Abstract
In 2019, a rural hospital in South Texas reported 102 incidents of patient falls. Although below the corporate fall rate benchmark of 2.2/1000 patient days, the hospital recognized that it was clinically significant and aimed at improving its fall prevention outcomes. The PICOT question that guided this project was: Among adult patients in the acute care setting would the implementation of patient-centered interventions be more effective compared to the usual fall prevention interventions in reducing incidence of falls one month after implementation? Seven pertinent studies, which included a randomized controlled trial and a systematic review, recommended the implementation of patient-centered fall prevention interventions in reducing fall rates in the acute care setting. The studies supported that patient and family engagement were key in reducing fall incidents in the acute care setting. Intervention: The evidence-based intervention involved the utilization of a bedside Fall TIPS (Tailoring Interventions for Patient Safety) poster in promoting patient and family engagement in the fall prevention plan to reduce incidents of falls. The project resulted in nurses utilizing the Fall TIPS poster (79%) in engaging patients in their fall prevention plan through knowledge of their fall risk factors (80%) and personalized fall prevention intervention (69%). There was no reduction in fall rate after 30 days of implementation when compared to the previous year’s fall rate of the same month. Although the project did not result in a reduction of fall rate, the implementation of patient-centered interventions using the Fall TIPS poster promoted patient engagement in the fall prevention process.
Sigma Membership
Alpha Alpha Alpha
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Fall Prevention, Fall Reduction, Patient-Centered Fall Prevention Intervention, Patient Engagement
Advisor
Camille Payne
Second Advisor
Candida Constantine-Castillo
Degree
DNP
Degree Grantor
University of St. Augustine for Health Sciences
Degree Year
2020
Recommended Citation
Esguerra, Elmer, "A patient-centered approach to fall prevention" (2020). DNP and Student Works. 107.
https://www.sigmarepository.org/dnps/107
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
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
Self-submission
Date of Issue
2020-09-04
Full Text of Presentation
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