EBP: Hospital Fall Prevention.

Evidence Based Practice Guideline. Please ONLY use the references I have provided. I have also provided a rough draft of the introduction and PICO. Also included are the instructions for the assignment.EBP: Hospital Fall Prevention.

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Patient falls are commonin acute care settings. The rate of falls is relatively high since patients are unfamiliar with the hospital environment(Bassett et al., 2017). Additionally, patients receiving treatment in the acute care department are dealing with new health problems that affecttheir stability(Zhao& Kim,2015). Falls in acute care settings are reportable events and affect hospital reimbursement, hospital safety rating and accreditation, cost of care, and the hospital’s community base’s perceived integrity(Couch,2019).EBP: Hospital Fall Prevention. Therefore, healthcare facilities should prioritize a patient’s safetyto ensure that critically ill patients do not sustain any further injuries from falls. Fall safety prevention and responsibility have historically fallen on the nursing staff who spend most of the time with the patients. Nurses complete fall assessments to identify the possibility of falls among their patients. They later utilize fall prevention techniques such as placing call lights in reach and performing frequent safety bed checks on their patients to reduce patients’ possibility of falling(Clancy& Keyes,2005).EBP: Hospital Fall Prevention.
However, relying solely on fall safety prevention techniques and bedside nursing staff has not effectively prevented patient falls(Brown et al., 2010).A study conducted by Lang(2014) indicated that sitters are not effective in preventing falls in acute care units. Hospitals with high fall rates have evaluated evidence-based fall prevention techniques to determine the bestfall prevention strategy. Some hospitals discovered that fall risk assessment, multi-tooled fall prevention strategies, and identifying fall prevention teams with leaders effectively prevent falls on medical-surgical units(Bargmann & Brundrett, 2020).EBP: Hospital Fall Prevention.
This project will be based on the PICOT question, “Does developing an evidence-based multi component fall risk assessment and staff surveillance program for adult patients verses nurse-only fall and safety surveillance with no multi component fall risk assessment help decrease inpatient fall rates on a medical surgical unit?”
Stakeholder Identification.EBP: Hospital Fall Prevention.
It is proposed that an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach to fall safety surveillance and uses information technology systems to provide data about fall incident reports, will reduce patient falls. Stakeholders will play a significant role in enhancing the success of the proposed EBP project. These stakeholders include healthcare providers, patients and their families, hospital administrators, community, and regulators.
Healthcare providers working in the acute unit are the primary stakeholders involved in the project implementation process. The first group of these practitioners is the nurse managers (NMs). NMs advocate for the implementation of EBPon clinical units within healthcare organizations.EBP: Hospital Fall Prevention.Therefore, NMs will advocate for evidence-based multicomponent fall prevention program performance, which utilizes a multidisciplinary approach to prevent patient falls among adult patients receiving treatment inthe medical-surgical unit. Additionally, Nursing managers will authorize staff nurses toparticipate in implementing the EBP in the medical-surgical unit. Finally, NMs will supervise nurses to ensure that the EBP project is being implemented to initiate the desired change in the healthcare organization. Secondly, nurses will be involved in the implementation process. Nurse provides care services to patients in various departments, including medical-surgicalunit. Therefore, they will utilize a multi-component fall prevention program, which utilizes a multidisciplinary approach to prevent patient falls among adult patients receiving treatment in the medical-surgical unit.Additionally, nurses will create awareness of the proposed EBP among other clinicians involved in the treatment of adult patients in the acute care unit. Specifically, they will state the benefits that the EBP project will accrue to the individual patients, the acute care department, and the entire healthcare organization. Consequently, these clinicians will embrace the proposed EBP project.EBP: Hospital Fall Prevention.
