Abstract

Falls remain a concern for healthcare organizations nationally. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Boynton's Bedside Mobility Assessment Tool (BMAT) used in conjunction with current fall practices would impact fall rates among patients 65 years and older undergoing a colonoscopy. The project was implemented in an ambulatory care setting in Southern California over four weeks. Sister Callista Roy's middle-range nursing theory, the adaptation model, and Neuman's systems theory were the scientific underpinnings of the project. Data on falls and mobility assessment were collected from the electronic health record on 90 patients, n = 45 in the comparative group and n = 45 in the implementation group. A chi-square test showed a clinical and statistically significant improvement in fall rates X2 (1, N= 90) = 8.39, p = .004. The results indicate the implementation of the BMAT used in conjunction with current fall practices may reduce fall rates in this population and setting. It is recommended that the BMAT be used with all patients undergoing all procedures, expand the implementation to other units, and disseminate the findings so other areas in healthcare may reduce patient falls.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28963299; ProQuest document ID: 2623015937. The author still retains copyright.

Author Details

Racquel Hermosura Ballinger, DNP, RN, NE-BC, AMB-BC, PHN

Sigma Membership

Nu Upsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Falls, Older Adults, Sedation Assessment, Safe Patient Handling, Work-Related Injuries

Advisor

Joan Ralph Webber

Second Advisor

Lynette Sandiford

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-05-24

Full Text of Presentation

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