Journal of Korean Clinical Nursing Research 2019;25(2):179-188

doi:10.22650/JKCNR.2019.25.2.179

Development of Fall Assessment Scale in Adult Inpatients

Eun Hee CHOI 1 ; Mi Suk KO ; Sang Hee HONG ; In Sook KIM

Affiliations

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Keywords

Falls; Risk Assessment; Validation; Inpatients

Country

Republic of Korea

Language

Korean

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.