The hospital administration forms another group of stakeholders who will be involved in the implementation process. The management oversees all administrative practices and activities within the healthcare organization. For instance, they ensure that all medical practitioners are accountable for EBP practices implemented in their respective departments.EBP: Hospital Fall Prevention. Additionally, the healthcare organization’s leadership will provide all the resources required for the implementation process, including financial, physical, and human resources. Thus, involving the administration will enhance the success of implementing a multicomponent fall prevention program, which utilizes a multidisciplinary approach to prevent patient falls among adult patients receiving treatment in the medical-surgical unit.
Patients and their families are also significant stakeholders. The proposed project’s patient population is adult patients aged 18 years and above receiving treatment in the acute care settings, specifically the medical-surgical unit. The clinician will implement a multicomponent fall prevention program, which utilizes a multidisciplinary approach to prevent patient falls among adult patients receiving treatment in the medical-surgical unit. Therefore, the project’s success will significantly depend on the cooperation of the patients and their families.EBP: Hospital Fall Prevention.
Regulators will also be involved in the implementation process. Local authorities and other regulator agencies regulate healthcare organizations to ensure that their practices and practices align with the set industrial standards. Therefore, these regulators will approve the proposed strategy before its implemented in the healthcare organization.
Finally, the entire community will be involved in the implementation process. The healthcare organization operates within the community. The community provides the required land, supportive workforce, and other services, thus enhancing the entire organization’s operations. Therefore, involving the community members will increase the likelihood of the proposed project being successful.EBP: Hospital Fall Prevention.
Implementation
The proposed project involves implementing a multicomponent fall prevention program, which utilizes a multidisciplinary approach to prevent patient falls among adult patients receiving treatment in the medical-surgical unit.The investigator will use the AHRQ Model of Knowledge Transfer during the implementation process. This change model has three major stages, which are perceived through researchers/creators’ lens of new knowledge.
The first stage is knowledge creation and distillation, which involves conducting research. The relevant outcomes of the research are then packaged into products, which can be put into action. For instance, specific practice recommendations will be implemented into action. In this case, the findings of relevant research will promote the implementation of a multicomponent fall prevention program, which utilizes a multidisciplinary approach to prevent patient falls among adult patients receiving treatment in the medical-surgical unit. Therefore, the likelihood of research evidence being implemented into the practice will increase. However, the end-users of the research outcomes should inform and guide the knowledge distillation process. In this case, the process should be informed and guided by clinicians providing treatment to adult patientsin the healthcare organization’s acute care unit. Perspectives of the end-users are the primary criteria that are utilized in knowledge distillation. For instance, the volume of evidencerequired by clinicians working in the acute unit in health care organizations is the primary criterion, which will be used in the knowledge distillation process.EBP: Hospital Fall Prevention.

