Nursing Commons^™

Focused Interventions To Decrease Inpatient Falls, Alyssa Nicole Watchmaker Smith

Doctor of Nursing Practice Papers

Background: Falls are the most commonly reported safety incidence in the hospital setting (Morris R. et al., 2017). Because falls may be a result of many factors, evidence shows that multicomponent fall interventions best reduce fall rates (Bargmann et al., 2020; Dykes et al., 2010; Dykes et al., 2020; Strini et al., 2021). In this project, a needs assessment identified a need for fall prevention strategies to reduce fall rates on inpatient units.

Setting: A step-down/telemetry Cardiovascular Intervention Unit (CVI) (15 beds) and Cardiovascular Unit (CVU) (12 beds) in a suburban private hospital.

Purpose: The purpose of this evidence-based project …

Proactive Toileting: Strengthening Purposeful Hourly Rounding's Influence On Patient Falls., Brittany Pollock

Doctor of Nursing Practice Papers

The purpose of this DNP quality improvement project was to decrease patient falls on a 21-bed step-down telemetry unit in a Kentucky metropolitan hospital. This project implemented proactive toileting in conjunction with purposeful hourly nursing rounds. A pre-education survey was given one week before the education module, and a post-education survey was provided six weeks after the education module was opened. Pre- and post-survey scores were compared to assess any changes in staff’s understanding of proactive toileting and project goals. Falls were measured, and compliance with proactive toileting was monitored in the electronic health record over an 8-week course. Compared …

Reducing Falls Through An Education Intervention To Increase Nurse-Promoted Mobility In Hospitalized Patients., Tamara Slater

Doctor of Nursing Practice Papers

The aim of this project was to determine if educating registered nurses (RNs) on the importance of nurse-promoted patient mobilization could increase RN knowledge on patient mobility and reduce the rate of patient falls on a cardiology/neurology nursing unit in a southeastern area of the United States. This project was a quality improvement project with a pre-test/post-test design. The intervention included a teaching session for RNs and posted reminders. The teaching session included information on the use of a mobility algorithm, where to locate mobility equipment, and the physical therapy referral process. The reminders included flyers posted around the unit …