Suzanne Sheppard-Law BN, MPH (Research), PhD, Frances Brogan BN, MN, Frances Usherwood BN, Paul Hunstead BN, MN, Danielle-Ritz Shala BSN, MSc Health Data Science, MACN
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Parents were asked to rate their hospital-based falls knowledge using a Likert scale (1–5). The questionnaire was administered to parents across six hospital wards, 1 day a week, from May to August 2019. Validation of the questionnaire involved factor analyses and reliability tests. Finally, descriptive analysis measured parents' knowledge, and a multivariate logistic regression analysis reported factors associated with parents’ falls knowledge. All data were analyzed in Statistical Package for the Social Sciences (V27). Ethical approval was received for all stages.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The final version of the parent knowledge of falls (PKOF) questionnaire consisted of 23 questions across five domains (Cronbach <i>α</i> = .929–.70). Parents’ knowledge of hospital-based falls ranged from 2.5 to 4.5, while knowledge that children may fall during parental presence rated the lowest score. Knowledge of inpatient falls was higher if their child had a high risk of falls (odds ratio [OR]: 2.1, <i>p</i> = .04) and they were Australian-born parents (OR: 1.9, <i>p</i> = .05).</p>\n </section>\n \n <section>\n \n <h3> Practice Implications</h3>\n \n <p>The PKOF questionnaire is an evidence-based instrument developed for a pediatric hospital setting. Findings highlight knowledge gaps and parent groups with the highest risk of having inadequate hospital-based falls knowledge. 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引用次数: 1
摘要
目的:本研究旨在验证和确定与父母对医院儿童跌倒知识相关的个体特征和人口统计学因素，并确定更有可能报告低水平跌倒相关知识的父母群体。设计问卷和横断面调查设计的验证。方法澳大利亚某三级专科儿科医院住院患儿家长(200名)填写在线问卷。家长被要求使用李克特量表(1-5)对他们在医院的跌倒知识进行评分。该问卷于2019年5月至8月期间在6个医院病房的父母中进行，每周1天。问卷的验证包括因子分析和信度检验。最后，描述性分析测量了父母的知识，多变量逻辑回归分析报告了与父母跌倒知识相关的因素。所有数据均在Statistical Package for the Social Sciences (V27)中进行分析。所有阶段均获得了伦理批准。结果最终的父母跌倒知识(PKOF)问卷包括5个领域的23个问题(Cronbach α = 0.929 - 0.70)。父母对医院跌倒的知识在2.5到4.5之间，而对孩子在父母在场时可能跌倒的知识得分最低。如果他们的孩子有较高的跌倒风险(比值比[OR]: 2.1, p = .04)，并且他们是澳大利亚出生的父母(比值比:1.9,p = .05)，那么他们对住院病人跌倒的了解程度更高。实践意义PKOF问卷是一个基于证据的工具开发儿科医院设置。调查结果强调了知识差距和家长群体最容易缺乏基于医院的跌倒知识。该问卷使儿科护士和教育工作者能够准确和一致地衡量家长对医院跌倒的了解，从而确定差距，并随后使用循证方法制定、实施和评估跌倒教育。
Predictors of parent's knowledge of hospital-based pediatric falls
Purpose
This study aimed to validate and to determine the individual characteristics and demographic factors associated with parents’ knowledge of hospital-based pediatric falls and to identify parent populations more likely to report low levels of falls-related knowledge.
Design
Validation of a questionnaire and a cross-sectional survey design.
Methods
Parents (n = 200) of hospitalized children admitted to a tertiary specialist pediatric hospital in Australia completed an online questionnaire. Parents were asked to rate their hospital-based falls knowledge using a Likert scale (1–5). The questionnaire was administered to parents across six hospital wards, 1 day a week, from May to August 2019. Validation of the questionnaire involved factor analyses and reliability tests. Finally, descriptive analysis measured parents' knowledge, and a multivariate logistic regression analysis reported factors associated with parents’ falls knowledge. All data were analyzed in Statistical Package for the Social Sciences (V27). Ethical approval was received for all stages.
Results
The final version of the parent knowledge of falls (PKOF) questionnaire consisted of 23 questions across five domains (Cronbach α = .929–.70). Parents’ knowledge of hospital-based falls ranged from 2.5 to 4.5, while knowledge that children may fall during parental presence rated the lowest score. Knowledge of inpatient falls was higher if their child had a high risk of falls (odds ratio [OR]: 2.1, p = .04) and they were Australian-born parents (OR: 1.9, p = .05).
Practice Implications
The PKOF questionnaire is an evidence-based instrument developed for a pediatric hospital setting. Findings highlight knowledge gaps and parent groups with the highest risk of having inadequate hospital-based falls knowledge. The questionnaire enables pediatric nurses and educators to measure parents' knowledge of hospital-based falls accurately and consistently, and so to identify gaps and, subsequently, develop, implement, and evaluate falls education using an evidence-based approach.
期刊介绍：
Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?''
The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.
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