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Scales for assessing self‐efficacy of nurses and assistants for preventing falls
Author(s) -
Dykes Patricia C.,
Carroll Diane,
McColgan Kerry,
Hurley Ann C.,
Lipsitz Stuart R.,
Colombo Lisa,
Zuyev Lyubov,
Middleton Blackford
Publication year - 2011
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.2010.05501.x
Subject(s) - self efficacy , nursing , medicine , reliability (semiconductor) , focus group , psychology , social psychology , power (physics) , physics , quantum mechanics , marketing , business
dykes p.c., carroll d., mccolgan k., hurley a.c., lipsitz s.r., colombo l., zuyev l. & middleton b. (2011) Scales for assessing self‐efficacy of nurses and assistants for preventing falls. Journal of Advanced Nursing 67 (2), 438–449. Abstract Aim. This paper is a report of the development and testing of the Self‐Efficacy for Preventing Falls Nurse and Assistant scales. Background. Patient falls and fall‐related injuries are traumatic ordeals for patients, family members and providers, and carry a toll for hospitals. Self‐efficacy is an important factor in determining actions persons take and levels of performance they achieve. Performance of individual caregivers is linked to the overall performance of hospitals. Scales to assess nurses and certified nursing assistants’ self‐efficacy to prevent patients from falling would allow for targeting resources to increase SE, resulting in improved individual performance and ultimately decreased numbers of patient falls. Method. Four phases of instrument development were carried out to (1) generate individual items from eight focus groups (four each nurse and assistant conducted in October 2007), (2) develop prototype scales, (3) determine content validity during a second series of four nurse and assistant focus groups (January 2008) and (4) conduct item analysis, paired t ‐tests, Student’s t ‐tests and internal consistency reliability to refine and confirm the scales. Data were collected during February–December, 2008. Results. The 11‐item Self‐Efficacy for Preventing Falls Nurse had an alpha of 0·89 with all items in the range criterion of 0·3–0·7 for item total correlation. The 8‐item Self‐Efficacy for Preventing Falls Assistant had an alpha of 0·74 and all items had item total correlations in the 0·3–0·7 range. Conclusions. The Self‐Efficacy for Preventing Falls Nurse and Self‐Efficacy for Preventing Falls Assistant scales demonstrated psychometric adequacy and are recommended to measure bedside staff’s self‐efficacy beliefs in preventing patient falls.