The Implementation Of The Change Essay

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)

Patient falls in hospitals are a critical problem and are used as a standard metric of nursing care quality. According to the Joint Commission, thousands of patients fall in hospitals each year. Approximately 30-50% of falls result in injuries and prolonged hospital stays. Any patient in a hospital is at risk for falling and certain measures should be in place to prevent this. Preventing falls and injuries are not only important for the patient, but also for their families, the hospital, health care team, and insurance companies. It is estimated the average cost of a hospital admission due to a fall is $20,000 and by 2030, an estimated $54 billion will be spent on health care costs due to falls. The purpose of this paper is to explore the risk factors of falls in hospitals and interventions used to combat this problem.

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.

At Brigham and Woman Hospital, this fall prevention program has been instituted throughout the facility. The protocol requires all patients to be screened for fall risk factors upon their admission to the hospital. Upon admission, nurses must conduct a throughout medical assessment, and use the Morse Fall Scale to assess patients mobility, muscle strength, gait, vision of patients because those conditions can put patients at increase risk for falls. At the end of each assessment, a number is provided to each patient determining the degree of fall and documented in the patient chart. For example, a patient might be a low risk for fall while another might at high risk for fall. In addition, the nurse must create a plan of care and

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

Organizations do not change, people do (Sullivan and Decker, 2009). A manager’s responsibility is to manage people. Change is difficult for most people and managing through the change process is not an easy task. Many theories on managing change exist, but they basically have four elements: assessment, planning, implementation, and evaluation (Sullivan & Decker, 2009). A manager’s role is to examine each of these elements and apply them to the people that he or she leads.

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.

increase. The purpose of this paper is to improve patient’s safety examining risk factors for falls using evidence based practice research studies. The studies suggested that falls are associated with many factors like impairments, medication, lack of exercise, and nursing intervention. Strategies for implementation of a fall prevention are listed, along with current nursing practice. Another essential step is to have a completed risk assessment of resident upon admission, modification of the environment assessment and implementing strategies to identified any potential risks.

Defining Change Change can be defined as an event that occurs when something passes from one state or phase to another, the result of alteration or modification, to lay aside, abandon, or leave for another, become different in essence; to lose one's or its original nature, to make different; cause a transformation, or to make or become different in some particular way, without permanently losing one's or its former characteristics or essence. There are many different views as to the complexity of change. Some may believe change is an illusion and nothing ever really changes. However, the majority, such as the post structuralism theorists, believe that change is inevitable. Change can be viewed

Based on evidence practice, the research study was completed in Midwest Hospital whereas 37 patients had fall in cardiac unit which was higher than their Nursing Quality Indicators benchmark. The goal was to improve education in fall policy, fall prevention signs above the patient’s bed, and decrease overall total number of falls within a year (Cangany et al., 2015). The purpose of this study is to focus on prevalence of falls, identify the cause and implement the fall interventions strategies to prevent harm on patients and reduction in fall rates.

Authors Cox et al. (2014) presented an interesting article discussing their study related to factors associated with acute care patient falls. The main area of focus was to identify the number of falls, type of falls, whether injuries were associated with the patient falls and if any correlation between the staffing ratios and falls existed (Cox et al., 2014).

with recommendations for changes needed in nursing. This was a response for the need to assess

Hourly patient rounding, according to Neville, is a preset timing, usually every hour or every two hour, in which tasks are performed by nurses as a way to check in on the patients (Neville, 2012). The concept of hourly rounding by nurses is not new. Infact, it is a way nurses organize their work and address important issues as they go about their day. There are other types of rounding in the hospitals such as interdisciplinary rounds and medical rounds, but these are done perhaps daily or a few times a week. It is the focus of this paper to address three relevant headings related to nursing hourly rounding through research literature and review.

Swee Geok Lim, (2016) also stated that patient falls have been recognized as one of the main issues in today’s health care in spite of efforts taken in preventing such incidents from happening. Patient falls can be prevented by means of fall risk assessment tools. The risk assessment tools are used to assess patients who are at risk for fall by identifying the fall prevention resources of the patients. It was recommended to implement a patient fall prevention program with the target of 10% reduction or more of patient falls each year. Morse Fall Scale is an example of risk assessment

I do agree your topic, ''hourly rounding". Hourly rounding can prevent patients from falls, timely meet the various needs of patients, and increase patients’ satisfaction. However, how to efficient implement the hourly rounding is an important issue. The ratio, the level of work and patients’ condition may affect its implementation. Therefore, it has the necessity of research.