Implementation of the bedside mobility assessment tool in the ambulatory care setting
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Racquel H. Ballinger, DNP, RN, NE-BC, AMB-BC, PHN
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- Nu Upsilon
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Falls remain a concern for healthcare organizations nationally. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Boynton’s Bedside Mobility Assessment Tool (BMAT) used in conjunction with current fall practices would impact fall rates among patients 65 years and older undergoing a colonoscopy. The project was implemented in an ambulatory care setting in Southern California over four weeks. Sister Callista Roy’s middle-range nursing theory, the adaptation model, and Neuman’s systems theory were the scientific underpinnings of the project. Data on falls and mobility assessment were collected from the electronic health record on 90 patients, n = 45 in the comparative group and n = 45 in the implementation group. A chi-square test showed a clinical and statistically significant improvement in fall rates X2 (1, N= 90) = 8.39, p = .004. The results indicate the implementation of the BMAT used in conjunction with current fall practices may reduce fall rates in this population and setting. It is recommended that the BMAT be used with all patients undergoing all procedures, expand the implementation to other units, and disseminate the findings so other areas in healthcare may reduce patient falls.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28963299; ProQuest document ID: 2623015937. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quasi-Experimental Study, Other |
Research Approach | Quantitative Research |
Keywords | Falls; Older Adults; Sedation Assessment; Safe Patient Handling; Work-Related Injuries |
Grantor | Grand Canyon University |
Advisor | Ralph Webber, Joan; Sandiford, Lynette |
Level | DNP |
Year | 2021 |
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