Date on Paper

7-2024

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

DeLetter, Mary

Committee Member

Albers, Courtney

Author's Keywords

Falls; fall risk; fall rates; interventions; education

Abstract

Background: Falls are the most commonly reported safety incidence in the hospital setting (Morris R. et al., 2017). Because falls may be a result of many factors, evidence shows that multicomponent fall interventions best reduce fall rates (Bargmann et al., 2020; Dykes et al., 2010; Dykes et al., 2020; Strini et al., 2021). In this project, a needs assessment identified a need for fall prevention strategies to reduce fall rates on inpatient units.

Setting: A step-down/telemetry Cardiovascular Intervention Unit (CVI) (15 beds) and Cardiovascular Unit (CVU) (12 beds) in a suburban private hospital.

Purpose: The purpose of this evidence-based project was to evaluate the effectiveness of education on nurses’ implementation and documentation of falls prevention interventions on the CVI and CVU

Methods: This project consisted of an interrupted time series design. Fall rates, fall prevention and documentation rates were audited and compared before and after an educational read-and-sign discussing multicomponent changes (new falls risk assessment, new interventions, and focus on documentation).

Intervention: The intervention was an educational read-and-sign conducted with unit staff to review the current falls prevention interventions and documentation requirements. Data regarding the use of interventions and documentation were collected and analyzed.

Results: Post-intervention, four of eight variables demonstrated significant improvement including use of fall bracelet (p

Included in

Nursing Commons

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