The second stage is diffusion and dissemination. This phase entails partnering withmedical facilities and professional opinion leaders to disseminate knowledge. This knowledge forms the basis of a particular action. For instance, the shared knowledge will be utilized by healthcare providers in the prevention of falls among adult patients in the acute care setting.Dissemination partnerships link researchers and intermediaries. Thus, these partners act as connectors and knowledge brokers to the health care delivery organizations and providers. The National Patient Safety Foundation are examples of professional organizations, which act as intermediaries. Another example of these professional organizations is the multidisciplinary knowledge transfer teams. These teams are effective in spreading research-based prevention programs. Dissemination partnerships approve new knowledge in this model. The target audience (care providers working in the acute care unit) is reached via targeted dissemination and mass communication. It is anticipated that the early users of the evidence-based research findings will significantly influence the later adopters. The healthcare providers who will adopt an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach first, will affect their colleagues to adopt the evidence-based approach. However, successful communication efforts depend on the utilization of multifaceted dissemination strategies that emphasize media and channels that are most suitable for a particular audience. In this case, the communication channels utilized should be effective for nurses’ practitioners and physicians attending adult patients in the acute care unit.EBP: Hospital Fall Prevention.
The last stage of the change transfer process is the end-user adoption, implementation, and institutionalization. This stage aims at making individuals, groups, and the entire organization adopt and use evidence-based research findings in their practices consistently. In the proposed project, this stage will involve consistent utilization of an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach by individual care providers, a team of practitioners, and the acute unit in preventing falls among adult patients receiving treatment in the acute care department. This change model states that complex interrelationships are involved in implementing and sustaining EBPs in medical facilities. In this case, complicated interrelationships will be involved in implementing an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach to prevent patient falls among adult patients in the acute care unit in the healthcare organization. Different techniques are used in the implementation process. Upon its implementation in the acute care unit, theevidence-based multicomponent fall prevention program, which utilizes a multidisciplinary approach for preventing patient falls, will be considered a standard of care rather than an innovation.
The implementation process will be conducted in 10 weeks. Various activities that have been identified as critical for the successful implementation of the proposed project will be conducted. First, the author will finalize the project implementation details within the first week. Additionally, the second activity will be shown in the first week. It involves determining all the primary stakeholders. The investigator will identify healthcare providers, patients and their families, hospital administration, regulators, and the entire community. The third activity will be carried out in the second week of the implementation process.EBP: Hospital Fall Prevention. It entails recruiting nurses working in the acute care unit to participate in the project. Additionally, the participants will be trained to implementan evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach to preventing falls among adult patients in the acute care unit.In-service education will upgrade the professional knowledge,competence, and skills of nurses serving in the care unit in the healthcare organization. Consequently, it will be relatively easy for these nurses to implementthe proposed EBP project.However, nurses might be reluctant to implement the EBP, claiming the project is demanding and time-consuming. Under such circumstances, the researcher will involve change champions. These professionals will emphasize the benefits of implementing the proposed project among the participants (nurses), making them adopt the new approach in their practices.EBP: Hospital Fall Prevention.
The fourth activity entails acquiring the proposed project’s resources, including the relevant evidence-based research materials and the standard patient needs assessment tool. This activity will be carried out in the third week. The fifth activity involves rolling out the project, which will be conducted between week four and week 7. The seventh activity, formative evaluations, will also be performed between weeks 4 and 7. It will enable the investigator to assess the project proceedings and make any necessary adjustments to the project design. Finally, the author will submit the project’s findings and recommendationstowards the end of week 8. Summative evaluation is the last activity that will be conducted during the implementation of the proposed project. It will enable the investigator to determine whether the implementation process was successful by comparing the anticipated results with the actual outcomes. The author will make the necessary adjustment in case of a slight difference between the results expected and the actual outcomes to enhance the project’s success.
Policy and Procedure Development
Policies and procedures (P&Ps)are required in healthcare organizations since they define a plan of action, which guides the healthcare practitioners in achieving the desired outcomes. Additionally, a plan guides key stakeholders in making major decisions that affect the delivery of patient care. Healthcare organizations use policies and procedures to inform the employees about the desired outcomes. Similarly, policy and procedure were constructed to communicate with the participants the expected outcomes towards the end of the implementation process. The policy and procedure were constructed in a series of five significant steps.
The first step involved identifying potential legal risks that are likely to expose the patient to various forms of harm.EBP: Hospital Fall Prevention. The policy and procedure should be designed to minimize these harms. Specifically, they should provide healthcare providers with more effective and safer approaches. Consequently, policy and procedure lower the riskagainst the healthcare staff and the overall organization. Therefore, various healthcare staff should ensure that the policy and procedure are appropriately implemented. In this case, nurse leaders and nurse practitioners who provide treatment to adult patients in the acute care unit will ensure that policy and procedure are properly executed to reduce risks they might face while providing care services to their patients. Additionally, they will ensure that P&Ps are continuously updated to serve their purpose in the healthcare organization.EBP: Hospital Fall Prevention.
