University of Phoenix NSG 498 The Role of the Nurse Leader Presentation
University of Phoenix NSG 498 The Role of the Nurse Leader Presentation ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON University of Phoenix NSG 498 The Role of the Nurse Leader Presentation This weeks focus is on the nurse leaders role in this and in similar projects. University of Phoenix NSG 498 The Role of the Nurse Leader Presentation Consider the nurse leaders role at each stage of your project. Identify the actions that a nurse leader would take with regards to the following: Communication with stakeholders Training Budget Change management Include a specific change management theory that is appropriate to this project. Authority Format your assignment as a 10-slide presentation including a title page and an apa formatted reference slide. Please include at least 3 references to support your project and references must be within the last 5 years. Please be as descriptive and detailed as possible. Use slide for bullet points or introductory points, and place the bulk of information in the speaker notes. Every slide has a minimum of at least 50 words to explain each. The 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 uniformly. Be careful not to duplicate any information from the attached power-point presentations, as my instructor has a zero tolerance for any form of plagarism including self plagarism as well. nsg_498_week_1_assignment_completed.pptx nsg_498_week_2_assignment.pptx nsg_498_week_3_assignment.docx nsg_498_week_4_assignment.pptx 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. University of Phoenix NSG 498 The Role of the Nurse Leader Presentation 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 nurses 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. 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), 2934. https://doi.org/10.4103/jfcm.JFCM_48_17 Dellinger A. (2017). Older Adult Falls: Effective Approaches to Prevention. Current trauma reports, 3(2), 118123. 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), 300306. 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), 567574. 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), 281293. https://doi.org/10.1016/j.mcna.2014.11.004 Slade, S. C., Carey, D. L., Hill, A. M., & Morris, M. E. (2017). University of Phoenix NSG 498 The Role of the Nurse Leader Presentation 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), 16871699. 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. University of Phoenix NSG 498 The Role of the Nurse Leader Presentation. 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 Article Summaries 1 Senior Leadership Practicum Article Summaries Dione Hendrix University of Phoenix NSG 498 Professor Kristen Chandler November 9, 2020 Article Summaries 2 Using a Fall Prevention Checklist to Reduce Hospital Falls. One of the strategies employed to minimize the number of falls that are seen in Acute care settings is the creation of checklists to guide the implementation of strategies. University of Phoenix NSG 498 The Role of the Nurse Leader Presentation Specifically, these checklists seek to make visible the minimum steps required to be taken to achieve the same results consistently (Johnston & Magnan, 2019). The checklist outlines a 14-step process in preparation for the monitoring of patients at risk of falls. It starts with the risk assessment of the patient and includes various steps of raising awareness about the fall risk of a person to the rest of the hospital staff. The checklist includes technical and nontechnical measures, like the use of a bed alarm and the use of yellow socks to alert the staff that the person has gotten out of bed and is at risk of falling, respectively. The purpose of the checklist is to establish the standard way in which fall prevention should be done in the hospital. Variations of this method exist, with different groups of experts presenting alternative versions of the 14-point checklist. This one in particular includes one element that has become standard amongst most fall-prevention strategies the starting point being a risk assessment of the patient, which includes the evaluation of a previous history of falls, the risk that their condition represents, the effect of medication, etc. The study, which focused on an 85-person capable ward that specializes in the treatment of the geriatric patients in an acute setting. Despite the relatively large size of the ward, there were only small segments used, totaling less than 50 beds made available for the pilot study. During the pilot phase of the study, there were only a total of 90 checklists filled, representing 90 patients seen. This number is too low to deem the exercise completely statistically significant to the complete population, which makes it hard to take the zero- Article Summaries 3 falls being reported during the duration of the study a bit less impressive. At the same time, it makes sense that this type of strategy has a limited reach, as there is a comprehensive level of education that needs to take place when it comes to the staff. A benefit of the study is that it provided the most relevant feedback of the staff members, rather than just providing the results, because it shows the areas for improvement for the checklist including the placement of the alarm bed sensor. The Effectiveness of a Wireless Modular Bed Absence Sensor Device for Fall Prevention among Older Inpatients. In this article, the authors explore the effectiveness of a