Patient falls is a huge nursing issue that requires intervention to promote patient safety at the hospital. My population is inpatient Adult, intervention is fall prevention techniques, comparison is Patient education Vs no education. Finally my outcome is outlined to promote patient’s safety and improve quality of care.
PICO Model:
P (Patient population or patient condition of interest) - Inpatient Adults
I (Intervention of interest) - Fall prevention interventions
C (Comparison of interest) - Patient education Vs No education
O (Outcome of interest) - Reduction of falls
Formulated PICO Question: Does patient education about fall prevention interventions reduce the number of falls and fall-related injuries in the hospital?
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
All healthcare professionals will receive an adequate training about fall prevention. The topics that will be covered are the correct usage of falls risk assessment tool and care plan, universal fall precautions, the causes and effects of falls, and so forth. One on one education will be provided to the patients by the assigned nurse.
Capan, K., & Lynch, B. (2007). Reports from the field: patient safety. a hospital fall assessment and intervention project. Journal of Clinical Outcomes Management: JCOM, 14(3), 155-160.
Patients are medicated, in an unknown environment, attached to lines, drains, and physiologically impaired in some manner. They are at a very high risk for falling. The American Hospital Association explains how participating hospitals have reduced falls by 27% by using the bundles and toolkits from Hospital Engagement Network (AHA HEN), this process requires the interdisciplinary team involvement. Each has their own role, nursing plays a critical role in fall prevention, they are with the patient for 12hours in a hospital setting and have direct care with assessing, creating a care plan, implementation of interventions, and evaluation. They can report any concerns or data to the
World War 1 had dramatically and tragically impacted soldiers due to the living conditions in trenches and the use of weaponry. Firstly Trench warfare’s was used to protect the soldiers from enemy, gunfire and grenades. The depth of the trenches was the key aspect of having a successful trench, as it would allow soldiers to be protected from enemy gunfire as they stood or moved about. Trench warfare occurred as a war tactic, where both sides dug deep trenches as a barrier against the enemy. The trenches massively affected soldiers as it caused a number of casualties on the battlefield and horrific diseases from health problems. Trenches were contaminated with rats and lice. Climate gave trenches unpleasant and terrible conditions. Charlie shows
Rule: The proceedings of such nature lie under legalities of Constitutional Law in which a plaintiff can pursue legal action based on the infringement of their individual rights, but are restricted due to specified circumstances.
During hospitalizations, falls are amongst the highest preventable consistent adverse events. Preventing such undesirable events, enhances patient overall experience, as well as increased trust in the health care professional team (Fragata, 2011). The importance of fall prevention lies with the many serious unfavorable health outcomes it can pose on the patient. Falls have the potential increase length of hospital stay, limit mobility, independence, but can ultimately lead to health deterioration, including death. Worldwide, falls are the second leading cause of accidental death. In addition to the life-threatening health and safety risks falls have to the patient, it also as a financial impact,
Inform and educate patients and /or family members regarding a plan of care to prevent falls.
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.
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
If patient safety is the most important issue in Health Care facilities then how come hospital inpatient falls continue to be the most reported of all accidental falls (Tzeng & Yin, 2009)? Throughout the years, hospitals continue to make changes to decrease the risk of accidents and increase the quality of patient safety. With research studies and improvements made, patient falls still hold the largest portion of reported incidents in hospitals (Tzeng, & Yin, 2008). According to Tzeng & Yin (2008), “fall prevention programs apparently do not effectively reduce inpatient fall rates because of human factors and ergonomics in a hospital environment (p.179, para. 2). The two studies reviewed in this paper were performed with the hopes of
The procedures were conducted using the format of questionnaires. The questions on the questionnaire were based on these four main areas: cause of falls, nursing staffs intervention in fall prevention, routines of documentation and report, and experiences and reactions of nursing staff related to fall incidents. The 64 questions were distributed into four different categories of people. The four different categories are registered nurse, enrolled nurses, unskilled nurses’ aid and other professions (Struksness et al., 2011, p.3 ). Out of the 64 questions, 7 were background questions. The other 57 questions were distributed among the four main areas of fall. 28
In conclusion the research shows that further communication is needed between the patient and caregiver. The exploratory study revealed that the informants received fall prevention interventions while hospitalized and at hospital discharge, even though they did not perceive these as such initially. (Clayton 2016). By fully engaging with the patient and family member through better communication this can help their understanding of risks of falls. With effective communication and understanding of the risk of falls, fall prevention can effectively be implement without patient misconceptions.
Falls are a big concern for all employees in a hospital setting daily. The worst thing that can happen to a patient while being hospitalized is a fall, or a major fall, that could result in skin damage (i.e. wounds, skin tears, or abrasions), a fracture or break, thus limiting their independence. This student’s goal was to develop a way to educate staff members in ways they can help reduce the number of falls that occur. Developing a sample Fall Risk Prevention Policy as well as a Staff in-service on fall risk and Prevention achieved this goal.
To know about me today, we cannot afford to just skip to the present, we have to start at the beginning of my life. It all began when I was born on August 24th, 2002 in Kingston, Jamaica. As a child I was quite interesting if not a little insane, I never had just one personality, I had several alter egos and personalities. To say the least, I was a character, I could portray any emotion at any time and that worked to my advantage on several different occasions. I was also very social as a kid, but this on the other hand did not work to my advantage on any occasion. I would talk to random people on the street and get lost almost everywhere I went.