Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
June 2017 Vol. 6(6), pp. 131-136
Copyright © 2017 Global Advanced Research Journals


Full Length Research Paper 

Identification and information of fall risk factors at elderly admission in nursing homes

Cristina Lavareda Baixinho1* and Maria dos Anjos Dixe2

1PhD in Nursing, Master in School of Health, Specialist in Rehabilitation Nursing, Teacher at Lisbon Nursing School, Health Research Unit (UIS)/ Escola Superior de Enfermagem de Lisboa. Avenida Professor Egas Moniz, 1600-190 Lisboa. Portugal.
2PhD in Psychology, Master in Nursing, Specialist in Medical-Surgical Nursing, Teacher at Leiria health School, IPL, Health Research Unit (UIS)/ Escola Superior de Saúde do Instituto Politécnico de Leiria; Campus 2 - Morro do Lena - Alto do Vieiro. Apartado 4137 | 2411-901 Leiria - Portugal.

*Corresponding Author E-mail:;; Phone: 933254269, 964881092

Accepted 29 June, 2017


This study aim to build a scale to assess identification and information practices related to fall risk factors at elderly admission in nursing homes and to assess its psychometric characteristics. The prevalence of falls during the first weeks of institutionalization is high for being a new environment, with unknown personnel and the valuation of individual risk factors during assessment might not occur. A methodological study with 152 professionals from Portuguese nursing homes. The scale was constituted by 13 items, distributed by two factors that explained 61.803% of variance. The scale’s internal consistency was α= 0,913. Good scale’s statistical values allow its use for nursing investigation, training and clinical practice. It is important to associate the scale score with the prevalence of falls during the first weeks of elderly institutionalization.

Keywords: Falls, Elderly, Risk Factors, Caregivers.



Australian Comission on Safety and Quality in Health Care (ACSQHC). (2009). Preventing falls and harm from falls in older people: Best PraticeGuidlenes for Australian Residential Aged Care Facilities. Australian Health Ministers. Austrália.

Baixinho CL (2008). Capacidade de marcha após fratura da extremidade superior do fémur – revisão sistemática de literatura. Revista Referência 2(8): 79-86.

Baixinho CL, Dixe MA (2012). Instrumentos de Avaliação do Risco de Queda na População Idosa – Revisão Sistemática de Literatura. Int. J. Devel. Educ. Psycol. 1(4): 383-391.

Baixinho CL, Dixe MA (2014). Monitorimento de episódios de quedas em instituições para idosos. Revista electrónica de enfermagem, 16(1): 28-34.

Barker AL, Nitz JC, Choy NLL, Haines T (2009). Measuring Fall Risk and Predicting Who Will Fall:Clinimetric Properties of Four Fall Risk Assessment Tools for Residential Aged Care. J. Gerontol. A Biol. Sci. Med. 64 (8): 916–924.

Bonner A, MacCulloch P, Gardner T (2007).A student-led demonstration projet of fall prevention in a long-term facility.Geriatric nursing. 28(5): 312-317.

Center for Disease Control and Prevention (2012). Falls Among Older Adults: An Overview. Available: (July, 2015).

Damián J, Pastor-Barriuso R, Valderrama-Gama E, Pedro-Cuesta J (2013). Fators associated with falls among older adults living in institutions. BMC Geriatrics 2013, 13(6); Available: (july, 2015).

Direcção Geral de Saúde (2012). Programa Nacional de Prevenção de Acidentes (PNPA). Lisboa: Direcção-Geral de Saúde.

Duffy A (2013). The assessment and management of falls in residential care settings. Br. J. Nurs. 22(5): 259-263.

Hanson H, Salmoni AW, Doyle PC (2009). Broadening our understanding: Approaching falls as a stigmatizing topic for older adults. Disability and Health J. 2(1): 36-44.

Kalula SZ, Scott V, Dowd A, Brodrick K (2011). Falls and fall prevention programmes in developing countries: Environmental scan for the adaptation of the Canadian Falls prevention curriculum for developing countries. J. Safety Res. 42(6): 461-472.

Leland NE, Gozalo P, Teno J, Mor V (2012). Falls in Newly Admitted Nursing Home Residents: A National Study. JAGS, 60(5): 939–945.

Morse J (2009). Preventing Patient Falls (2th ed). New York: Springer Publishing Company.

