Senior Leadership Practicum Fall Prevention Article Essays

Senior Leadership Practicum Fall Prevention Article Essays Senior Leadership Practicum Fall Prevention Article Essays In this assignment, you will research best practices to identify an effective intervention for your selected problem which is “Improving Fall Prevention Strategies in an Acute-Care Setting”. Your goal is to gather evidence form scholarly literature to support the most effective intervention strategy. Locate at least 3 original research articles that provide evidence for your proposed solution to your selected problem. The articles must be peer reviewed, published within the past 5 years, and statistically significant. Write a 350-word summary of each article in which you: Identify current guidelines or best practices relating to your proposed solution, or if there are protocols, the current standard of care. Define your proposed intervention(s) to address the problem. Explain how the intervention will result in a solution to the problem. Include PDFs of the articles as well as a reference pages with an APA-formatted citation for each article. NSG 498 University Phoenix Senior Leadership Practicum Fall Prevention Article Essays Attached files are related to the research problem so that it is easier for you to understand the assignment and so that this assignment will correlate with them. nsg_498_week_1_assignment_completed.pptx nsg_498_week_2_assignment.pptx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Fall Prevention Measures Senior Leadership Practicum Dione Hendrix Professor Kristen Chandler University of Phoenix October 28, 2020 Table of Content 01 Issue Statement A definition of falling and its importance is provided 02 Addressed Problem Further information are provided in regard to risk population and the environment to which this proposal plan applies to. 03 Fall Prevention Measures A short presentation of the three proposed methods of reducing falls in the acute care setting 04 Fall Risk Assessment Discusses the importance of determining which of the patients are at high risk of falling 04 Concerns Provides and overview of the ethical, legal and regulatory concerns regarding to the proposed issue 05 Reasoning Explains the reason why the issue of falling was approached in this presentation Issue Statement Definition of Fall: An unplanned descendant at the level of the floor which can result in an injury. • Prevention of falls and related injuries continue to be a challenging issue in the medical environment. • For the group of people over 65 years old it represents the major cause of accidental death. • This issue was frequently associated with the quality of the medical care act in the acute setting. Addressed Problem and the setting • The problem addressed involves the fall among older adult patients receiving secondary healthcare where there is an active and short-term treatment. • Falls among the old adult patients occur after they become ill or undergo surgeries. • The setting involves short-term healthcare facilities dealing with patients’ acute care. Fall Prevention Measures Proposed • Implementing a clear fall risk assessment that aims in determining which patients are at risk for falling. • Ensuring that the acute unit has all the latest alarm systems to monitor adequately those who were classified as being at high risk. • Increase the routine check-ups in the case of these patients and determine if any environmental changes are needed to reduce the risk of falling. Fall Risk Assessment • Assessing the patient at a high risk of falling allows providers to develop a culture of accountability. • Fall risk assessment allows nurses to develop precautionary measures to prevent patients from falling. • Care providers have a significant role in evaluating the rate of patient fall risk. • There are various available risk assessments which all have their advantages and disadvantages. • The risk of falling tends to be a transitory factor and due to that periodic reassessment is needed. • Most of the available tools lack adequate sensitivity and specificity to be used alone. Alarm Systems • Their purpose is to announce the nurse practitioners when a patient who is at risk attempts to leave their chair of bed. • Multiple options are available such as wearable devices, movement detectors based on infrared technology, cord activated alarms, or pressure mats. • The downside is represented by the fact that it tends to restrict both mobility and independence. • Activation of false alarms can lead to the desensitization of the nurses when it comes to real emergencies. Regular Safety Rounds • Safety check-ups are one of the most effective plans to prevent patient falls in hospitals. • Care providers can conduct additional safety rounds on patients with high risk for falls. • The safety rounds allow care providers to ensure that fall precautionary measures are in place. • Together with the other methods proposed this can decrease the risk of falling for the patient even more than expected. Ethical Concerns • The nurses are expected to act Legal Concerns • A nurse’s role is to offer medical Regulatory Concerns • Healthcare facilities come up morally by providing the assistance to the patient and with policies that ensure nurses necessary care service per take legal action against the prevent older patients from human rights. nurse when unsatisfied. falling. • Team communication an aspect • The rate of patients falls shows • Programs exist in some that can contribute to ethical nurses’ quality of care within a hospitals which help nurses to issues during fall prevention.NSG 498 University Phoenix Senior Leadership Practicum Fall Prevention Article Essays healthcare facility. prevent falls among patients. Reasoning for choosing this issue • Falls are common phenomena among older patients, especially in acute care units. • Patient falls cause significant fatal and non-fatal injuries among older patients. • Falls among elderly clients can result in fear and hence reduced patient activity • Episodes of falling are correlated with substantial expenditures that are needed in order to treat them. • The impact the high incidence cost of care and long term effects falling have on the healthcare system dramatically impacts the perception of the • Alshammari, S. A., Alhassan, A. M., Aldawsari, M. A., Bazuhair, F. O., Alotaibi, F. K., Aldakhil, A. A., & Abdulfattah, F. W. (2018). Falls among elderly and its relation with their health problems and surrounding