2.50
Hdl Handle:
http://hdl.handle.net/10755/624134
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Organizational Review
Research Approach:
Pilot/Exploratory Study
Title:
Hourly Rounding and Fall Prevention: A Change Process
Author(s):
Sanyi, Carine
Lead Author STTI Affiliation:
Theta Tau
Author Details:
Carine Sanyi, DNP, MSN, BSN, RN, sanyic@yahoo.com
Abstract:
Falls are among the most common and serious problems facing older adult patients living in nursing homes. The focus of this project was to implement an hourly rounding fall prevention protocol in a nursing home that provides care for older Military veteran patients. The purpose was to answer the following question: In veteran patients aged 65 years or older and living in a nursing home unit, how does implementing an hourly rounding fall prevention program compared to current traditional fall prevention programs affect fall occurrences within a six-week implementation period? The impetus of the project was that all three skilled-care units in the nursing home were experiencing high fall rates with adverse effects. The method of study involved a pilot study in a 34-bed unit and the implementation of the 3B: Scheduled Rounding Protocol adapted from the AHRQ toolkit. The “plan, do, study, act” model was integrated as a quality improvement process to test for change. A limitation of this study involves the use of a toolkit designed for hospital settings adopted in a nursing home setting, and a small sample size. Findings of this study indicated a reduced fall rate of 1.9 per 1,000 patient beds, and lower fall rates than in previous months. Competency evaluations indicated staff gained adequate knowledge in preventing falls. Application of evidence-based practice is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care settings.

Keywords:
Falls Prevention; Hourly Rounding; Elderly population; QI
CINAHL Headings:
Accidental Falls--Prevention and Control--In Old Age; Risk Assessment--In Old Age; Patient Rounds; Patient Safety--Methods; Quality Improvement; Accidental Falls--Prevention and Control; Risk Assessment; Patient Safety; Accidental Falls; Nursing Home Patients; United States Agency for Healthcare Research and Quality--Standards
Repository Posting Date:
9-May-2018
Date of Publication:
9-May-2018
Description:
Implementing an evidence-based hourly rounding protocol in preventing falls among elderly Veteran patients living in a nursing home.
Note:
This work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Grantor:
Capella University
Degree:
DNP
Degree Year:
2018

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeDNP Capstone Projecten
dc.evidence.levelOrganizational Reviewen
dc.research.approachPilot/Exploratory Studyen
dc.titleHourly Rounding and Fall Prevention: A Change Processen_US
dc.contributor.authorSanyi, Carineen
dc.contributor.departmentTheta Tauen
dc.author.detailsCarine Sanyi, DNP, MSN, BSN, RN, sanyic@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/624134-
dc.description.abstractFalls are among the most common and serious problems facing older adult patients living in nursing homes. The focus of this project was to implement an hourly rounding fall prevention protocol in a nursing home that provides care for older Military veteran patients. The purpose was to answer the following question: In veteran patients aged 65 years or older and living in a nursing home unit, how does implementing an hourly rounding fall prevention program compared to current traditional fall prevention programs affect fall occurrences within a six-week implementation period? The impetus of the project was that all three skilled-care units in the nursing home were experiencing high fall rates with adverse effects. The method of study involved a pilot study in a 34-bed unit and the implementation of the 3B: Scheduled Rounding Protocol adapted from the AHRQ toolkit. The “plan, do, study, act” model was integrated as a quality improvement process to test for change. A limitation of this study involves the use of a toolkit designed for hospital settings adopted in a nursing home setting, and a small sample size. Findings of this study indicated a reduced fall rate of 1.9 per 1,000 patient beds, and lower fall rates than in previous months. Competency evaluations indicated staff gained adequate knowledge in preventing falls. Application of evidence-based practice is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care settings.</p>en
dc.subjectFalls Preventionen
dc.subjectHourly Roundingen
dc.subjectElderly populationen
dc.subjectQIen
dc.subject.cinahlAccidental Falls--Prevention and Control--In Old Ageen
dc.subject.cinahlRisk Assessment--In Old Ageen
dc.subject.cinahlPatient Roundsen
dc.subject.cinahlPatient Safety--Methodsen
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlAccidental Falls--Prevention and Controlen
dc.subject.cinahlRisk Assessmenten
dc.subject.cinahlPatient Safetyen
dc.subject.cinahlAccidental Fallsen
dc.subject.cinahlNursing Home Patientsen
dc.subject.cinahlUnited States Agency for Healthcare Research and Quality--Standardsen
dc.date.available2018-05-09T19:22:30Z-
dc.date.issued2018-05-09-
dc.date.accessioned2018-05-09T19:22:30Z-
dc.descriptionImplementing an evidence-based hourly rounding protocol in preventing falls among elderly Veteran patients living in a nursing home.en
dc.description.noteThis work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
thesis.degree.year2018-
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