Pestana MH, Gageiro JN (2008). Análise de Dados para Ciências Sociais: a complementaridade do SPSS (5.ª ed.). Lisboa: EdiçõesSílabo.

Pountney D (2009). Preventing and managing falls in residential care settings. Nursing and Residential Care, 11(8): 410-414.

Rapp K, Becker C, Cameron I, Konig H, Buchele G (2012). Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of Bavarian nursing homes. J. Am. Med. Dir. Assoc. 13(2):187.e1-187.e6.

Robertson K, et al (2013). Thinking falls – taking action: a falls prevention tool for care homes. Br. J. Comm. Nurs. 17(5): 206-209.

Streiner DL, Norman GR (2008). Health and Measurement Scales.A practical guide for their development and use (4th ed.). Oxford: Oxford University Press.

Teresi JA, et al (2013). Comparative effectiveness of implementing evidenced-based education and best pratices in nursing homes: effcts on falls, quality-of-life and societal costs. Int. J. Nurs. Stud. 50(4): 448-463.

Wagner LM, Scott V, Silver M (2011). Current approaches to fall risk assessment in nursing homes. Geriatr. Nurs. 32(4): 238-244.

Waltz C, Strickland O, Lenz E (2010). Measurement in Nursing and Health Research (4th. Ed.). New York: Springer Publishing Company.

Whitney J, Close JCT, Lord S, Jackson SHD (2012). Identification of high risk fallers among older people living in residential care facilities: a simple screen based on easily collectable measures. Archives of gerontology and Geriatrics. 55: 690-695.


Related Articles

Original Research Articles
Olusegun Joseph Adebami
Maternal and fetal determinants of mortality in babies with birth asphyxia at Osogbo, Southwestern Nigeria
Glo. Adv. Res. J. Med. Med. Sci. June 2015 Vol: 4(6): - [Abstract] [Full Text - PDF] (120 KB)
Shahira A El-Etreby, Seham Seif, Rokiah Anwar, Monir Bahgat, Hanan Azzam, Lamia Ibrahem, Hanaa Abdel Masseih, Mona M Arafa, Mohamed Elrakhawy and Nihal Elbatouty
Thrombophilic risk factors for non-malignant portal vein thrombosis in HCV related cirrhosis
Glo. Adv. Res. J. Med. Med. Sci. December 2015 Vol: 4(12): - [Abstract] [Full Text - PDF] (306 KB)
Bello, S. I.
Adherence and generic substitution among hypertensive patients in a specialist hospital
Glo. Adv. Res. J. Med. Med. Sci. February 2012 Vol: 1(1): - [Abstract] [Full Text - PDF] (118 KB)
Oliemen Peterside, Oyedeji O Adeyemi and Chika O Duru
A comparative analysis of caregivers satisfaction with the waiting area of the paediatrics HIV clinic of a tertiary health institution, before and after establishment of a children’s play area
Glo. Adv. Res. J. Med. Med. Sci. February 2014 Vol: 3(2): - [Abstract] [Full Text - PDF] (186 KB)
Ibrahim Shah, Shahzeb, Mohammad Hafizullah, Syed Tahir Shah, Mohammad Faheem, Rafiullah
Peripartum cardiomyopathy: risk factors, hospital course and prognosis; experiences at Lady Reading Hospital Peshawar
Glo. Adv. Res. J. Med. Med. Sci. September 2012 Vol: 1(1): - [Abstract] [Full Text - PDF] (206 KB)
Zia Ur Rahman Awan, Abdul Haleem Shah, Hafiz Munib Ur Rahman, and Sanaullah Khan
Hepatitis C Virus infection in IDPs of war against terrorism in South Waziristan Agency, Pakistan
Glo. Adv. Res. J. Med. Med. Sci. September 2012 Vol: 1(2): - [Abstract] [Full Text - PDF] (714 KB)

Current Issue

Viewing Options

View Full Article - PDF
Download Full Article - PDF

Search for Articles

Cristina Lavareda Baixinho on Google Scholar
Cristina Lavareda Baixinho on Pubmed
Maria dos Anjos Dixe on Google Scholar
Maria dos Anjos Dixe on Pubmed


Viewed 99
Printed 48
Downloaded 86
Powered By iPortal Works