title: Clinical validation of the nursing outcome falls prevention behavior in people with stroke.
abstract: To review the nursing outcome, Fall Prevention Behavior, and clinically validate its indicators in people with stroke.
  
  
  
  A methodological study performed with 106 patients in two outpatient clinics, from July to September of 2013. Two pairs of trained nurses applied the NOC scale, one with and one without the use of operational definitions. The internal consistency, stability and difference between the medians obtained by nurses were compared within and between pairs.
  
  
  
  Most participants were men, elderly, with low education and income. Statistically significant differences were noted in twelve indicators. Five indicators had different means that were greater than the least significant difference.
  
  
  
  The indicators were statistically significant; the internal consistency was similar between the pairs and the intraclass correlation coefficient was more satisfactory in the pair that used the definitions. Thus, the construction of empirical referents and the clinical validation process makes the nursing indicators and outcomes more adequate for specific populations and provides an effective means to better evaluate the nursing actions.
authors.affiliation: OMNI College, Vancouver, 8788 McKim Way, V6X 4E2, Richmond, BC, Canada. Electronic address: alicegsc@gmail.com.
authors.forename: Alice G
authors.initials: AG
authors.lastname: de Sousa Costa
authors.affiliation: Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil. Electronic address: thelmaaraujo2003@yahoo.com.br.
authors.forename: Thelma Leite
authors.initials: TL
authors.lastname: de Araujo
authors.affiliation: Department of Nursing, University of International Integration of African-Brazilian Lusophone, Redenção, Ceará, Brazil. Electronic address: tahissafc@yahoo.com.br.
authors.forename: Tahissa Frota
authors.initials: TF
authors.lastname: Cavalcante
authors.affiliation: Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil. Electronic address: marcos@ufc.br.
authors.forename: Marcos V
authors.initials: MV
authors.lastname: Oliveira Lopes
authors.affiliation: Department of Nursing, State University of Campinas, Campinas, São Paulo, Brazil. Electronic address: ana.railka@gmail.com.
authors.forename: Ana R de Souza
authors.initials: AR
authors.lastname: Oliveira-Kumakura
authors.affiliation: University of Fortaleza, Fortaleza, Ceará, Brazil. Electronic address: bertilia_chaves@hotmail.com.
authors.forename: Francisca B
authors.initials: FB
authors.lastname: Chaves Costa
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000503:physiopathology*
keywords: Concept analysis; Health promotion; Nervous system disease; Outcome evaluation