The gap between current evidence-based practices in falls prevention and their implementation into healthcare organizations remains a healthcare concern. At the project site, one unit experienced an increase in the number of injurious falls requiring an evidence-based intervention. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the Hester Davis (HD) falls prevention protocol focused on gait belts would impact the injurious and total fall rates on a medical-surgical unit in a suburban California hospital over four-weeks. The Neuman systems model and Roger's diffusion of innovation theory were the theoretical underpinnings used for the project. The total sample size was 201, n = 79 in the comparative group and n = 122 in the implementation group. Data were obtained from the facility’s electronic health record. The results from the independent t-test showed that there was no statistically significant impact on injurious falls, t (199) = 1.244, p = .215 or on total falls, t (199) = .032, p = .974 using the gait belts. Despite the lack of statistical significance there was clinical significance in decreasing the injurious falls from 1 to 0. The results indicate that the implementation of the HD falls prevention protocol focused on gait belts might reduce injurious and total falls. Therefore, it is recommended that the project is sustained at the project site and data re-analyzed as it was uncommon to have only had one fall over the previous 30-days.
|Commitee:||Misra, Amber R.|
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-B 82/9(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health care management|
|Keywords:||Gait belts, Hester Davis falls prevention protocol, Hospital falls, Injurious falls, Patient safety, Unassisted falls|
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