Definitions for the nursing outcome behavior for falls prevention: an integrative review

Abstract

Currently there is a need to measure the risk for falls consistent with the standardized nursing language. We selected the nursing outcome Behavior for Falls Prevention and aimed to identify evidence about its elements, the measures and to compare literature’s outcomes and the existing NOC indicators. It’s a integrative review, conducted between April and November 2009 by identifying the research question, establishing criteria for inclusion/exclusion, extraction of relevant information, evaluation, interpretation and synthesis. Most issues were cross-sectional surveys or experts perspectives. Some indicators weren’t identified in the literature and the risk factors such as fear of falling, below or above normal weight and incipient incontinence didn’t show NOC equivalents. The indicators ‘use of vision correction resources’ and ‘use of tied/appropriate sized shoes’ were considered insufficient to assess the risk factors such as sensory deficits and inadequate clothing/footwear. The indicators were identified and, as appropriate, definitions were proposed.

Descriptors: Nursing; Nursing Process; Nursing assessment; Accidental falls; Prevention.