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Validation of the Hester Davis Scale for Fall Risk Assessment in a Neurosciences Population

Hester, Amy L.; Davis, Dees M.

Journal of Neuroscience Nursing: October 2013 - Volume 45 - Issue 5 - p 298–305
doi: 10.1097/JNN.0b013e31829d8b44

Background and Purpose: Fall risk assessment is a necessary component of fall prevention programs. Accurate instruments to predict the risk of falling are paramount in identifying the correct patients in need of fall prevention measures. The purpose of this study was to prospectively validate the Hester Davis Scale (HDS) for fall risk assessment in an acute care setting in the South Central United States.

Methods: The HDS was prospectively validated in 1,904 patients on a neurosciences unit.

Results: Using an initial cut score of 7 produced a sensitivity of 100% and specificity of 24.9%. Receiver Operating Characteristic Analysis evidenced a cut score of 10 that would produce a more desirable sensitivity and specificity of 90.9% and 47.1%, respectively.

Conclusion: The results of the psychometric evaluation and validation of the HDS support its use in clinical practice.

Questions or comments about this article may be directed to Amy L. Hester, PhD(c) BSN RN BC, at She is the Director of Clinical Informatics and Innovation, University of Arkansas for Medical Sciences Medical Center, Little Rock, AR.

Dees M. Davis, BSN RN BC, is an Advanced Practice Partner, Neurosciences Unit, University of Arkansas for Medical Sciences Medical Center, Little Rock, AR.

Amy L. Hester and Dees M. Davis have a financial interest in HD Nursing; otherwise, the authors declare no conflicts of interest.

© 2013 American Association of Neuroscience Nurses