Abstract

Falls among nursing home residents is a frequent and recurring issue. Falls are major cause of injuries, hospitalizations, and death among nursing home population, as well as increased healthcare cost. The purpose of this quality improvement project was to evaluate the effectiveness of an evidenced based strategy, purposeful/hourly rounding, on the fall rate in nursing home setting. Purposeful rounding was implemented in a 40- bed capacity long term unit at a nursing home in urban setting. It was identified that strategies to minimize and prevent barriers such as staff adherence were necessary for successful implementation and sustainability. The results showed that the fall rate 3 months pre-implementation was equal to 7.66 and 6.66 post-implementation. The percentage change score was 13.05%. The intervention needs to be evaluated over a longer period of time to see if fall rates continue to decline.

Author Details

Charles Mireille, DNP, MS, RN, AGPNP-C

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Pilot/Exploratory Study

Keywords:

Purposeful Rounding, Evaluation of 5 P's, Fall Prevention, Nursing Home Residents

Advisor

Patricia Bruckenthal

Degree

DNP

Degree Grantor

The State University of New York at Stony Brook

Degree Year

2019

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

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2019-07-01

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