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Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals Essay

Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayBenchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayIn this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayDevelop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:ORDER A PLAGIARISM-FREE PAPER HEREBackgroundClinical problem statement.Purpose of the change proposal in relation to providing patient care in the changing health care system.PICOT question.Literature search strategy employed.Evaluation of the literature.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayApplicable change or nursing theory utilized.Proposed implementation plan with outcome measures.Discussion of how evidence-based practice was used in creating the intervention plan.Plan for evaluating the proposed nursing intervention.Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.Appendix section, if tables, graphs, surveys, educational materials, etc. are created.Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayBenchmark InformationThis benchmark assignment assesses the following programmatic competencies:RN to BSN1.1:     Exemplify professionalism in diverse health care settings.2.2:     Comprehend nursing concepts and health theories.3.2:     Implement patient care decisions based on evidence-based practice.BackgroundFalls have become a serious problem in hospitals. Statistics indicate that about 900,000 people fall in the hospital in the United States each year (King et al., 2018). Inpatients are at a high risk of falling. About half of residents in nursing homes fall each year in the United States. Falls result in significant negative healthcare impacts which may affects the recovery process of the patients. However, studies indicate that most of this fall can be prevented. Over the past few years, numerous approaches have been developed to prevent falls in hospitals however, they seem to be ineffective. This paper presents an effective approach to preventing most of the falls that occur in hospitals.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayClinical Problem StatementAbout one third of hospital falls result in serious injuries such as internal bleeding, head trauma, fractures and lacerations resulting in increased utilization of healthcare. Serious injury of death resulting from falls in the hospital is considered a never event. Not all falls result into injury. However these falls may have significant health impacts. As noted by King et al., (2018) “even supposedly ‘no harm’ falls can cause distress and anxiety to patients, their family members, and health care staff, and may mark the beginning of a negative cycle where fear of falling leads an older person to restrict his or her activity, with consequent further losses of strength and independence.”Purpose of the Change proposalThis change proposal aims to reduce preventable falls in the hospital, by implementing various strategies, the proposal will provide ways in which patients, families and healthcare professionals should conduct themselves in the healthcare facilities to prevent falls. In addition, the proposal provides best practices for nurses and physicians when dealing with inpatients to prevent falls and improve safety in the hospital. Ultimately the proposal will provide knew knowledge for researchers and healthcare providers to improving the safety of patients in the hospitals.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayPICOT QuestionAmong patients admitted in the hospital (P), how effective is providing a safe hospital environment (I) as compared to conducting standardized assessments (C) in preventing falls (O) within the period of stay in the hospital (T)?Literature Search strategyAfter writing the research question, key words were identified. The Key words were used to search for scholarly articles in various databases including Google Scholar, Cinhal and PubMed. Articles that were less than five years old were included in the study. The articles that did not match this search criterion were excluded in the study.Literature EvaluationThe hospital environment is critical in preventing falls among patients admitted in the hospital. Keeping patient environment safe can help in preventing falls. This involves familiarizing the patients with the environment and training them how to use the call light (King et al., 2018). Providing a safe environment also entails having sturdy handrails in the hallway, bathrooms and rooms of patients and keeping hospital bed breaks locked. Multiple studies indicate that providing an effective hospital environment plays a significant role in preventing falls among patients (Cameron et al., 2018). A safe hospital environment not only safeguards patients but also staff members and visitors in many areas.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayNursing Theory utilizedNeuman’s Systems model is the theory that was utilized in this study. According to the theory, an individual is an open system that responds to stressors in its immediate environment. The variables of the individual in this model are spiritual, developmental socio-cultural, psychological and physiological (Fawcett & Foust, 2017). The system consists of core or basic structures protected by a resistance line. Normally, health level is identified as the normal line of defense. This line is usually protected by a flexible line of defense. When the flexible line of defense if broken into by stressors, the system is invaded and this activates the resistance line. The system is the reconstituted if there is enough energy to restore the line of defense.