environmental factors in Riyadh. Journal of family & community medicine, 25(1), 29–34. https://doi.org/10.4103/jfcm.JFCM_48_17 • Dellinger A. (2017). Older Adult Falls: Effective Approaches to Prevention. Current trauma reports, 3(2), 118–123. https://doi.org/10.1007/s40719-017-0087-x • Najafpour, Z., Godarzi, Z., Arab, M., & Yaseri, M. (2019). Risk Factors for Falls in Hospital In-Patients: A Prospective Nested Case Control Study. International journal of health policy and management, 8(5), 300–306. https://doi.org/10.15171/ijhpm.2019.11 • Ott L. D. (2018). The impact of implementing a fall prevention educational session for community-dwelling physical therapy patients. Nursing open, 5(4), 567–574. https://doi.org/10.1002/nop2.165 • Phelan, E. A., Mahoney, J. E., Voit, J. C., & Stevens, J. A. (2015). Assessment and management of fall risk in primary care settings. The Medical clinics of North America, 99(2), 281–293. https://doi.org/10.1016/j.mcna.2014.11.004 • Slade, S. C., Carey, D. L., Hill, A. M., & Morris, M. E. (2017). Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with metaanalysis. BMJ open, 7(11), e017864. https://doi.org/10.1136/bmjopen-2017-017864 • Tricco, A. C., Thomas, S. M., Veroniki, A. A., Hamid, J. S., Cogo, E., Strifler, L., Khan, P. A., Robson, R., Sibley, K. M., MacDonald, H., Riva, J. J., Thavorn, K., Wilson, C., Holroyd-Leduc, J., Kerr, G. D., Feldman, F., Majumdar, S. R., Jaglal, S. B., Hui, W., & Straus, S. E. (2017). Comparisons of Interventions for Preventing Falls in Older Adults: A Systematic Review and Meta-analysis. JAMA, 318(17), 1687–1699. https://doi.org/10.1001/jama.2017.15006 • Vonnes, C., & Wolf, D. (2017). Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ open quality, 6(2), e000038. https://doi.org/10.1136/bmjoq-2017-000038 References Information Management Senior Leadership Practicum Dione Hendrix Professor Krissie Chandler University of Phoenix November 2, 2020 Table of Content 01 Leader and Peer Interview 02 Patient Surveys 03 Quality Improvement 04 Benchmarking Data 04 Goals 05 Current Practices Leader and Peer Interviews The presentation will review data from John Hopkins Hospital • Not a lot of research has been conducted on fall prevention measures • Especially very little qualitative data from interview an surveys has been collected to provide insight on fall prevention techniques used. • However, some scholars have quoted prominent health experts in the aspects of fall prevention. • Interviews conducted state that over half of individuals over the age of 65 are pone to fall in the course of their medical care Patient Survey • Surveys conducted point out the general quality of health are provided in respect to the age of the patient • As the age of the patient increase, so does the quality of care and the fall prevention strategies • This is because the older patients are much more prone to fall incidents and injuries may become more serious as compared to younger patients. Level of Risk • The risk encountered by older patients when it comes to fall is ignored by many health experts. • As earlier stated, surveys have suggested that older patients past the age of 65 have a higher risk of fall and may get serious injuries as a result. • The level of risk is associated with the frequency of the problem. In this case, fall incident for older patients in hospital is relative high. Quality Improvement • Quality improvement reports are an important aspect of primary healthcare, they provide insight on areas that need to be improved on. NSG 498 University Phoenix Senior Leadership Practicum Fall Prevention Article Essays • Quality improvement reports suggest that the facility has been vigilant in many aspects of healthcare. • However, in terms of fall prevention and the quality of care provided after a fall, the facility is still working to improve the results. Benchmarking Data • Benchmarking Is the process of assessing performance using data from a standard or a certain point of reference • Benchmarking data is important in ensuring a certain standard of implementing fall prevention strategies in health care facilities. • Benchmarking can be done either externally or internally. In this case, interna benchmarking data would be used to establish a baseline for certain aspects of fall prevention strategies in terms of age and gender. Goals • The facility has a number of goals that cannot be achieved if fall preventive measures are overlooked • The main goal if the facility is to use data in innovative and creative was to guide the decision making process of the facility. This includes all aspects of the health care facility including the patient care, financial aspects, administration, management and education • This goal can only be achieved if all aspects of proficient patient care are considered. Current Practices • Current practices in the facility suggest that the main objective could be achieved. • Patients above the age of fifty, especially the one above the age of 65 are closely monitored to prevent any incident of fall • Quality care for the individuals who have been in a fall incident has been exemplary especially by female care providers. • The facility conducts research and makes use of data collected to make critical decisions. Choi, S. D., Guo, L., Kang, D., & Xiong, S. (2017). Exergame technology and interactive interventions for elderly fall prevention: a systematic literature review. Applied ergonomics, 65, 570-581. Hojati, H., Dadgari, A., & Mirrezaie, S. M. (2018). Validity and reliability of Persian version of johns hopkins fall risk assessment tool among aged people. Qom University of Medical Sciences Journal, 12(2), 45-53. Klinkenberg, W. D., & Potter, P. (2017). Validity of the Johns Hopkins Fall Risk Assessment Tool for predicting falls on inpatient medicine services. Journal of nursing care quality, 32(2), 108-113. Poe, S. S., Dawson, P. B., Cvach, M., Burnett, M., Kumble, S., Lewis, M., … & Hill, E. E. (2018). The johns hopkins fall risk assessment tool. Journal of nursing care quality, 33(1), 10-19. Røyset, B., Talseth-Palmer, B. A., Lydersen, S., & Farup, P. G. (2019). Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments. Clinical interventions in aging, 14, 145. Tsuda, T. (2017). Epidemiology of fragility fractures and fall prevention in the elderly: a systematic review of the literature. Current orthopaedic practice, 28(6), 580. References … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . 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