modified version of existing alarm sensors that alert the healthcare staff, mainly nurses, that the patient has left the bed. The Wireless Modular Bed-Absence Alarm Device (WMBAAD) is a segmented mechanism that is placed under the bed coverings of the patient to trigger an alarm whenever the patient has left the bed (Subermaniam, et al., 2017). Each one of the segments of the mechanism detects the amount of pressure that is being placed on it, triggering the alarm only if all of the three different modules show a decrease in pressure (Subermaniam, et al., 2017). In other words, if the patient is shifting in the bed and lifts their body from the supine position to put their body weight on their sides, the alarm would not be triggered as only a partial absence of pressure can be recorded in one or two of the modules. University of Phoenix NSG 498 The Role of the Nurse Leader Presentation It is only when all three modules are left without pressure that the alarm will ring (Subermaniam, et al., 2017). This is different from standard bed alarm mechanisms because those do not make room for possible fluctuations in pressure that could occur from a patient sitting or turning. Instead, all variations become cause for alarm. As a result, both the number of false positives that are received and the strain that their use represents on the nurses can be significant. Article Summaries 4 WMBAAD seeks to offset this and based on its results, it appears to have successfully done so. By the end of their trial the work was tested on a limited number of beds in a hospital, but on a total of 156 patients most of the alarms that were triggered where true alarms. Though, a 31% of the alarms triggered were deemed to be false alarms caused by the patient moving on the bed, this number is not too concerning. More importantly, the device was proved to be useful to the nursing staff, who can now prioritize when to drop everything and care for a bed-exit alarm without worrying too much about it being a false positive. This could, in turn, reduce the number of falls by ensuring that supervision of true alarms is always given. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a PatientCentered Fall Prevention Toolkit. In this article, (Dykes, et al., 2017) explore the implementation of a toolkit that can be employed to reduce the number of falls in acute care settings. The toolkit is a laminated chart that offers guidance on how to determine the fall prevention strategy based on a short, risk-assessment section to be filled out (Dykes, et al., 2017). The color-coded riskassessment section outlines some of the potential fall risks that a geriatric patient could have from the type of medication that they use to their behaviors in the hospital and, then, based on the color assigned to the risks outlined, the strategies to employ are made visible (Dykes, et al., 2017). A patient, then, that has a recurrent history of not communicating that they need to get out of bed, monitoring to provide that assistance would be the outcome, as both options as color coded in the same color, as per the visual chart that is provided in the study (Dykes, et al., 2017). The toolkit could be easily adapted into a technological flow that could be done on devices like tablets if those are available in Article Summaries 5 the healthcare setting. The use of the toolkit was tested in two different facilities with different numbers of beds, totaling 130 beds total. The adherence of the use of the toolkit was followed up in the different meetings that were held by the members of each one of the wards where it was deployed. The results of the application of the toolkit was a reduction from the number of falls that were seen every 1-thousand-day period, from 3.18 to 1 (Dykes, et al., 2017). University of Phoenix NSG 498 The Role of the Nurse Leader Presentation This was deemed an improvement by the experts who were taken the survey, as the falls were brought down to nearly zero. Though, it should be noted that the rate that was being improved was already below the average at these types of facilities. This type of protocol incorporates the standard of providing a risk assessment prior to determining the best protocol for the reduction of falls. It consolidates different strategies of prevention under it, determining which one is best based on the individual concerns that each patient represents at the moment of being admitted. It also makes sure that the processes that are carried out in a healthcare setting are standard, thus, making it possible to replicate the good practices that keep the falls minimized. Individualized Fall Prevention Program in an Acute Care Setting. In this article, the experts outline the process through which an individualized fall prevention program is determined for an acute healthcare facility where the incidence of falls was higher than the national average. The method presented by (Spano-Szekely, 2018) is a systematic approach towards the improvement of fall preventions in a specific facility, formed based on the specific needs and requirements of each healthcare facility. It does not seek so much to present a single new method for the prevention of this recurring concern, but to make alterations to how existing methods are employed in healthcare facilities. The trend towards personalized models of prevention can be seen reflected in the Toolkit Article Summaries 6 explained above, as it aimed to show the best possible optio Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
