Clinical Project Plan: Fall Prevention in Healthcare - [University]

This project proposal outlines a comprehensive plan for fall prevention in healthcare settings, addressing a critical patient safety issue. The introduction emphasizes the significance of fall prevention, particularly among the elderly, and its impact on patient outcomes. SMART goals are established to guide the project, focusing on specific, measurable, achievable, relevant, and time-bound objectives. A thorough literature analysis synthesizes existing research, identifying gaps in knowledge and highlighting the importance of interventions to reduce falls. The methodology section details the search strategy, data collection methods (qualitative and quantitative), sampling techniques (random sampling), and ethical considerations. The proposal also outlines strategies for project implementation, including interventions such as staff training, environmental modifications, and patient education. Finally, the plan includes a framework for evaluating the project's effectiveness, ensuring the implemented strategies contribute to a reduction in falls and improved patient safety within the healthcare environment. The project is designed to align with NSQHS guidelines and incorporates the latest research-based evidence and practice protocols.

PROJECT PROPSAL

Table of Contents
TITLE..............................................................................................................................................1
INTRODUCTION...........................................................................................................................1
SMART GOALS.............................................................................................................................1
LITERATURE ANALYSIS............................................................................................................1
WHY THIS IS PROBLEM AND THEIR SIGNIFICANCE..........................................................1
METHODOLOGY..........................................................................................................................1
Search strategy........................................................................................................................1
Data collection........................................................................................................................1
Sample....................................................................................................................................1
Ethical consideration..............................................................................................................1
Data analysis...........................................................................................................................1
CONCLUSION................................................................................................................................1
REFERENCES................................................................................................................................2

TITLE
“Fall prevention”
INTRODUCTION
The fall prevention in the healthcare setting show the aspect which is well related with the fear of
falling become more common as the people age, even among the those who has been fallen. It
may show the impact which is related with the older people in order to avoid such activities
which may create issue such as walking, shopping and taking part in social activities. The fall is
most common issue which is based among the general population. These fall are well focused on
the result of injury in the serious ways which may create various issue such as fracture and many
more. There are various of issue that is presented within the healthcare setting, in this, one of the
most frequently documented risk assessment of fall which have documented towards the well-
established fall risk factor that is hospital setting (Lin & et. al., (2022). The elder people are
showing high prevalence that is well related with the issue of fall within the healthcare setting.
Therefore, the proper prevention is used within the healthcare setting which may show the aspect
which must reduce the issue which is well related with the fall prevention. If someone is
admitted in the hospital, then the common measure is used to take such as bed and staying seated
in order to reduce the risk of falling during the staying in hospital. The nurses and other caregiver
are usually ensuring the easy access to the thing which may require the food, water and phone. In
the report, the major of discussion is based on fall prevention (Lin & et. al., (2022).
SMART GOALS
Specific: The goals which is well related with the fall prevention is proper monitoring of stairs,
surface, floor, bathroom and washroom. In addition, reduce the risk which may show the
contribution for the issue of fall. Therefore, the prevention is used to taken in order to provide the
context that is related with the issue of fall. Monitoring may provide the detail evaluation of
place and the prevention is used to taken that reduce the issue of fall.
Measurable: The floor and other essential area such as bathroom, washroom and many more.
Therefore, the prevention may carry by using the risk assessment that carry the aspect which
must reduce. To prevent fall among elder people the assistance is used to provide that reduce the
risk.
1

