Date of Award

Spring 4-14-2023

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Sheri Jacobson

Second Advisor

Sarah Cartwright


Practice Problem: Patient falls can lead to an increased length of stay and potentially reduce the quality of life. In addition to serious injury, the patient and the hospital have a significant financial burden. PICOT: On a medical-surgical unit, does incorporating purposeful hourly rounding in the patient care routine compared to no purposeful rounding decrease patient fall rates over eight weeks?

Evidence: Of the 35 articles related to fall prevention and PHR, a final selection of eight articles met the criteria and were of high quality and evidence levels.

Intervention: PHR was implemented to decrease falls over a period of eight weeks. Fall rates were then calculated and compared with the previous eight weeks.

Outcome: The calculated fall rate for the baseline phase was 3.64 falls per 1000 patient bed days. The calculated fall rate for the implementation phase was 2.1 falls per 1000 patient bed days. The incidence of the fall rate between baseline and implementation was (M=1.95, SD=.07) and implementation phase (M=2.05, SD=.21); t= -.50, p=0.70.

Conclusion: The results of this EBP project did not indicate statistical significance. However, clinical significance was identified through improved clinical practice of the unit staff.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice

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