Prevention of Newborn Falls/Drops in the Hospital: AWHONN Practice Brief Number 9

Obstetric,; Nurses, Neonatal

doi:10.1016/j.jogn.2020.06.004

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…11 More recently, the Association for Women's Health, Obstetric and Neonatal Nurses (AWHONN) also recommended the development of strategies to decrease differences in practice around preventing inpatient newborn falls. 12 However, despite the last reported estimate of 600 to 1600 newborn falls in inpatient settings in the United States each year, 3 acute care hospitals continue to lack an instrument for assessing newborn fall risk. In response to these calls for action, we developed and implemented a newborn fall risk assessment tool for our inpatient neonatal intensive care unit (NICU) that accounted for caregiver and newborn risks and systematically evaluated its content validity and interrater reliability within our unit.…”

Section: What This Study Addsmentioning

confidence: 99%

Content Validity and Interrater Reliability of a Newborn Fall Risk Assessment Tool

Savage¹,

Antista²,

Diamond³

et al. 2022

Advances in Neonatal Care

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Background: Newborn falls are a safety concern in the acute care setting. To our knowledge, a valid and reliable tool for assessing newborn fall risk has not been developed. Purpose: To evaluate the content validity and interrater reliability of a tool for nurses to assess the fall risk of newborns in the acute care setting. Methods: Content validity was established using a modified Delphi technique with neonatal intensive care unit (NICU) nurses (n = 27). Item-level content validity indices and an average scale content validity index were calculated. For interrater reliability, pairs (n = 130) of NICU nurses simultaneously assessed multiple newborns using the tool, and an intraclass correlation coefficient was calculated. Results: The initial tool had 28 items classified in 2 sections (newborn and caregiver variables). Fourteen items met predefined cut-off values for content validity. This resulted in the tool (KAnt Fall) having 7 items for assessing newborns and 7 items for caregivers. The intraclass correlation coefficient was 0.99 indicating excellent interrater reliability. Implications for Practice: The tool will help assist nurses in systematically identifying newborns at high risk for falls. This assessment will allow nurses to identify and implement timely preventive actions for hospitalized newborns at high risk for falls. Implications for Research: Since this was a single-center study in 1 NICU, future research is needed in other hospitals and types of newborn settings (eg, labor and delivery and postpartum units). Further testing of KAnt Fall is also needed to establish additional psychometric properties.

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Section: What This Study Addsmentioning

confidence: 99%