Abstract

Hospitals are challenged with decreasing patient falls and falls with injuries. This can result in a financial penalty set by the Centers for Medicare and Medicaid (CMS). There is a greater financial impact for hospitals classified as a safety-net organization with a higher payor mix of Medicare and Medicaid. Charge nurses are important in reducing patient falls and are responsible for endorsing an environment of accountability. A leadership workshop improves knowledge, develops leaders, and changes a unit and organizations culture.

Fall rates between 3.87 falls to 13.70 falls per one-thousand patient days were initially noted on one unit. Four charge nurses were recruited to participate in two workshop sessions that utilized a transformational leadership framework. Fall data was monitored for a 30-day period with no occurrence of falls as evidence by risk reporting, fall trending reports, and internal nursing scorecard results that use CMS benchmarks.

Jeannette White

Author Details

Jeannette White, DNP, MS, RN, NE-BC

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Outcomes Research

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Charge nurse, Nursing leadership, transformational leadership, Leadership development, Patient falls

Advisor

JoAnn Manty

Second Advisor

Lydia L. Forsythe

Third Advisor

Laurel Valentino

Degree

DNP

Degree Grantor

Capella University

Degree Year

2017

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

2017-04-18

Full Text of Presentation

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