Decreasing Falls With Injury Rates

Reich, Jessie; Farrell, Kathryn; Maloney, C L; Drayton, Deborah; Johnson, Tonya

doi:10.1097/ncq.0000000000000206

Cited by 8 publications

(9 citation statements)

References 8 publications

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“…These findings are supported by a study that utilized Knowles principle of andragogy to engage staff in the development and implementation of the Certified Fall Prevention Advocate (CFPA) program on the medical surgical unit. The falls rate decreased from 1.115 to 0.178 per 1000 PDs over a 1-year period [12].…”

Section: Education Interventionmentioning

confidence: 89%

Hill-Rom's Bed Exit System with Audible Alarm, used in Conjunction with Falls Protocol: Reduces Falls on a Medical-Surgical Inpatient Unit: A Process Improvement Project.

Albuquerque¹,

Jacob²,

Mahon³

2020

JCNRC

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Background: Research is limited regarding utilization of The Hill-Rom bed exit system with audible alarm in conjunction with the hospital protocol to reduce falls among patients admitted to inpatient units in the hospital. Objective:To evaluate the effectiveness of an education program to improve knowledge and skills on zeroing and activation of The Hill-Rom bed exit system with audible alarm in conjunction with hospital protocol to reduce falls rate on a medical-surgical unit of an acute care hospital. Method:A quantitative, descriptive correlational design (n=32) was used to examine the effect of an education program and skills on the pre and post-test scores and post-intervention skills on zeroing and activation of The Hill-Rom bed exit system with audible alarm to falls rate on a medical-surgical unit.Results: A sample t-test was used to examine the effectiveness of education on pre-test and post-test scores. The post-test mean was 2.65 greater, t= 8.048, p=.000. The results were statistically significant with gain of knowledge and skills post intervention. This gain in knowledge and skills was directly related to a 55% decrease in falls rate from 5.8 to 3.2 per 1,000 patient days. A one-way ANOVA examined the difference in means between the knowledge gained of the registered nurses and certified nursing assistants. There was no significant difference within and between groups. Conclusion:Staff education and continued use of The Hill-Rom bed exit system with audible alarm along with the hospital protocol were associated with decrease in falls rates on a medical surgical unit of an academic medical center.

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Section: Education Interventionmentioning

confidence: 89%

Hill-Rom's Bed Exit System with Audible Alarm, used in Conjunction with Falls Protocol: Reduces Falls on a Medical-Surgical Inpatient Unit: A Process Improvement Project.

Albuquerque¹,

Jacob²,

Mahon³

2020

JCNRC

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“…Nursing professional education could upgrade clinical performance (Audet et al, 2018) and patient safety (Jessie et al, 2017).…”

Section: Theoretical Implicationsmentioning

confidence: 99%

“…Improvement of professional capabilities indicates progress in professional knowledge and experience. Professional nursing capabilities can be enhanced by professional education, which upgrades nurses' clinical performance (Audet, Bourgault, & Rochefort, 2018) and reduces the occurrence of adverse events (Jessie, Kathryn, Courtney, Deborah, & Tonya, 2017), thus positively contributing to patient health (Teng et al, 2012). Therefore, our study used the continual engagement in professional education to represent the action to improve professional capabilities.…”

Section: Introductionmentioning

confidence: 99%

How career facilitators and barriers influence nurses’ professional turnover intention

Chang

Huang

Wong

et al. 2019

Journal of Advanced Nursing

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Aims Our study investigates the influence of career facilitators and barriers on nurses’ improvement of their professional capabilities and their professional turnover intention. Background Reducing nurses’ professional turnover intention could help alleviate the global nursing shortage. Nevertheless, little research has addressed how career facilitators and barriers, nurses’ improvement of their professional capabilities and professional turnover intention are related, indicating a gap. Design This study used a cross‐sectional design. Methods We surveyed 502 out of 2,660 full‐time nurses who worked for a medical centre in Taiwan between January–March 2018. Our items were adapted from Cunningham et al. and Teng et al. and had adequate reliability and validity. Structural equation modelling was used to test the study hypotheses. Results Human capital, social capital, and discrimination were positively related to intention to improve professional capabilities. Moreover, intention to improve professional capabilities was positively related to action to improve professional capabilities, which was negatively related to professional turnover intention. Conclusion Most of the career facilitators and even barriers, boost the improvement of professional capabilities and are useful for retaining nurses in the nursing profession. Impact Findings of this study should have an impact on nursing managers by offering them means to retain nurses, for example, enhancing human capital and social capital among nurses to reduce their turnover intention.

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“…Performing post-fall debriefing has improved patient outcomes through learning from defects 7,8. A post-fall debriefing process that includes all available team members in the nursing unit facilitates shared ownership of patient outcomes, promotes more profound reflections of fall events, provides real-time education, and allows for the implementation of time-sensitive solutions 9–11. Patient, family, or care partner participation in the group discussion enhances understanding of their experience and perception of the event 12,13.…”

mentioning

confidence: 99%

“…7,8 A post-fall debriefing process that includes all available team members in the nursing unit facilitates shared ownership of patient outcomes, promotes more profound reflections of fall events, provides real-time education, and allows for the implementation of time-sensitive solutions. [9][10][11] Patient, family, or care partner participation in the group discussion enhances understanding of their experience and perception of the event. 12,13 To best identify causative factors, the post-fall debrief tool should coincide with organizational fall prevention programs to assess adherence to the program.…”

mentioning

confidence: 99%

Creating a Standardized Post-Fall Debrief Tool

Farley

Stepanek

Aquino

et al. 2022

Journal of Nursing Care Quality

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Background: Performing post-fall debriefing improves patient outcomes through learning from defects and addresses adherence to fall prevention programs. Local Problem: While addressing an increase in fall rates, a quality improvement team discovered there was no standardized tool or process for completing post-fall debriefing. Methods: The team used the Plan-Do-Study-Act (PDSA) process to improve the post-fall debrief tool, with an analysis of pilot using the implementation science RE-AIM framework. Interventions: Three units with a high focus on falls and an established debriefing culture participated in pilot to generate and standardize a post-fall debrief tool. Results: Through 2 revisions with end user and champion feedback, the tool was refined to assess any contributing factors to the fall. Conclusion: Through use of the PDSA cycle, the team established content validity of the post-fall debrief tool. This tool is appropriate for inpatient adult and pediatric scale-up and complementary to current fall risk assessment tools.

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Decreasing Falls With Injury Rates

Cited by 8 publications

References 8 publications

Hill-Rom's Bed Exit System with Audible Alarm, used in Conjunction with Falls Protocol: Reduces Falls on a Medical-Surgical Inpatient Unit: A Process Improvement Project.

Hill-Rom's Bed Exit System with Audible Alarm, used in Conjunction with Falls Protocol: Reduces Falls on a Medical-Surgical Inpatient Unit: A Process Improvement Project.

How career facilitators and barriers influence nurses’ professional turnover intention

Creating a Standardized Post-Fall Debrief Tool

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