The second step will involve distributing the document containing policy and procedure among the participants and signing that document. The participants will be expected to read the P&Ps document and understand it well before putting their signature. They should seek clarification from the author in case some sections of the document are not clear to them before signing. Signing that document will indicate that participants are will to adhere to the stated guidelines during the project implementation process.
Furthermore, the author should ensure that all participants are trained on the new policy. Training will be scheduled in the second week of the implementation process. In-service education will be utilized to upgrade nurses’ professional knowledge, competence, and skills in the care unit in the healthcare organization (participants). It will be possible for these nurses to implement the proposed EBP project following the training program.Additionally, training will increase the project’s possibility of being successful at the end of the implementation process.
The author should closely monitor the effectiveness and compliance of the policy and procedure. This evaluation will be done at the end of every activity. It will enable the investigator to determine whether the expected results towards the end of a particular activity were achieved by comparing the anticipated results with the actual outcomes. In case of difference between the two, the author will make the necessary adjustments to the project design. Taking this corrective measure will increase the possibility of the project being successful.EBP: Hospital Fall Prevention.
Finally, the author will establish a policy review cycle.This cycle will be used to assess the effectiveness of the proposed policy in the healthcare organization. The author will determine whether the policy has achieved the set objective of reducing patient falls among adult patients receiving treatment in the acute care unit. A decline in patient falls will indicate the success of the proposed policy and procedure. Therefore, the proposed P&Ps should be implemented in other departments within the healthcare organization.
Evaluation
The proposed EBP project will be evaluated using formative and summative evaluations.EBP: Hospital Fall Prevention.
The author will conduct a formative evaluation before and during the actual execution of the proposed EBP. It will be conducted to assess whether the project is proceeding as planned. For instance, the investigator can perform this evaluation after training the participants to determine if they have been equipped with the anticipated knowledge and skills to effectively and accurately implement the project. The necessary adjustment will be made if the results at the end of a particular activity vary with the expected outcomes. Adjusting the project continuously will increase the likelihood of its success.
On the other hand, the author will conduct a summative evaluation. It will be shown after implementing an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach in the acute care unit. It will be performed to assess the overall outcomes of the proposed project. The evaluation will be conducted by comparing the final results with the targets set at the beginning of the project. The project will be considered successful if the adult patient falls in acute care medical-surgical units will decrease within three months after implementing an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach. On the contrary, the project will be considered to have failed if no difference in patient falls within three months after implementing an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach.EBP: Hospital Fall Prevention.
Summary and Conclusion
The proposed project aims at implementing an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach to fall safety surveillance and uses information technology systems to provide data about fall incident reports that will reduce patient falls. The project will target adult patients receiving treatment at the acute care unit of the identified healthcare organization. Various stakeholders will play a significant role in enhancing the success of the proposed EBP project. First, healthcare providers, including nurse managers and nurses, will strengthen the implementation process by participating and taking an active role. The patients and their families will also improve the project’s success by embracing the use of the new approach in their treatment. Hospital administrators will also facilitate the process by providing the required materials and resources. The community will reduce the proposed project by delivering and needed support. Regulators will ensure that the project is in line with the set standards.The investigator will utilize the AHRQ Model of Knowledge Transfer during the implementation process. The three stages of this change model will enhance the implementation process. In the first stage, Knowledge creation and distillation will improve the collection of relevant research findings. The second stage, diffusion, and dissemination, will support the spread of the collected information.EBP: Hospital Fall Prevention. The last step, end-user adoption, implementation, and institutionalization, will support transferring the acquired knowledge among healthcare providers. Policy and procedure will be developed to guide the implementation team throughout the entire process, thus enhancing the implementation process’s success. Various activities will be carried out during the implementation process. The project author will conduct these activities at different times within the eight weeks allocated for the project. The author will evaluate the project during and after the implementation process. Formative evaluation will be performed during the implementation process to determine the results of various activities. On the other hand, summative evaluation will be performed three months after implementing the proposed project. The project will be declared successful if the adult patient falls in acute care medical-surgical units will decrease within three months after implementing an evidence-based multi-component fall prevention program, which utilizes a multidisciplinary approach. The anticipated outcomes are that adult patient falls in acute care medical-surgical units will decrease as evidenced by a decrease in the quantity of hospital fall incidence reports in a three-month timeframe after implementation of the program.EBP: Hospital Fall Prevention.
I                               Introduction: One Page (10 points) (please see below I had already completed this)

