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Risk Factors for Pediatric Inpatient Falls
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Myung Sook Cho, Mi Ra Song, Sun Kyung Cha
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J Korean Acad Nurs 2013;43(5):595-604. Published online October 15, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.5.595
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 Abstract
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- Abstract
Purpose
The purpose of this study was to identify risk factors for pediatric inpatients falls.
Methods
The study was a matched case-control design. The participants were 279 patients under the age of 6 who were admitted between January 1, 2004 and December 31, 2009. Through chart reviews, 93 pediatric patients who fell and 186 ones who did not fall were paired by gender, age, diagnosis, and length of stay. Five experts evaluated the 38 fall risk factors selected by the researchers.
Results
In a general hospital, pediatric patients with secondary diagnosis, tests that need the patient to be moved, intravenous lines, hyperactivity, anxiolytics, sedatives and hypnotics, and general anesthetics showed significance for falls on adjusted-odds ratios. Conditional logistic regression analysis was performed to elucidate the factors that influence pediatric inpatient falls. The probability of falls increased with hyperactivity and general weakness. Patients who didn't have tests that required them to be moved and intravenous line had a higher risk of falls.
Conclusion
These findings provide information that is relevant in developing fall risk assessment tools and prevention programs for pediatric inpatient falls.
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Citations
Citations to this article as recorded by  - Risk factors for falls among children aged 0–18 years: a systematic review
Lan Wang, Mao-Lin Qian, Xiao Shan, Xiao-Qin Liu
World Journal of Pediatrics.2022; 18(10): 647. CrossRef - Analysis of Fall Incident Rate among Hospitalized Korean Children Using Big Data
Eun Joo Kim, Anna Lee
Journal of Pediatric Nursing.2021; 61: 136. CrossRef - A Systematic Review and Meta-Analysis of Fall Prevention Programs for Pediatric Inpatients
Eun-Joo Kim, Geun-Myun Kim, Ji-Young Lim
International Journal of Environmental Research and Public Health.2021; 18(11): 5853. CrossRef - An electronic medical record-based fall risk assessment tool for pediatric inpatients in South Korea: Improved sensitivity and specificity
Eun Joo Kim, Ji Young Lim, Geun Myun Kim, Junghyun Min
Child Health Nursing Research.2021; 27(2): 137. CrossRef - Reliability and Validity of a Pediatric Fall Risk Assessment Scale for Hospitalized Patients in Taiwan
Ching-Mei Chang, Cheng-Fan Wen, Hsien-Feng Lin
Quality Management in Health Care.2021; 30(2): 121. CrossRef - Development and Effects of a Mobile Application for Safety Incident Prevention among Hospitalized Korean Children: A pilot Study of Feasibility and Acceptability
Jihee Han, Won-Oak Oh, Il Tae Park, Anna Lee
Journal of Pediatric Nursing.2020; 51: e69. CrossRef - Risk factors of falls among inpatients with cancer
M.D. Jun, K.M. Lee, S.A. Park
International Nursing Review.2018; 65(2): 254. CrossRef - Predictive Factors for Inpatient Falls among Children with Cerebral Palsy
Ebru Alemdaroğlu, Sibel Demir Özbudak, Sibel Mandiroğlu, Seda Alakoç Biçer, Neşe Özgirgin, Halil Uçan
Journal of Pediatric Nursing.2017; 32: 25. CrossRef - The Effect of Pediatric Inpatient Fall Prevention Education on Caregivers' Fall-related Knowledge and Preventive Behaviors
So Yeon Park, Hyeon Ok Ju
Journal of Korean Academic Society of Nursing Education.2017; 23(4): 398. CrossRef - A Pediatric Fall-Risk Assessment Tool for Hospitalized Children.
Hyeon Ju Shin, Young Nam Kim, Ju Hee Kim, In Sook Son, Kyung Sook Bang
Child Health Nursing Research.2014; 20(3): 215. CrossRef
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Clinical Nurses’ Knowledge and Visual Differentiation Ability in Pressure Ulcer Classification System and Incontinence-associated Dermatitis
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Yun Jin Lee, Seungmi Park, Jung Yoon Kim, Chul-Gyu Kim, Sun Kyung Cha
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J Korean Acad Nurs 2013;43(4):526-535. Published online August 12, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.4.526
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Abstract
PDF
- Abstract
Purpose
This study was done to compare clinical nurses’ knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD).
Methods
A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information.
Results
The overall mean score for correct answers was 14.5 (± 3.2) in PUCS & IAD KT and 11.15 (± 4.9) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), un-stageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r= .48, p< .001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs.
Conclusion
Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.
