Nurse research critique on patient falls
Her work through various positions has included accreditation related activities, resources on quality initiatives, initiatives on clinical performance improvement and patient perception, educational programs, and patient safety.
Are the results presented clearly in the text and in tables and figures?
Evidence based practice fall prevention in hospitals
Compared with general hospitals NDNQI hospitals were more often not-for-profit and had more than beds. The only national patient-level hospital data are from hospitals that participate in Medicare. Her current areas of responsibility include quality management, performance improvement, accreditation, patient safety, risk management, infection control, and credentialing and privileging. From one to eight patients fall per 1, inpatient days depending upon the type of nursing unit Enloe et al. Model 1 used only independent variables. White, S. Quality and safety in nursing. Reading a research article part III: The data collection instrument. Limitations are presented and their implications discussed n. National Quality Forum National quality forum, national voluntary consensus standards for nursing-sensitive care: An initial performance measure set. Dunton et al. Patient safety. Retrieved from: www. Nurses who confront questions about practice and policy need strong, high-quality, evidence-based research. To explore multiple aspects of staffing for this study we considered all nurse staffing measures available in the NDNQI.
Thus, we propose a population-based model that includes both fall prevention and injury protection Figure 1. In contrast, non-ICU units stepdown, medical, surgical, medical-surgical, and rehabilitation staff with RNs, LPNs, and NAs, and they care for less critically ill patients who are physically able to move enough to fall.
Fall prevention research article
The two organizational factors examined in this study are nurse staffing and Magnet status. The improvement guide: A practical approach to enhancing organizational performance 2nd Ed. Journal of the American Medical Directors Association, 11 4. We specified hospital size as less or greater than beds, as this size divided our sample in half. Transforming care at the bedside how-to guide: Reducing patient injuries from falls. Every nurse can acquire this skill. Knowledge of fall prevention program deployment and evaluation using a high reliability model and statistical analysis can help nurses design and test effectiveness of fall and injury prevention programs Quigley et al. Selected references Hudson-Barr D. Still, this aggregated data analysis is insufficient to evaluate interventions being implemented per level. Theoretical Framework Our research was guided by a theoretical framework first presented by Aiken, Sochalski, and Lake that linked organizational forms such as Magnet hospitals and dedicated AIDS units through operant mechanisms including nurse autonomy, control, and nurse-physician relationships, to nurse and patient outcomes. Envisioning the national health care quality report. Calculating annualized measures from quarterly data and controlling for hospital size, teaching status, and six nursing unit types, Dunton et al.
This fall program evaluation included analysis of structures e. This model could be applied to any hospital adverse condition.
Patient safety may be improved by creating environments consistent with Magnet hospital standards. The exact combination of interventions for specific populations must build on the assumption that all inpatients are at risk for falls, repeat falls, injury, and unfortunately death from a fall, in order to provide a protective approach and demonstrate high performing organizations Conclusion Increasing regulatory and reimbursement changes challenge the health care industry to reduce hospital adverse conditions.
The database did not contain measures of nurse experience or expertise. ICU patients may be at lower risk for falling because they are critically ill and frequently sedated.
Abstract Purpose of the Study Falls are common events for hospitalized older adults, resulting in negative outcomes both for patients and hospitals.
Additionally, she provides on going consultation to the nursing staff, quality management, and patient safety coordinators for management of complex patients at risk for falls. Measuring fall program outcomes. Negative associations are consistent with the theoretical assumption that more nursing hours, a greater fraction of RN hours of total hours, and more RN experience could minimize the fall rate.
Causes of patient falls in hospitals
To explore multiple aspects of staffing for this study we considered all nurse staffing measures available in the NDNQI. Our sample contained 5, nursing units in hospitals. Methods section details how the research questions were addressed or hypotheses were tested j. When a theoretical framework is used, it should inform the study and provide a rationale. Did the researcher select the correct sample to answer the research questions and was the size sufficient to obtain valid results? Negative associations are consistent with the theoretical assumption that more nursing hours, a greater fraction of RN hours of total hours, and more RN experience could minimize the fall rate. This approach is equivalent to a model with the fall rate as the dependent variable. Problem is properly introduced e. The literature review provides a context for the study. Every nurse can acquire this skill. Literature review is relevant, comprehensive, and includes recent research i. The quality of health care delivered to adults in the United States. Milbank Quarterly, 83, — Conclusion includes recommendations for nursing practice, future research, and policymakers 2.
based on 32 review