Achievable: The achievable goals which is analysed through the prevention is to ensure the
safety and reduce the risk of falling by measuring and monitoring the different region of
healthcare setting and provide assistance to people who have higher chance of fall due to their
health complication. The wheelchair is used in such a way which may show the aspect which
help to reduce the risk of fall in the healthcare setting.
Relevant: The surety towards the patient safety and reduce the risk of injury may show the
approach which is related with the fall. The prevention is used to take in order to reduce
complication that arise due to the fall within the healthcare setting.
Time bound: The proper time bound are well used which include some of the timeframe which is
applied in such a way which reduce the issue within the healthcare setting. The minimum time is
determined as 3 month and maximum time is about 6 months.
LITERATURE ANALYSIS
Literature review can present a systematic procedure of collecting the secondary information that
is associated with the topic. There are various resources such as Journals, articles, Online
Journals and publications which are linked with the topic. The main aim of developing the
literature review is to simply identify the main research gaps within the primal investigations.
Here, the main gap in this is the causes and effects of fall prevention interventions on the falls
outcomes among hospitalized patients within healthcare settings. In the past studies, there were
lack of information about how the risk of fall can be reduced within healthcare settings so that its
complications can be effectively managed. This is particularly the main gap and to overcome
this, there are some effective strategies or interventions to reduce the falls within healthcare
organization.
As per the view of Susan C Slade, David L Carey, Anne-Marie Hill and Meg E Morris
(2017), the falls are generally the major global population well-being issues as well as the
leading cause of an unintentional or an accidental harms and the hospitalization. The falls within
the healthcare are mainly linked with the longer duration of stays, the readmissions and a
reduced results of well-being. As per the view of author, the fall prevention is specifically
informed by the effective knowledge of the reversible falls risk elements as well as an accurate
determination of the risks. The World Health Organization generally has been reported that the
falls are significantly the critical global well-being issue and has led a cause of specific injuries,
deaths after the incidents across world. It is generally estimated that there are the number of falls
2

deaths is nearly about 424,000 across global with the falls generally responsible for the 17
million having disability-adjusted live years. In this, the people who are above the age group of
65 are generally at greater risk. Within a year, there are about one in every three adult group
people can fall, and the falls are generally the main cause of hospitalization and having hip
fracture and so on. In this, the falls are mainly the most common adverse events which are
specifically being reported among the hospitalized patients involving geriatric and the
rehabilitation wards having the highest incidents. The falls within the healthcare settings are
greatly linked with the longer duration of stays as well as the reduced well-being results of the
vulnerable patients. It is identified that among 30 to 40% of the falls can occur within the
healthcare organization and can results in the physical injuries like fractures, bruises and the head
injuries.
Within the healthcare settings, an incidence of 3.5 to 4 falls per individual year generally has
been identified in a geriatric rehabilitation wards and about 6.2 falls per individual year can
happen within the psychogeriatric wards. As per the view of author, the risk elements for the fall
within healthcare inpatients can involve delirium, gait instability, the cognitive impairments,
consisting history of falls, the urinary incontinence, the visual impairments and many more. For
the people within the rehabilitation settings, the fall risk elements can specifically involve the
carpet flooring, delirium, vestibular dysfunctionality, having disturbance in sleep, dementia, the
medications like tranquillisers, anticonvulsants and antihypertensive as well as the dependence
over the assistance with the transfers. In this, the fall prevention is generally a complex as well as
a multidisciplinary activity towards an adequately test the robustness of the general practice data
model. It is because, there is multiple risks which are linked such as the intrinsic components like
poly pharmacy, the extrinsic components like loose carpets to the people within healthcare
organization. In addition to this, the fall prevention is specifically a complex bio psychosocial as
well as an environmental well-being problems. It can need a meaningful engagement of the
patients and their care providers in order to determine the developing risk of falls or the risk of
falls associated harms through environmental safety as well as the clinical assessment and the
use of various risk component intervention strategies in order to decrease the risk of falls as well
as can address the secondary issues like the fear of falling and decreased activity levels. Like all
the several well-being issues, the prevention and the management of falls can need a frequent
referral and the information sharing within the general practitioners, the care nurses, allied well-
3

being professionals, the fall clinics, can stressing the requirement for a combined communication
infrastructure generally based on the common technical, messaging as well as a semantic
standard to relate the community as well as the healthcare based well-being care services. In this,
the fall risk elements were included only if they can have met the needs for the strengths of the
information’s for various levels of risk to each determined risk factors (Effects of falls
prevention interventions on falls outcomes for hospitalised adults, (2017).
WHY THIS IS PROBLEM AND THEIR SIGNIFICANCE
The author presents the description of interventions such as the majority of the falls are
mainly the outcomes of a combination of the components as well as a broad range of fall
prevention methods has been designed. Having an accurate prevention of fall is quite important
within healthcare organization. Furthermore, the healthcare fall prevention interventions can
involve providing effective education to the patients, the environmental alterations, providing
effective trainings to the healthcare professionals and many more. In this, the well-being care
settings, the policies and procedures for effectively preventing or overcoming the falls can also
significantly impact over the results by simply optimising the healthcare care practices. The
prevention assessments of the falls as well as their effective interventions are specifically being
informed by the knowledge of having the reversible risk components for falls. They are generally
being informed by the capability to determine as well as manage the risk of fall of the people,
and by simply managing the surrounding environment as well as the staff care practices and their
behaviours as well. The study generally has evaluated the community settings as well as the
residential care facilities (Impact of Nurses’ Intervention in the Prevention of Falls in
Hospitalized Patients, (2020).
METHODOLOGY
Search strategy
The search strategy is may defined as the aspect which is related with the data collection
and selection which is related with the research process. The topic usually focusses on the aspect
which is related with source that is helpful for the configuration of data. The major search
strategy is used within the research process for the collection of data that is related with the issue
of topic fall prevention in the healthcare setting. The search strategy is used such as PubMed,
4

