Table 2.
Barriers and facilitators of chronic-care and acute-care patients considered in hospital fall risk screening.
| All Patients (n = 103) | Chronic Care (n = 74) | Acute Care (n = 29) | Chi-Square | |||||
|---|---|---|---|---|---|---|---|---|
| Negative statements | Domain | agree | disagree | agree | disagree | agree | disagree | p-value |
| % | % | % | % | % | % | |||
| Skills: HCWs do not have the right skills for FRS. | HCW | 16.5 | 44.7 | 18.9 | 39.2 | 10.3 | 58.6 | 0.190 |
| Knowledge: HCWs do not have the right knowledge for FRS. | HCW | 17.6 | 41.2 | 21.9 | 35.6 | 6.9 | 55.2 | 0.096 |
| Health status: I do not appreciate it when people interfere with my health when I did not ask for it. | Patient | 35.3 | 46.1 | 38.4 | 45.2 | 27.6 | 48.3 | 0.500 |
| Ethnicity: Early detection of disease is not concordant with my culture/values. | Patient | 11.0 | 76.0 | 8.3 | 79.2 | 17.9 | 67.9 | 0.359 |
| Financial status: I am afraid FRS will cost me money. | Patient | 19.0 | 58.0 | 22.5 | 57.7 | 10.3 | 58.6 | 0.252 |
| Compatibility: I think FRS is executed at an inconvenient time. | Program | 16.0 | 44.0 | 15.5 | 45.1 | 17.2 | 41.4 | 0.941 |
| Attractiveness: I have negative expectations of FRS. | Program | 11.9 | 59.4 | 12.5 | 59.7 | 10.3 | 58.6 | 0.922 |
| Specificity, flexibility: I do not believe that FRS can detect fall risk at an early stage and prevent deterioration. | Program | 33.3 | 32.4 | 34.2 | 31.5 | 31.0 | 34.5 | 0.941 |
| Didactive benefit: Since I have been screened for fall risk, I am not going to prevent falling in a more active manner. | Program | 28.2 | 30.1 | 25.7 | 29.7 | 34.5 | 31.0 | 0.578 |
| Positive statements | Domain | agree | disagree | agree | disagree | agree | disagree | p-value |
| % | % | % | % | % | % | |||
| Specificity, flexibility: FRS belongs to the duties of nephrology/ED HCWs. | Program | 48.0 | 16.7 | 42.5 | 19.2 | 62.1 | 10.3 | 0.191 |
| Attractiveness: I expect to benefit from FRS. | Program | 59.8 | 10.8 | 54.8 | 11.0 | 72.4 | 10.3 | 0.210 |
| Time investment: I have enough time to be screened for fall risk. | Context | 75.2 | 13.9 | 75.3 | 15.1 | 75.0 | 10.7 | 0.709 |
| Supportive staff: There are enough staff at the nephrology/ED department to screen for fall risk. | Context | 35.4 | 18.2 | 32.9 | 17.1 | 41.4 | 20.7 | 0.547 |
| Facilities: The nephrology/ED department is an appropriate place for FRS. | Context | 47.5 | 25.3 | 43.1 | 27.8 | 59.3 | 18.5 | 0.350 |
| Group norms, socialization: People in my surroundings that are important to me would participate in FRS. | Context | 40.6 | 15.8 | 36.1 | 13.9 | 51.7 | 20.7 | 0.121 |
| Motivation to change: I feel a need to be screened for fall risk. | Patient | 43.6 | 32.7 | 40.3 | 34.7 | 51.7 | 27.6 | 0.575 |
| Motivation to change: Since I have been screened for fall risk, I am more aware of my risks of falling. | Patient | 37.9 | 26.2 | 35.1 | 27.0 | 44.8 | 24.1 | 0.653 |
Bold = Facilitator for implementing the fall risk screening program. Italic = Indicates the subject of the statement. Domains are: HCW = healthcare worker characteristics; Patient = patient characteristics; Program = fall-prevention program characteristics; Context = context characteristics. Abbreviations used within statements: HCW = healthcare worker; FRS = fall risk screening; ED = emergency department. “Agree” means “agree” and “fully agree”. “Disagree” means “disagree” and “fully disagree”.