Date of Award
Doctor of Nursing Practice (DNP)
Dr. Debbie Conner, Ph.D, MSN, ANP/FNP-BC, FAANP
Dr. M. Christopher Saslo DNS, ARNP-BC, FAANP
Practice Problem: The practice problem identified within the Community Living Center included continuous falls, despite using current fall prevention strategies and provider-driven interventions. Baseline data reflected a fall rate of 4.2 in the long-term care areas despite improving the fall prevention program.
PICOT: The PICOT question that guided this project was: In older adult residents (P), what is the effect of a standing operating procedure (SOP) using patient-centered interventions (I) compared to physician-driven fall interventions (C) on decreasing falls and falls with injuries (O) within one month (T)?
Evidence: In twelve high-quality articles that fit the eligibility criteria and contained EBP literature, the overwhelming evidence revealed that an SOP encompassing patient-centered fall interventions could decrease LTC falls and falls within injury rates.
Outcome: Observations reflected the nursing staff utilized the SOP and patient-centered fall interventions in practice; however, fall rates on both LTC #1 and LTC #2 increased from baseline, but the falls with injury rates remained zero. Patient satisfaction measured a weighted mean score of 4.7 of 5 points, representing satisfaction with the patient-centered interventions and nurses as a whole.
Conclusion: The EBP project did not result in an overall reduction in the fall rates; however, falls with injury rates remained at zero. Furthermore, the patient's overall satisfaction with the nurses and patient-centered fall prevention program was favorable. It is essential to note that due to COVID-19 related events, the project halted after 30 days, and the results might have been different if implemented 90 days as initially projected.
Blakley, A. (2020). Preventing Falls in Long-Term Care Using Patient-Centered Fall Interventions. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.JLOK5085
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