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Citations
Citations to this article as recorded by - Effectiveness of immersive teaching strategies on pressure injury: Impact on nurses' knowledge, attitudes and self-efficacy – A partially randomized participant preference (PRPP) controlled trial
Wen-Yi Chao, Yu-Lin Wu, Mei-Yu Hsu, Chien-Lun Chu
Nurse Education in Practice.2025; 82: 104237. CrossRef - Senior Baccalaureate Nursing Students’ Knowledge and Visual Differentiation Ability for the Pressure Injury Classification System and Incontinence-associated Dermatitis
Eunyoung Cho, Yune Kyong Kim, Yun Jin Lee, Youn Sun Hwang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 191. CrossRef - Big Data Analysis on Consumer Perception of Pressure Injuries: Text Mining and Semantic Network Analysis
Kyung Hee Park, Jinho Lee, Soon Chul Kwon, Jaeseung Kim
Journal of Wound Management and Research.2024; 20(3): 251. CrossRef - Knowledge and Visual Differentiation Ability of the Pressure Injury Classification System and Incontinence-Associated Dermatitis among Hospital Nurses: A Descriptive Study
Seungmi Park, Eun Jung Kim, Son Ja Lee, Eun Jeong Kim, Ji Yeon Lee, Jung Eun Hong
Healthcare.2024; 12(2): 145. CrossRef - Investigation of factors associated with pressure ulcer in patients receiving home care services via path analysis
Selma Durmuş Sarıkahya
Journal of Tissue Viability.2024; 33(2): 152. CrossRef - Evaluating Intensive Care Nurses’ Knowledge of Incontinence-Associated Dermatitis: A Multicenter Cross-sectional Study
Meryem Kılıç, Asiye Tuncay, Sümeyra Benan Çakır
Advances in Skin & Wound Care.2024; 37(9): 1. CrossRef - Development and Effectiveness of a Clinical Decision Support System for Pressure Ulcer Prevention Care Using Machine Learning
Myoung Soo Kim, Jung Mi Ryu, Byung Kwan Choi
CIN: Computers, Informatics, Nursing.2023; 41(4): 236. CrossRef - The ability of critical care nurses to identify pressure injury and incontinence‐associated dermatitis: A multicentre cross‐sectional survey
Huan Liu, Aiping Du, Yongming Tian, Mingrong Gao, Shuming Ji, Jie Mi, Xiaoping Shao, Debin Huang, Xiaoyi Cao
Nursing Open.2023; 10(3): 1556. CrossRef - Effects of Attitude, Barriers/Facilitators, and Visual Differentiation on Oral Mucosa Pressure Ulcer Prevention Performance Intention
Min Kyeong Kang, Myoung Soo Kim
Healthcare.2021; 9(1): 76. CrossRef - The Effect of Pressure Injury Training for Nurses: A Systematic Review and Meta-analysis
Gaeun Kim, Mikyung Park, Kyungwon Kim
Advances in Skin & Wound Care.2020; 33(3): 1. CrossRef - The Interrater Agreement for the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers by Nurses in A Medium-Sized Hospital
Hyung-Ju Na, Sung-Hee Yoo, Young-Ran Kwon, Min-Jeng Ahn
Korean Journal of Adult Nursing.2020; 32(1): 35. CrossRef - Development and Utilization of a Clinical Decision Support System Contents for Pressure Ulcer Prevention Care
Myoung Soo Kim, Jung Mi Ryu
Journal of Health Informatics and Statistics.2020; 45(4): 365. CrossRef - Canonical Correlation between Knowledge-Barriers/Facilitators for Pressure Ulcer Prevention Nursing Variables and Attitude-Performance Variables
Myoung Soo Kim, Jung Mi Ryu
Journal of Health Informatics and Statistics.2019; 44(3): 227. CrossRef - The use of sub-epidermal moisture measurement in predicting blanching erythema in jaundice patients
Seungmi Park, Chul-Gyu Kim, Ji Woon Ko
Journal of Wound Care.2018; 27(5): 342. CrossRef - Effects of home-visit nursing services on hospitalization in the elderly with pressure ulcers: a longitudinal study
Hyo Jung Lee, Yeong Jun Ju, Eun-Cheol Park, Juyeong Kim, Sang Gyu Lee
European Journal of Public Health.2017; 27(5): 822. CrossRef - Effects of pressure ulcer classification system education programme on knowledge and visual differential diagnostic ability of pressure ulcer classification and incontinence‐associated dermatitis for clinical nurses in Korea
Yun Jin Lee, Jung Yoon Kim
International Wound Journal.2016; 13(S1): 26. CrossRef - A Phenomenological Study on Illness Experience of Patients with Pressure Ulcer
Misoo Yoo, Myungsun Yi
Korean Journal of Adult Nursing.2015; 27(5): 515. CrossRef - Effects of Pressure Ulcer Classification System Education Program on Knowledge and Visual Discrimination Ability of Pressure Ulcer Classification and Incontinence-Associated Dermatitis for Hospital Nurses
Yun Jin Lee, Seungmi Park
Journal of Korean Biological Nursing Science.2014; 16(4): 342. CrossRef
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