Purposeful rounding for fall prevention in the nursing home setting
View File(s)
- Author(s)
- Details
-
Charles Mireille, DNP, RN, MS, AGPNP-C
- Sigma Affiliation
- Non-member
Falls among nursing home residents is a frequent and recurring issue. Falls are major cause of injuries, hospitalizations, and death among nursing home population, as well as increased healthcare cost. The purpose of this quality improvement project was to evaluate the effectiveness of an evidenced based strategy, purposeful/hourly rounding, on the fall rate in nursing home setting. Purposeful rounding was implemented in a 40- bed capacity long term unit at a nursing home in urban setting. It was identified that strategies to minimize and prevent barriers such as staff adherence were necessary for successful implementation and sustainability. The results showed that the fall rate 3 months pre-implementation was equal to 7.66 and 6.66 post-implementation. The percentage change score was 13.05%. The intervention needs to be evaluated over a longer period of time to see if fall rates continue to decline.
| Type | DNP Capstone Project |
| Acquisition | Self-submission |
| Review Type | Faculty Approved: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | Quality Improvement |
| Research Approach | Pilot/Exploratory Study |
| Keywords | Purposeful Rounding; Evaluation of 5 P's; Fall Prevention; Nursing Home Residents |
| CINAHL Subject(s) | Accidental Falls--Prevention and Control; Nursing Home Patients; Nursing Homes; Patient Rounds--Methods; Accidental Falls; Patient Rounds |
| Grantor | The State University of New York at Stony Brook |
| Advisor | Bruckenthal, Patricia |
| Level | DNP |
| Year | 2019 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Fall prevention in older adults who reside in nursing homes
(2016-10-21)Falls among older adults who reside in the nursing home setting are a major problem in the United States (Center for Disease Control and Prevention [CDC], 2015). The site of this project was a nursing home located ... -
Hourly rounding and fall prevention: A change process
(5/9/2018)Falls are among the most common and serious problems facing older adult patients living in nursing homes. The focus of this project was to implement an hourly rounding fall prevention protocol in a nursing home that provides ... -
The utilization of an alarm elimination fall prevention program
(2017-02-23)A typical nursing home with 100 beds reports 100-200 falls each year (CDC, 2015). It is common to see the utilization of personal alarms in nursing homes to prevent falls, although there is no evidence to support the idea ... -
The effectiveness of newborn safety information and acknowledgement in preventing inpatient newborn falls
(2017-09-19)Newborn falls can occur in the immediate postpartum period. The purpose of this capstone project was to evaluate the effectiveness of the Newborn Safety Information and Acknowledgement tool in impacting inpatient newborn ... -
Using Multifactorial Interventions to Prevent Elderly Hospitalized Patients with Mental Health Disorders from Falling
(8/11/2014)Patients have ethical and legal rights to expect their environment is safe when they are hospitalized. A component of environmental safety is the duty of hospitals to anticipate the occurrence of patient falls and make ...
