Fall Prevention Case Study

The following paper is a written critique of the following research article “Improving the evaluation of risk of fall through clinical supervision: an evidence” (Cruza, Carvalhoa, Lopesb, 2016). The purpose of this critique is to analyze, evaluate, and review each section of the above stated quantitative research article. This quantitative, descriptive and correlational study focuses on improving patient safety and quality of nursing care by improving the evaluation of a patients' fall risk using the Morse Fall Scale (MFS) assessment tool in practice under the implementation of a clinical supervision model. (CS)

As a nurse we want to ensure that our patients receive a high quality of care. Patients should feel safe and satisfied while hospitalized. Many hospitals are continually looking for answers and implementation to significantly reduce the inpatient fall incidents. According to Bechdel et al (2014), the top priority of health care organizations nationwide is to reduce and eliminate falls within the clinical care settings. One of the serious problems in acute care hospital is the patient’s fall. The unfamiliar environment, acute and co-morbid illnesses, prolonged bedrest, polypharmacy, and the placement of tubes and catheters are common challenges that place patients at risk of falling. Most of the falls that I have encountered while working involves

The recommended implementation of the fall prevention program in an organization includes admitting older patients at risk for falls. Such a program requires time, money, collaboration effort from the staff, and administrative support. Fall risk is a growing patient issue in the unit therefore the proposal solution is needed to prevent fall. It is a comprehensive approach to improve the health condition of the elderly in the unit.

The following research question was addressed: What is the effect of falls in the older adults while hospitalized? CINAHL Complete and Google scholar databases were used to search for relevant quantitative research articles. CINAHL Complete was searched using words like “falls in older adults while inpatient”, “impact of falls in older adults while hospitalized”, falls in older adults”, “and falls in the hospital amongst older adults“, ” fall impact in older adults while hospitalized”. Google scholar databases was searched using keywords such as “impact of falls in hospitalized older adults”, “Fall in the older adults during hospitalization”, “effects of fall on older adults while hospitalized”. Quantitative research article published in English, where any author is a nurse, and adult subjects were analyzed; dates of publications for all articles were limited to the years between 2011–2016. The University of Texas at Arlington’s library site titled finding quantitative and qualitative research was used to evaluate the qualities of the research article to ensure quantitative articles were utilized. Research articles that were utilized were those that involve interventions focused on effects of falls in the older adults population while hospitalized. Multifactorial fall prevention programs, environmental, educational

Montalvo, (2007) stated falls should be under both a process and an outcome measure category. Falls are a very important nurse indicator because falls/injury can cause the hospital to spend a lot of money to treat accidents that happen after the fall. Falls can be prevented if the hospital has adequate staff, well light and clutter free rooms. My rationale for considering this nursing indicator will endorse awareness into patient safety on fall preventions while providing quality healthcare. I believe if the hospital facilities monitored for fall risk and prevention methods more closely they could have drastic decrease in the number of falls.

Patient safety is one of the nation's most imperative health care issues. A 1999 article by the Institute of Medicine estimates that 44,000 to 98,000 people die in U.S. hospitals each year as the result of lack of in patient safety regulations. Inhibiting falls among patients and residents in acute and long term care healthcare settings requires a multifaceted method, and the recognition, evaluation and prevention of patient or resident falls are significant challenges for all who seek to provide a safe environment in any healthcare setting. Yearly, about 30% of the persons of 65 years and older falls at least once and 15% fall at least twice. Patient falls are some of the most common occurrences reported in hospitals and are a leading

A fall can make wide spread consequences on the health service or can be affected seriously by the increased health care utilization. Among the fallers approximately 30% of falls result in physical injury leading to extensive hospitalization with significant hospital expenses (Tzeng & Yin 2010). Preventive care phases can support health services to regulate the spare expenditure to a greater extend. A fall in hospital consequently affects the nursing staff, which lead to impaired job satisfaction, additional work load and startling time consume. As the front line of care, nurses can prevent falls and reduce fall injury rates in acute care unit with available resources (Dykes et al. 2013). This literature review aims to assess the efficiency of planned interventions to reduce the incidence of falls in acute medical units. The discussions of the main findings of the review as well as the recommendations for further research are revealed to conclude this study.

