Dissertation/Thesis Abstract

Does Implementing a Quality Improvement Practice Decrease Falls on the Medical Wards?
by Thierry, Linda, D.N.P., Grand Canyon University, 2019, 104; 13807507
Abstract (Summary)

Rationale/Background: Fall prevention is a paramount and lifesaving healthcare initiative. The investigation of interventions for the prevention of falls may lead to a decrease in injuries and promotion of superlative care for patients hospitalized in an acute healthcare environment.

Purpose: The purpose of this quantitative correlational direct practice improvement (DPI) project is to determine the relationship between the implementation of a fall prevention training program and changes in fall rates over a period over three months.

Theoretical Framework: The Neuman system model served as the theoretical foundation for this project. The model presents a holistic approach to patient at-risk for falling and guides bedside nursing care, assess stressors, safety needs, and environmental factors suggest potential indicators linked to fall-risk patients.

Project Method and Design: A quantitative method and correlational design was used to investigate the impact of the intervention. The intervention involved training for a total 28 nurses (N = 28) on two wards. The final data collection included fall rates for 56-patients (N = 56).

Data Results: The control ward had a fall rate of nearly twice as high than the ward who received the intervention. There is a statistically significant reduction in fall rates on the intervention ward (p = 0.04).

Implications: Based on the findings of this project, a fall education training program supported safety through a reduction of falls. The training program was adopted as a part of standard education for the site.

Indexing (document details)
Advisor: Clark, Amanda, Burrell, Angela
Commitee: Smith, Lisa
School: Grand Canyon University
Department: Doctoral Studies
School Location: United States -- Arizona
Source: DAI-B 80/07(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Falls, Medical wards, Quality improvement practice
Publication Number: 13807507
ISBN: 978-1-392-00289-6
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