II                             PICO: One Paragraph (10 points)(please see below I had already completed this)

III                            Stakeholder identification: 1-2 Pages (10 Points)

IV                            Implementation: Less than 4 pages(20 Points)

V             Policy & Procedure Development: 2 pages (20 Points)

VI                            Evaluation: One Page (10 Points)

VII                          Summary and conclusion: One Page (10 Points)

References ***Please use the references listed below.

II             State the PICO in PICO format and explain. The PICO will form the basis for the evaluation

component of the project.

Population and Problem

Intervention(s)

Comparison Intervention(s)

Outcome (Desired, Measurable)

III            STAKEHOLDER IDENTIFICATION

Identify stakeholders for clinical practice change and identify who will be on team to implement the change. Be sure and explain why and how stakeholders are involved.  Identify and discuss each of the main categories of stakeholders:EBP: Hospital Fall Prevention.

Patients & Families

Administrators

Health Care Providers

Regulators

Community

IV            IMPLEMENTATION

Describe in detail the steps for implementation. Use appropriate change theory to describe the implementation process.

In this section of the paper also include a description of any inservice education that will be presented.  You might say how you will use  EBP champions in the process. EBP: Hospital Fall Prevention.

Include a policy and procedure written as your agency would write one

V             Policy & Procedure

Within the body of the paper, describe the elements of HOW the policy and procedure was constructed.  This is important as it will lay the basis of your intent for change.

• VI Evaluation

Describe your evaluation plan including outcomes that will be measured.

• This is where you can return to your PICO.
• Remember the “O” in PICO stands for outcomes. Your evaluation plan should include methods as to how and when you will measure the outcome.

VII Summary & Conclusion

Write a short summary as to the nature of the paper.  This is a place to sum things up—not a place to introduce new literature.EBP: Hospital Fall Prevention.

Preventing Falls As a Collaborative Effort

Acute care patient falls are commonplace in acute care settings because patients are in an unknown environment and dealing with new health problems that effect stability. A patient’s safety should be prioritized by hospitals to ensure the patient who is already acutely ill does not sustain any further injury and also to ensure they receive the optimal health benefits from the care being provided. Falls in acute care settings are reportable events and effect hospital reimbursement, hospital safety rating and accreditation, cost of care and the perceived integrity of the hospital’s community base.  Fall safety prevention and responsibility has historically fallen on the nursing staff. Nurses complete fall assessments and utilize fall prevention techniques such as placing call lights in reach and perform frequent safety bed checks on their patients.EBP: Hospital Fall Prevention. However, relying solely on fall safety prevention techniques and bedside nursing staff has not been effective enough in preventing patient falls.  Hospitals with high fall rates have researched evidence-based research in order to determine what is the best type of fall prevention program and who are the best hospital staff to oversee fall safety programs. These hospitals were charged with first identifying their weaknesses, fall trends and knowledge deficits regarding fall prevention. After this, it was important to identify and compare their current fall safety program with successful programs which was done through literature review. Some hospitals have found that fall risk assessments, multi-tooled fall prevention strategies and identifying fall prevention teams with leaders has been effective in preventing falls on medical surgical units(Bargmann & Brundrett, 2020).EBP: Hospital Fall Prevention.

The primary question researched is will developing an evidence-based multi component fall risk assessment and staff surveillance program for adult patients verses nurse-only fall and safety surveillance with no multi component fall risk assessment help decrease inpatient fall rates on a medical surgical unit? The patient population under review are adult patients that are 18 years and older in acute care settings such as a medical surgical unit. /The intervention suggested her is an evidence-based multicomponent fall prevention program which utilizes a multi-disciplinary approach to fall safety surveillance and uses information technology systems to provide data about fall incident reports. This program will be compared to hospital medical surgical unit usual care, as defined by individualized nursing interventions, a nurse-only assessment and surveillance. The outcome we expect is that adult patient falls in acute care medical surgical units will decrease as evidenced by a decrease in the quantity of hospital fall incidence reports in a 3-month timeframe after implementation of the program. EBP: Hospital Fall Prevention.