NURS2006: Clinical Governance & Falls Prevention in Nursing Homes

This report addresses the clinical governance and practice improvements related to falls prevention in care settings, particularly focusing on older patients. It emphasizes the relevance of clinical governance in ensuring high standards of care and creating safe environments. The report identifies the prevalence of falls as a significant issue affecting the health of care users and highlights the importance of addressing this problem through improved care practices. Key stakeholders, including patients, care providers, and the government, are identified, and their roles in falls prevention are discussed. The report proposes interventions such as the use of alarms and the removal of hazardous materials to mitigate falls. Potential barriers to implementation, such as resource constraints and staff resistance, are considered, along with strategies for sustaining change through continuous training and monitoring. The evaluation underscores the need for promoting awareness, adopting safety policies, and providing quality care to reduce falls and enhance patient well-being. This document is available on Desklib, a platform offering a wide range of study resources for students.

NURS2006 ASSIGNMENT 3
Clinical Practice Improvement Project Report
Student Name, FAN and ID:
Type your assignment into the white spaces in the template and the rows will
expand as much as you need them to.ie Alex Smith smit0000 ID 1234567
Project Title:
An investigation of a clinical governance or clinical practice issue in nursing.
Project Aim:
The aim of this project is to assess the clinical governance or clinical practice for falls issue in
care setting.
Relevance of Clinical Governance to your project
Clinical governance is considered as the system through which NHS becomes accountable for
regularly improving the quality of their services and thus safeguarding high standards of care
and creating excellent environment in clinics. Thus, it provides appropriate regulatory norms
and policies that guidess the NHS organisations to follow the same as they are liable to
enhance their quality of services and improving the care and support for patients by creating
an effective environment in which excellence care practice can be rendered in care setting
(van der Marck, Klok, Okun, Giladi, Munneke, Bloem and Force, 2014).
Here, it also aims to focus upon improving the quality of patient care and maintaining the
standards so that best quality care be provided to patients in regard to improve their health
and well being. However, clinical governance is very relevant to the current issue faced by
care organisations in relation to overcome the falls issue and thus carry out best results
within firm. Further, such issue is relevant in terms of safeguarding individual to render best
care and support and thus deliver appropriate quality care to satisfy their needs. Hence,
through following proper regulations and practices provided by clinical governance helps in
overcoming the falls issue that is affecting the health of care users.
Evidence that the issue / problem is worth solving:

It can be assessed that the fall issue is prevalent and thus it affects the care users in the form
of affecting their health. Therefore, it is essential for care providers to undertake proper care
and support to patients above the age of 65 who majorly face this issue. Thus, it affects them
in the form of identifying the needs and wants so that appropriate quality care can be
provided to patients to enhance the services in care setting. However, it majorly affects older
people and thus when they are provided care in workplace they falls several times and thus
care setting needs to take appropriate action so that health can be maintained and thus issue
could be overcome. Care workers are bound to help aged people so that they can overcome
the issue of falls and thus does not affect the older patients (Dibble, Lopez-Lennon, Lake,
Hoffmeister and Gappmaier, 2013).
It is an effective issue that is faced by care home and thus such issue needs to be overcome
through improving the environment of care setting. Thus, it protect care users mostly aged
people and therefore proper care and support services needs to be delivered to them in
regard to enhance the service and thus minimizes the falls. Care home needs to effectively
develop its workplace and thus protect older people to safeguard them from affecting and
does not frequently fall while getting care facilities. There are several other issues as well but
care patients are facing such issue most as older people gets weak and thus they are not able
to maintain the weight of their body and slips down. Also, care workers need to ensure that
appropriate facility needs to be provided in relation to non slip carpets, firm surfaces, repairs
to wear and tear in flooring as soon as it appears.
Key Stakeholders:
In regard to identify the clinical governance or clinical practice for falls issue in care setting,
there are different key stakeholders which are as follows-
Patients- They are considered as one of the effective stake-holder in care setting and thus
care providers are required to provide best quality care to patients so that they can
overcome their health issues. Here, mainly patients who are old age are suffering from fall
issue and thus care home needs to undertake several types of steps that results them to
improve their efficiency and thus enhance the brand image in market. However, care users
are one of the most important part of care home and thus it is essential for them to enhance
the clinical practice and avoid falls issue among old age patients (Linn, 2016).