Nursing intervention for fall prevention could improve older adult’ quality of life. Intermittently missing nursing care, also known as error of omission, is related to the staff’s education and skills level. According to Kalisch, Lee, and Tschnnen (2012), falls decreased 4% to 25% in health setting after giving education for fall prevention strategy. In other words, without providing education, there’s a possibility for older adults to fall by a health care provider who has inadequate knowledge for fall risks. Even if aging patients already have a high chance of falling due to their health condition, a health care provider could make the situation worse. Therefore, fall prevention education is important for both older adults and health care providers. Fall prevention requires participation from both sides.

The physical, social, psychological, and financial impact that falls can have on the elderly population is particularly tragic because falls are frequently preventable (CDC, 2012). This report will examine the findings of recent research into fall prevention in hospital settings, to better understand the preventive

Fall prevention is a primordial safety concern in hospitals. There can be multiple bad outcomes from a simple fall. The fall of a patient can result in immediate death. This is to say that a patient could fall and die on impact. Weak and confused, a patient may fall on the floor without a way to lessen the impact from the fall. This patient may fracture his or her skull. Fractured femur or hip bones can result from falls in the elderly because of their weaker bones. This would extend the length of the hospital stay for the patient. This would be terrible considering that many of these falls are preventable. The patient can become permanently disabled form a fall while hospitalized. The measures against falls are many because they can be caused

Evaluation of the project outcome is critical in assessing whether the fall reduction programs are productive and of benefit to the participants or in other words, assessing the general value of the program (Miake-Lye et al., 2013). In this case, the rate of falls and potential resultant injuries and the overall adoption of fall prevention practices are critical components of quality improvement of the program. They are crucial parameters for evaluating the success of the implementation project as well as learning from the successes and the challenges herein. In the case of this project, it is anticipated that there will be a decrease in the rate of falls among the patients. It is also expected that the number and severity of injuries due to

This article discusses such preventative measures such as visual cues that show a patients risk for falling. Having the fall risk of the patient posted using a sign, and using yellow wristbands that read fall risk to alert personnel to a patients risks for falls. One area this article talks about is the benefit of patients participating in a nurse led preoperative education session that reviewed risk factors for falls. These preoperative classes cover such things as calling for help before getting out of bed. These preoperative classes also talked about preventing postoperative falls. This

The purpose of this study was to provide normative data on fall prevalence in US hospitals by unit type and to determine the 27-month trends in falls prior to the implementation of the Centers for Medicare and Medicaid Service (CMS) rule which does not reimburse hospitals for care related to injury resulting from hospital falls. Does the fact that Medicare will not pay for hospital stays affect the attention nursing staff pay to patients who are fall risks.

Qualitative data analysis was obtained in this study in which eight major themes were revealed. The overall perception includes past falls, fall risks, and fear of fall-related injuries. (Shuman, 2016). Overall, the initial perception of the patients was they did not receive fall prevention information. As the interview continues the participants were able to give examples of fall preventions given to them by the healthcare providers’. The data analysis supports the conclusion that healthcare providers need provide clarity to patients and family member in order to prevent falls.

Stuksnes et al. (2011) performed a study aimed at determining nurses' views on the causes of falls, the types of interventions to reduce falls, documentation practices, and reactions to falls in older patients with dementia. For the quantitative analyses comparisons were to be made between two independent variables: registered nurses (RNs) and enrolled nurses (ENs) as well as by level of experience (< 5 years experience versus > 5 years experience, on the above dependent variables. Given that the independent variables are subject variables there was no randomization. Participants were recruited according to proper research etiquette and ethical guidelines.