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayProposed Implementation PlanProviding a safe hospital environment will involve familiarizing the patients with their immediate environment once they are admitted in the hospitals. The nurses then will help the patients practice the use of call lights. The call light will be maintained within the reach of the patient to make it easy for them to switch it on. Sturdy handrails will be installed in the patients’ hallways, bathrooms and rooms. Hospital bed brakes will be kept locked at all times and ensure the beds are low enough especially when the patients are resting. The floors of the patient rooms will be kept clean and dry at all times to prevent patients from slipping. Hourly rounding will be carried out by nurses as well as nurse assistants to ensure a safe hospital environment (Gu et al., 2016).Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayIt is expected that this program will increase awareness of the adverse effects of falls among patients. In addition, the program is expected to encourage healthcare workers to create a safe environment for all patients admitted in hospitals. Ultimately the program is expected to reduce the rate of falls among inpatients. A safe hospital environment can also reduce the rate of falls among healthcare workers and also families visiting the hospitals.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayUse of Evidence based PracticeNumerous studies indicate that safe hospital environment is the basis of patient safety. This applies to all areas of healthcare setting to prevent falls. According to Morris & O’Riordan (2017), “Maintaining a safe and comfortable environment is the responsibility of the hospital independent of a patient’s particular risks for falls, because failure to do so can put any patient at risk”. This intervention plan has been informed by the fact that studies show that patient safety begins by providing a safe hospital environment. While there are other effective approaches for preventing falls, they may be ineffective without a safe hospital environment.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayPlan for EvaluationThe effectiveness of this program will be determined by the number of falls that have been recorded since the implementation of the program. A reduce number of falls among inpatients will indicate that the program has achieved its objectives. If the number does not change from the previous rate of falls, it will show that the program has not been effective. Increased consciousness about the patient environment by inpatients will indicate that the program has partly achieved its objectives. Data concerning fall rates will be evaluated using various statistical approaches including mean, median and variance. Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayPotential BarriersThere are various barriers to the implementation of this program one of them is lack of knowledge among staff members on fall prevention. This barrier will be overcome by providing training programs for creating a safe hospital environment among healthcare professionals. Lack of access to resource facilities is also another barrier to the implementation of the program. When health care professional are not able to access certain resources necessary for creating a safe hospital environment it may be difficult to implement the program effectively. This barrier can be overcome by granting access to the resources by all healthcare professionals (Morris & O’Riordan, 2017).Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayAnother key barrier to the implementation of the program is lack of enough nurses in hospitals. Nurse shortage is a key problem in the US healthcare system. The ratio of nurse to patient is not acceptable as nurses have to care for many patients compromising the services provided. This barrier can be addressed by recruiting nurses and their assistants to improve service delivery to the patients. This will make hourly rounding achievable as there will be adequate nurses and assistants to do so. The nurses should also be trained to ensure that they understand the need to implement the program effectively.Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals EssayReferencesCameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane database of systematic reviews, (9). Retrieved from https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005465.pub4/abstractFawcett, J., & Foust, J. B. (2017). Optimal aging: a Neuman systems model perspective. Nursing Science Quarterly, 30(3), 269-276. Retrieved from https://journals.sagepub.com/doi/abs/10.1177/0894318417708413Gu, Y. Y., Balcaen, K., Ni, Y., Ampe, J., & Goffin, J. (2016). Review on prevention of falls in hospital settings. Chinese nursing research, 3(1), 7-10. Retrieved from https://www.sciencedirect.com/science/article/pii/S2095771816300202King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340. Retrieved from https://academic.oup.com/gerontologist/article/58/2/331/2736326Morris, R., & O’Riordan, S. (2017). Prevention of falls in hospital. Clinical Medicine, 17(4), 360. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297656/ Running head:CAPSTONE PROJECT CHANGE PROPOSAL  Capstone Project Change ProposalGrand Canyon University: NRS-493 Running head: CAPSTONE PROJECT CHANGE PROPOSAL 1 Capstone Project Change ProposalRinu GeorgeGrand Canyon University: NRS-493-0501Benchmark – Capstone Project Change Proposal: Fall prevention strategies in hospitals Essay

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