Korean J Adult Nurs.  2018 Dec;30(6):622-633. 10.7475/kjan.2018.30.6.622.

Comparison of Content Coverage of Domestic and International Inpatient Falls Prevention Guidelines Using Standard Nursing Terminologies

• Cho I
• Kim J
• Chae J
• Jung M
• Kim YH

• KMID: 2429769
• DOI: http://doi.org/10.7475/kjan.2018.30.6.622

Abstract

PURPOSE
The purpose of this study was to compare the content of the falls prevention guideline developed by Korean Hospital Nurses' Association (KHNA) in 2008 with the seven guidelines recommended by The Joint Commission.
METHODS
The contents of the eight guidelines were categorized into eight assessment, eight intervention, and two outcome elements that were considered core concepts of individual nursing activities. Concept-level comparisons were conducted using the International Classification for Nursing Practice, and the Logical Observation Identifiers, Names, and Codes. Two researchers independently examined the content coverage of each guideline and assigned 1 point to included content, 0 to excluded content, and 0.5 to similar content that was ambiguous in terms of a broader expression. The scores were compared, with discordance among raters resolved through consensus-based discussions.
RESULTS
The communication element in the assessment area was missing from the KHNA guideline, while five elements of pathophysiologic, mental/cognitive, therapeutic, and post-fall assessments showed lack of content. Although there were no missing elements in the intervention area, the three elements of staff communication, risk-targeted, and post-fall interventions showed considerable lack of content compared to the other guidelines. In terms of outcomes, the severity of fall-related injury was omitted, and the facility's policy on falls prevention was not addressed.
CONCLUSION
Many nursing elements and key concepts were missing from the KHNA guideline, and its content was not comprehensive. This suggests that the current guideline needs to be revised urgently, and the points identified in this study should be considered a high priority.

MeSH Terms

Accidental Falls*
Classification
Humans
Inpatients*
Joints
Logic
Nursing*

Figure

• 

  Figure 1 The 4 steps of this study procedure.

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