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Dissertation/Thesis Abstract

Fall-Related Patient Education: An Essential Feature of a Fall Prevention Program
by Okonkwo, Immaculata Adaugo, D.N.P., Walden University, 2020, 132; 28002193
Abstract (Summary)

This project documented the evaluation of a voluntary patient falls prevention education program (VPFPEP) of a rehabilitative facility in a Mid-Atlantic US state and ascertained its sustainability. The project was designed using the customized Moore et al. evaluation model and Lippitt’s planned theory of change to encourage patient engagement in physical activity (PA) through fall prevention education to allay patients’ fear of falling. The sample included patients who opted into the facility’s VPFPEP. Evaluation was performed using run charts to visually and quantitatively monitor trends and patterns of fall incidents over time. Run charts also facilitated comparison of injuries sustained from falls, as a measure of clinical performance. Results showed that during program implementation, the average yearly fall rates were consistently lower from 2016 to 2019 compared with 2014 and 2015 before the program (5.323 and 6.902 falls PTOPD): 2016 4.157 (22%); 2017–2.624 (51%); 2018–1.877 (65%); and 2019–1.374 (74%) falls PTOPD. Findings suggest that the VPFPEP is resource-sustainable given the same resolve among facility healthcare personnel, and comparable patient receptiveness of the program. Recommendations include strengthening engagement and commitment of facility personnel through professional development, support groups, linkages with relevant agencies. Averting injury and saving lives from a preventable event promotes positive social change through safe healthcare delivery. The project facilitates positive social change through fall prevention efforts and education of high-risk fall patients to share responsibility for their safety.

Indexing (document details)
Advisor: Nyange, Courtney S
Commitee: Schmotzer, Geri L, Losty, Marilyn
School: Walden University
Department: Nursing
School Location: United States -- Minnesota
Source: DAI-B 81/12(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Fall education, Fall prevention, Fall risk assessment, History of falls, Hospital falls, Inpatient facility falls
Publication Number: 28002193
ISBN: 9798641014449
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