The Studies Done By Tucker Et Al

The setting in which this writer would start the study would be similar to the original case, by also conducting it at a state level in order to gather a big enough sample to secure and address the statistical power of the results. The setting essentially is going to target the California state's nurses that are licensed through to the

One of the main barriers in using evidence-based practice is the lack of time in order to implement it into the nurse’s days. In one study, many respondents said that, both at work and outside of work hours, time was just not there (Brown, Wickline, Ecoff, & Glaser, 2009). In another study done many years later, time continued to be a main concern for nurses and that they just didn’t feel like it should be expected for them to keep up with the research (Tacia, Biskupski, Pheley, & Lehto, 2015). Many of these restraints on time can easily be addressed though. Some issues, such as, short staffing can be fixed, while others would take more work to address, such as, not having enough time at home to research due to familial obligations. Setting aside specific time in the workday for nurse’s to research or hiring more nurses in order to split the work load and allow more time in between tasks for research could also be solutions to this specific barrier.

Current literature has exposed many risk factors for falls. There are both intrinsic risk factors and extrinsic risk factors. Intrinsic risk factors include changes that come with age, such as gait issues, urinary incontinence, and fear of falling. Extrinsic risk factors include those that are related to the physical environment such as improper use of assistive devices and poor floor surfaces. No matter the type of risk factor, it is crucial to conduct a risk assessment when trying to prevent falls from occurring. Pearson and Coburn (2011) found that identifying risk factor for falls will help identify appropriate prevention strategies. Fall risk assessments help determine Talk about

The widespread falls among the geriatric population reduce their quality of life and take away their functional independence. Lee et al (2013) state that falls leads to the rise in mortality rates and morbidity complications such as fractures and disabilities,1 out of 3 elderly persons in a community setting falls in a year. About 87% of all fractures in the elderly are due to falls. Several of the risk factors that are associated with falls are visual impairments, cognitive impairments, and health-related problems: arthritis, orthostatic, back pains, lack of balance-weakening muscles, previous falls, polypharmacy or psychoactive drugs (Lee et al, 2013).

A common goal all healthcare providers share, is the desire to provide excellent patient care. The delivery of care is constantly changing in healthcare, however, the patient will continue to remain the focus of care. The success of nursing care thrives off the ability to fulfill patient needs and to maintain patient safety and satisfaction. When patients are admitted to the hospital, their need for an increase in their level of care and attention, due to the decline in their health status, and inability to preform normal daily activities of daily living. The loss of independence places the patient in a vulnerable state of mind, causing the individual to rely on members of the healthcare team to assist with basic self-care needs while in a stable and well-organized environment. A structured environment can be accomplished through the practice of hourly rounding on all patients.

Hourly rounding is a strategy involving nurses and other health care staff to regularly “check in” on patients every hour. Because nursing staff is not reacting to call lights, patients are more content and happy; therefore nurses feel they are doing a better job helping their patients (Studer, 2007). Research has shown that rounding every hour lowers patient’s use of call lights and resultantly decreases the workload of the nurse (Leighty, 2007; Meade, Bursell, & Ketelsen, 2006; & Tipton, 2008). Performing hourly rounds has contributed to 20% less walking per shift

Prior to the start of the project, a pre-data of falls frequency will be obtained from the Quality Assurance Committee team. These data will be compared and analyzed for comparison to post implementation of the weekly fall risk assessment data, interdisciplinary post-fall assessment on individuals with falls in last 14 days, and the weekly falls prevention training for all shifts. A descriptive statistic will be used to analyze the knowledge, attitude, and thoughts of NPs and

The staff as well as students coming onto the unit for a rotation will need to be educated on this new policy of interdisciplinary team rounding. It is extremely important for the physicians and nurses to be fully educated on this change as well as the other staff members so they all can work together to decrease the amount of disturbances in the morning for the patients. In order to provide this education, the nurse manager will hold a meeting regarding the change and why it is going to happen for all staff members. The nurse manager will send out an email with different time slots that the meeting will take place to make sure every member goes to at least one meeting. For the students that will be doing a rotation on the unit, the nurse manager will provide a PowerPoint that will need to be read and a short quiz to follow in order for the students to follow the policy as well. Once every staff member completes the education, then the change can begin to be implemented on the unit. After the change was implemented I would evaluate the success of the change six months after the implementation and then again at one year. Being the unit manager, I would use two tools to evaluate the success of the change. First, I would observe morning rounds and speak to the patients during the manager rounds regarding the healthcare team’s rounding. I would also look over the discharge surveys or the past six months to see if

My target population for this project was geared towards the elderly group. "About 40% of this age group living at home will fall at least once each year, and about 1 in 40 of them will be hospitalized. Of those admitted to the hospital after a fall, only about half will be alive a year later."(Rubenstein, 2006) This group although not the highest incidence of falls but rather the highest susceptibility to injury from falls.

Fall risk assessments tools, which help to identify those patients at risk of falling, play a vital role in reducing the number of falls. The basis for this assessment is that if patients at high fall risk can be

“For example, these nurses developed a standardized manner with consistency and coherence to perform fall assessment and documentation as well as collect the patient information regarding fall prevention” (Breimier, Halfens, & Lohrmann, 2015, p. 8).Participants identified the Falls CPG included useful recommendations, were helpful in decision making, for each field (Breimier, Halfens, & Lohrmann,

The evidence based assessment tool, Morse Fall Scale is used to assess the risk for falls.

Falling is inevitable at some point in life, and although most of the time falls are not serious, some can be life-threatening. Falls are a danger to both physical and psychological well-being because they may diminish a person’s ability to maintain an active and independent lifestyle.1 There are many factors that place individuals at risk for falls such as age, muscle weakness, difficulty with balance or walking, psychological diagnosis, and several medical conditions.1,2 Approximately one-third of people over the age of 65 fall at least once a year.3 Individuals that are status post stroke are at an increased risk of falls, making falls assessment and prevention a common priority for clinicians treating this population.1,2 Therefore, to direct the experimental methods and build on a basis of previous literature on this topic, the search began using OneSearch, CINAHL, PubMed, and

By focusing on overall patient care and satisfaction many areas patients are surveyed on can be improved. Once a performance standard is selected staff must develop a plan for improvement. The first step would be to research as many sources as possible to find the best evidence based practices that would work for the specific facility. This can be divided into two the two categories of direct nursing care and indirect nursing care. Direct nursing care would include implementing hourly rounding, adequate nursing staff and SBAR communication. Indirect nursing care includes availability of technology such as wireless communication, real time locating, wireless monitoring, and electronic medical records. The second step would contain education of the staff on what is to be implemented and why. The why is important for nurses to overcome any barriers that might be encountered. While nursing practice has grown based on evidence Vanhook (2009) explains the greatest barriers to evidence based practice, such as difficulty interpreting findings, limited time, and misunderstanding of research itself, and how to overcome these barriers. With phase one and two completed facilities can move forward with implementation and evaluation.

Throughout the past ten weeks, I have grown in my understanding of nursing research on all levels. I feel that the most essential knowledge I have gained is the ability to critically review a research article. Because of this class, I have a better grasp on the necessary components to include, as well as how to determine rigor and validity in research. This is a valuable skill which I will utilize throughout my career as a nurse practitioner. I anticipate applying this knowledge as I review articles to determine which intervention is best to incorporate into management plans for my patients. As an example, if I am