indicate that the FAS-K is a reliable fall risk assessment tool with high validity.

Keyword

Falls; Risk Assessment; Validation; Inpatients

MeSH Terms

Accidental Falls
Adult*
Expert Testimony
Hospitals, General
Humans
Inpatients*
Korea
Risk Assessment
Weights and Measures