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Posted: June 11th, 2024
Hourly Rounds Preventing Hospital Falls
Student’s Name
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Course
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Assignment Due Date
EVIDENCE
Quantitative Nursing Study: Cross-sectional descriptive quantitative study
Turner, K., Staggs, V. S., Potter, C., Cramer, E., Shorr, R. I., & Mion, L. C. (2022). Fall prevention practices and implementation strategies: Examining consistency across hospital units. Journal of Patient Safety, 18(1), e236-e242.
Qualitative Nursing Study: Qualitative descriptive study
Citation: Considine, J., Berry, D., Mullen, M., Chisango, E., & Webb-St Mart, M. (2023). Nurses’ experiences of using falls alarms in subacute care: A qualitative study. PLOS ONE, 18(6).
Nursing Meta-Analysis: Systematic review and meta-analysis
Morris, M. E., Webster, K., Jones, C., Hill, A.-M., Haines, T., & McPhail, S. (2022). Interventions to reduce falls in hospitals: A systematic review and meta-analysis. Age and Ageing, 51(5).
SUPPORT FOR EVIDENCE-BASED PRACTICE:
The keywords used to search are fall prevention, hospital falls, implementation strategies, nurses’ experiences, falls alarms, Falls, Hospital, Physiotherapy, Prevention, Education, exercise and older people,
EBP Entries Found
Cochrane Library: 12 entries
National Guideline Clearinghouse: 16 entries
SUMMARY OF EVIDENCE
The quantitative study found substantial variation in fall prevention practices and implementation strategies used across hospital units. Resource-intensive practices like scheduled toileting were less consistently implemented compared to less intensive practices like bed alarms. The qualitative study explored nurses’ experiences with bed and chair fall alarms in subacute care settings. The findings revealed both benefits and challenges with fall alarms, including disruptive noise, technological limitations, and tensions between using alarms to improve safety and the unintended consequences on patient mobility and agitation. Lastly, the nursing meta-analysis evaluated the effectiveness of different fall prevention interventions. The review found that education interventions, including patient and clinician education, were effective in reducing both the rate of falls and the risk of falling in hospitals.
IMPLICATIONS
Integrate evidence-based fall prevention protocols, implementation pitfalls and facilitation factors and quality improvement ideas in the nursing curriculum to get the students ready for a successful fall prevention endeavour. Guiding nurse managers should customize initiatives on fall prevention to patients’ risks and resource accessibility, and organizational policies and enough nursing staff should be built for the intervention to be implemented consistently. Development psychometric properties of implementation-measurement methods, defining evidence-based practices, and exploring strategies of the integration and sustaining of prevention efforts according to local contexts.
Hourly Rounds Preventing Hospital Falls
EVIDENCE
Quantitative Nursing Study: Cross-sectional descriptive quantitative study
Turner, K., Staggs, V. S., Potter, C., Cramer, E., Shorr, R. I., & Mion, L. C. (2022). Fall prevention practices and implementation strategies: Examining consistency across hospital units. Journal of Patient Safety, 18(1), e236-e242.
Qualitative Nursing Study: Qualitative descriptive study
Citation: Considine, J., Berry, D., Mullen, M., Chisango, E., & Webb-St Mart, M. (2023). Nurses’ experiences of using falls alarms in subacute care: A qualitative study. PLOS ONE, 18(6).
Nursing Meta-Analysis: Systematic review and meta-analysis
Morris, M. E., Webster, K., Jones, C., Hill, A.-M., Haines, T., & McPhail, S. (2022). Interventions to reduce falls in hospitals: A systematic review and meta-analysis. Age and Ageing, 51(5).
SUPPORT FOR EVIDENCE-BASED PRACTICE:
The keywords used to search are fall prevention, hospital falls, implementation strategies, nurses’ experiences, falls alarms, Falls, Hospital, Physiotherapy, Prevention, Education, exercise and older people,
EBP Entries Found
Cochrane Library: 12 entries
National Guideline Clearinghouse: 16 entries
SUMMARY OF EVIDENCE
The quantitative study found substantial variation in fall prevention practices and implementation strategies used across hospital units. Resource-intensive practices like scheduled toileting were less consistently implemented compared to less intensive practices like bed alarms. The qualitative study explored nurses’ experiences with bed and chair fall alarms in subacute care settings. The findings revealed both benefits and challenges with fall alarms, including disruptive noise, technological limitations, and tensions between using alarms to improve safety and the unintended consequences on patient mobility and agitation. Lastly, the nursing meta-analysis evaluated the effectiveness of different fall prevention interventions. The review found that education interventions, including patient and clinician education, were effective in reducing both the rate of falls and the risk of falling in hospitals.
IMPLICATIONS
Integrate evidence-based fall prevention protocols, implementation pitfalls and facilitation factors and quality improvement ideas in the nursing curriculum to get the students ready for a successful fall prevention endeavour. Guiding nurse managers should customize initiatives on fall prevention to patients’ risks and resource accessibility, and organizational policies and enough nursing staff should be built for the intervention to be implemented consistently. Development psychometric properties of implementation-measurement methods, defining evidence-based practices, and exploring strategies of the integration and sustaining of prevention efforts according to local contexts.
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