Background. Patients can fall in healthcare facilities, which is a common problem. It can result in serious injury or death. Falls can occur in various settings, including acute care hospitals, long-term care facilities, and even in patients’ homes. Complex and multifactorial falls are a problem in healthcare institutions. It requires prevention that is holistic. This change proposal will examine the issue of falls in healthcare facilities and propose a solution.
Problem Statement Falls are an issue in hospitals that can lead to injury, death, or morbidity. The CDC states that falls are the most common cause of injury-related death in adults 65 and over. Injuries from falls can cause prolonged hospital stays, high healthcare costs, decreased patient satisfaction, and even higher medical bills. Fall prevention is often possible. Healthcare institutions should implement evidence-based strategies to reduce falls and improve outcomes.
Purpose and scope of the proposal This proposal seeks to implement a fall prevention program within healthcare institutions. Fall prevention programs will be evidence-based. They are designed to decrease the number of healthcare institution falls. A comprehensive literature review will inform the development of this program, which will incorporate best practices for fall prevention.
PICOT Population: Hospitalized patients. Intervention: Fall prevention program based on evidence. Outcomes: Reduced incidence of falls. Time limit: Six months after implementation.
This strategy for literature searching was employed. A complete literature search was done using many electronic databases such as PubMed, CINAHL and Cochrane Library. The search was conducted using keywords such as “fall prevention,” “healthcare institutions,” “interventions,” “patient safety,” and “evidence-based practice.” The search was limited to articles published in English, peer-reviewed journals, and published between 2016 and 2022. The relevance of all 67 articles was evaluated.
Review of literature. The literature reviewed identified several effective fall prevention strategies in hospitals. Multifactorial fall risk assessments were also included, as well as environmental modifications, education of staff, and exercises programs. A comprehensive program that incorporates all these measures is crucial, according to the literature review. Multifaceted approaches to fall prevention are more effective than single-purpose programs.
Application of nursing theory and change The Transitions Theory is a nursing theory that focuses on the patient’s transition from one state of health to another, such as from hospital to home. This theory highlights the need to provide continuity of care for patients during transition periods in order to avoid adverse outcomes such as falls. The Transitions Theory can be applied to the development of a fall prevention program that includes interventions aimed at preventing falls during the patient’s transition from hospital to home. It can be applied to reduce the chance of falling by ensuring that all patients are receiving consistent, comprehensive healthcare throughout their entire care continuum.