Care providers- Further, it is another crucial stake-holder that assists in providing appropriate
quality care services to patients in regard to enhance the brand image in market. Also, it is
the responsibility of care providers to identify the effectiveness of care providers in relation
to deliver best quality care to old age patients so that they can overcome the fall issue and
maintain appropriate safety procedures for old age patients to attain desired results.
Therefore, it is essential for care providers to inform them regarding the health condition of
patients in care setting and thus deliver them best care services so that they can overcome
the issue of falls.
Government- Moreover, it is also specific stakeholder within care setting and thus prepares
appropriate plans and policies regarding care users safety and security in regard to protect
them from falls. Hence, it is essential for workers to follow the set guidelines of government
and thus safeguard the people working in HSC and does not affect or harm them. Hence, it is
crucial for care setting to follow the guidelines provided by government and follow the same
so that patients can overcome the fall issue and obtain best quality services to care users and
attain success (Whiteman, Davidov, Sikora, Paulson and Schaefer 2016).
CPI Tool:
One of the effective CPI tool that could be undertaken is use of alarms. Thus, using such tool
it helps in improving the health condition of patients. Therefore, using alarms is an effective
CPI tool and thus effectively implement in regard to overcome injury to patients in regard to
prevent them fall. Care setting aims to place alarms at several place that guides workers in
relation to remain protective for elder patients whenever they are alone at some place. For
instance, if they fall from somewhere then alarm should be raised and through listening to
the voice of that care providers can reach to that place in regard to overcome patients from
fall and provide them proper care and support to overcome injury (Lewin, Allan, Patterson,
Knuiman, Boldy and Hendrie, 2014).
Summary of proposed interventions:
It can be evaluated that fall prevention is essential subject and thus care setting helps in
overcoming the issue of falls among patients and thus helps in attaining desired results.
However, the proposed interventions helps in identifying the protective measures that would
result in improving the experiences of elder care users and thus protect them from fall in

regard to safeguard them from injury. Also, it is essential for care workers to assess the
requirement of enhancement of care services and thus improve the same in regard to attain
best results. Moreover, care workers aims to maintain and safeguard the workplace
environment in such a way that assists in protecting the elderly patients fro, hazardous
environment.
Also, it is essential for care setting to overcome the fall prevention requires removal of
hazardous materials from elderly patients rooms and outside area so that it does not result
into their fall. Also, it is essential for care setting to undertake the health and safety
regulation provided by government that aims to fulfil the needs of workers and patients and
does not affect them. However, it is essential for workers to maintain proper health and
safety at workplace and thus carry out best working practices so that issues can be overcome
(van der Marck, Klok, Okun, Giladi, Munneke, Bloem and Force, 2014).
Further, falls issue needs to be prevented from care setting and thus it could be overcome
through appropriate measures such as more focused attention to be given to mental and
elder people who are not able to walk properly. However, if they falls regularly within the
care home it might injured them and thus it also affects the family and friends of care users.
Therefore, it is essential for care providers to take proper care and support to person in
regard to promote better health and living conditions and overcome their falls.
Barriers to implementation and sustaining change:

