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

This work has significance because staff and patient education can help prevent falls. Specific interventions decrease falls. Nurses have a responsibility to their patients and their facility to be competent and confident in their abilities to do all that they can to prevent falls. Facilities have the responsibility to provide the tools and the training that is required to carry out fall prevention

Nurses help to ensure patient safety, which includes preventing falls and fall-related injuries (Quigley, Neily, Watson, Wright, & Strobel, 2017). The general population is at risk for falls and fall-related injuries, more specifically the elderly, 65 and over (Quigley, Neily, Watson, Wright, & Strobel, 2017). Patient falls are one of the top events for hospitals and long-term care facilities due to loss of physical function or cognition (Quigley, Neily, Watson, Wright, & Strobel, 2017). Fall-related injuries are a serious health issue for the elderly population (Quigley, Neily, Watson, Wright, & Strobel, 2017). Nurses make a major contribution to patient safety by assessing fall risk and designing patient-specific fall prevention

The nursing process has been improved along the way, from Orlando’s original four step process in the late 1950’s, then, a separate step of a nursing diagnosis was added. As to the American Nurses Association Scope and Practice (2nd Edition, 2010), there was another important step of expected outcomes to identify patient goals. So, as the nursing process has been re-evaluated and improved the patient is re-evaluated and improved by the improved nursing process-problem solver. My fall prevention project has revealed to me and my readers there are vast numbers of risk factors that are involved in falls including medications, nutrition, cultures (beliefs), mental status and a history of falls. The nursing process has been and will always be used

Brittany Nix- This writer believes a key point or concern for health care professionals is how to keep the middle age group safe while maintaining privacy and independence. In comparing the first research to the current, data findings revealed the incidence of falls in middle-aged inpatients were similar to older inpatients. Far too often this writer feels the nursing profession stereotypes the older population while overlooking the risk in middle aged adults. This writer believes this research challenges nursing professionals to implement individualized fall prevention for patients, regardless of

The purpose of quality management in healthcare is a continuous process that improves health care performance and increase customer satisfaction. Within health organizations there are many entities such as pharmacies and clinics all of which need to provide quality services to their patients. Quality improvements are organizational strategies incorporating evidence-based practice to improve healthcare (Huber, 2010). Reviewing why and how the need for quality management in a health care organization will be discussed.

The increase in patients falls and the number of patients that are fall risks has greatly increase. Part of this is due to the aging population. While there are many prevention methods in place, patients are continuing to experience falls. “Problem solving relies on decision-making, critical thinking, and/or clinical judgement” (Chamberlain College of Nursing, 2015). I recently had a patient that had two falls during his admission. I placed the patient on 1:1 observation. He was a fall risk due to his history, mental status, and medications (narcotic pain meds and antipsychotics). The patient did not fall again while I was at work. However, after my days off I came back and got report that the patient fell again. The patient had been taken

Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator

Falls in an acute care setting lead the list of injury related deaths and deaths in the elderly. “A fall is defined as any event which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors” (Kalisch, Tschannen, and Lee, 2012, p. 6). Medicare and Medicaid changes in 2008 list falls as one of the 10 hospital acquired conditions for which hospitals will no longer be reimbursed because falls are considered preventable conditions. Joint Commission accredited hospitals are required to assess for falls risk and implement falls prevention measures.

Evidence Based Management of Fall Prevention in the Health Care Setting Patient’s fall is an unexpected event, and it is one of the challenges that nurses face in caring for patients. Sometimes, finding answers to why a patient fell could be difficult, but providing a strategic approach to prevent the fall event will improve the existing practice and preserved patient safety. The evidence based practice is the new world which nurses live in through a research and is the best tool for providing quality care for patients. To improve the existing practice for a fall prevention, this paper will examine the effectiveness of the fall preventive measures provided for patients during the period of hospitalization and the process of an health assessment’s visit by answering a clinical PICO(t) question which stated; in older adult patients, what is the efficacy of using fall prevention compared to no fall prevention for preventing fall during the period of hospitalization and the process of health assessment in the primary care setting?

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.

A 5 question pre-test on fall prevention will be administered to obtain baseline knowledge of the nurses within the first week of stakeholder’s buy-in on the proposed policy.

The purpose and scope of the “RNAO Falls Prevention CPG” are: “To increase all nurses’ confidence, knowledge, skills and abilities in the identification of adults within health care facilities at risk of falling and to define interventions for the prevention of falling. It does not include interventions for prevention of falls and fall injuries in older adults living in community settings. The guideline has relevance to areas of clinical practice including acute care and long-term care,

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.