Various barriers can be faced while implementing the proposed interventions. The proposed
interventions would require the health care organization to keep the rooms and other areas
free from obstructions and hazardous materials. For this, the hospitals would have to adopt
better housekeeping practices on a regular basis. Additional staff and financial resources
would be required for implementing this intervention. Lack of adequate financial resources
may act as a barrier to this. Further, another proposed intervention is to pay focused
attention to the mentally ill and elderly patients as these people are more prone to falls.
However, lack of time would act as a barrier in this this. For focused attention, the staff will
have to monitor these patients cautiously in order to prevent them from falling. Managing
this along with the day’s work may be a difficult task. Hence, some resistance may be
encountered while implementing this intervention. This may be a barrier to effective
implementation of the proposed intervention because resistance will not let the staff follow
the policies and rules that hospitals will make regarding monitoring of these patients (Linn,
2016).
Even if implemented, sustaining change will be another challenge for the health care settings.
Sustaining these proposed interventions would require concentrated and regular efforts
made by the entire staff of the organization. For this, it is necessary form the change to be
assimilated properly. For sustaining the change arising from the proposed interventions,
regular training of the staff will be needed which will further require financial resources as
well as human resources. Hence, these may be the barriers faced during sustain the change
(Barry, Houghton and Warburton, 2016).
Evaluation of the project:
Thus, the above project could be evaluated that falls prevention is essential and thus it could
help in promoting awareness among patients regarding moving safely with the help and
assistance of care provider. Therefore, through protecting the patients it would help in
overcoming the fall issue and thus prevent the care users by undertaking effective methods
such as use of alarms that could be best method for preventing care users when they fall in
workplace (Herrett, and et.al., 2015). Also, care providers are focused upon using health and
safety policies at workplace in regard to prevent them from any mishappening. Thus, it is the
best possible way to protect care users and prevent them from fall. Also, it can be assessed
that best care services needs to be provided to patients in regard to support them and
overcome their falls issue. It can be evaluated from the project that proper strategies needs
to be adopted in regard to assists patients and thus improve their health conditions within

care home (Bullen, and et.al., 2014).
Moreover, it could also be assessed that appropriate quality care and support needs to be
provided to patients that would help them to overcome from such issue. Also, it is significant
for care home to undertake proper safety precautions such as avoiding slips carpets,
unwanted materials from workplace so that it could not affect the elder patients who are
unable to manage the balance and falls. Hence, such issue is increasing rapidly and thus it is
essential to overcome the same by adopting effective preventive measures so that best
health and safety at workplace policy could be adopted in regard to overcome the issue and
prevent care users from fall.

References
Barry, D., Houghton, T. & Warburton, T., 2016, Evidence-based practice: developing mentors
to support students. Nursing Standard, vol. 30 no. 51, pp.42-48.
Bullen, T., Maher, K., Rosenberg, J.P. & Smith, B., 2014, Establishing research in a palliative
care clinical setting: perceived barriers and implemented strategies, Applied Nursing
Research, vol. 27 no. 1, pp.78-83.
Dibble, LE Lopez-Lennon, C Lake, W Hoffmeister, C & Gappmaier, E 2013, Utility of disease-
specific measures and clinical balance tests in prediction of falls in persons with multiple
sclerosis. Journal of Neurologic Physical Therapy, vol. 37, pp.99-104,
Herrett, E., Gallagher, A.M., Bhaskaran, K., Forbes, H., Mathur, R., van Staa, T. & Smeeth, L.,
2015, Data resource profile: clinical practice research datalink (CPRD). International journal
of epidemiology, vol. 44 no. 3, pp.827-836.
Lewin, G Allan, J Patterson, C Knuiman, M Boldy, D & Hendrie, D 2014, A comparison of the
home care and healthcare service use and costs of older Australians randomised to receive‐
a restorative or a conventional home care service.‐ Health & social care in the community,
vol. 22, pp.328-336,
Linn, HI 2016, The Changed Injury Landscape, More on Injury Prevention Roles for the
Lifestyle Physician, and More Than “Limited Progress” Since Injury in America. American
journal of lifestyle medicine, vol. 10, pp.10-13,
van der Marck, MA Klok, MPC Okun, MS Giladi, N Munneke, M Bloem, BR & Force, NFT2014,
Consensus-based clinical practice recommendations for the examination and management
of falls in patients with Parkinson's disease. Parkinsonism & related disorders, vol. 20,
pp.360-369,
Whiteman, C Davidov, DM Sikora, R Paulson, D & Schaefer, G 2016. Major trauma and the
elder West Virginian: a six Year review at a Level I trauma center. The West Virginia medical
journal, vol. 112, pp.94,

Appendix