Springer link and many more which is appropriate for the data collection (Frumkin, 2020)
(Kullberg & et. al., (2018).
Data collection
The method of data collection is usually follow in order to show the aspect which is related
with the qualitative and quantitative method. These qualitative methods are usually focus on the
word, concept and theories which is appropriate for the data collection and provide the brief
description of the topic without statistical data. Whereas, the quantitative data is defined as the
aspect that is used for the data collection is related with the statistical data, graph and many more
which consist of numerical context that is suitable for the selection and collection of data. Within
the research process. the mixed method is used which is consist of qualitative and quantitative
both for the data collection and selection for the research report. The data is usually focus on the
graph, numerical and statistic. Therefore, the theories and model are used in order to make the
approach towards the data collection. In addition, it is well show the aspect that is fall resulted
toward the injury 26.9 percent in the medical units, the 24.1in surgical units and 26.2 percent
medical surgical unit.
Sample
The sample is well selected through the sampling method. Within the research process, the
random sampling method is used which help to provide the context that is well related with the
issue of healthcare sector. The random sampling help to determine the participant where
selection have not proper inclusion criteria and the participant are selected on the random basis.
It helps to show the selection of wider population as the term of participation and data and
information is elucidated. Therefore, random sample is showing the aspect which is less bias as
comparison with other sampling method. The random sample is more appropriate which is may
show the aspect that will use within the research report for the data collection and selection
(Chua & et. al., (2020).
Ethical consideration
The ethical consideration is used to follow within the research process which is appropriate
for the data collection. There are some of ethical issue are may arise while conducting the
research which is follow the context of ethical approach which is functional for the research
process. Therefore, the ethical consideration is used to follow which is consist of autonomy,
5

respect, privacy and confidentiality and so on which is follow the rule and guideline of ethical
committee which is implemented to reduce the harm that is related with the participants while
conducting the research. Therefore, the ethical consideration will follow which may show the
aspect which is related with the context to fall prevention which require proper monitoring and
other aspect inspection reduce the risk.
Data analysis
The data analysis is usually focus on the aspect which is well related the fall prevention. The
fall in the healthcare setting may create various complication which may be related with the issue
of injury and other associated risk. In addition, the people are usually falling in the healthcare
setting due to the various reason which may include moisture based surface and many more.
therefore, the proper prevention has been taken in order to reduce the fall which is related with
the healthcare setting (Labrague & et. al., (2021).
CONCLUSION
From the above discussion, it is concluded that the falls and its associated injuries generally
have consistently been linked with the quality of care nurses within the acute care sectors. In this,
it is identified by the study that the falls in healthcare generally remains often and debilitating
issues across world. Many healthcare fall preventions strategies or interventions generally have
been targeted the care clinician education, the environmental alterations, the assistive devices,
the healthcare systems as well as the medication reviews. In addition to this, the role that the
vulnerable patients can specifically play in preventing the falls whilst within healthcare
organization has generally received the reduced attention. This particular critical review scopes
the patient falls education interventions for the healthcare organizations. Furthermore, there is
generally an evolving evidence that the healthcare falls prevention interventions which can
incorporate the education to the patients can significantly decrease the falls as well as its linked
injuries or harms like fractures, bruises, the head injuries and many more. Having a well-
designed education programs can effectively enhance the knowledge’s as well as the self-
perceptions of risk, encouraging the vulnerable patients in order to reduce their fall risks whilst
in the healthcare organization.
6

REFERENCES
Books and Journals
Bagnasco, A. & et. al., (2020). Unmet nursing care needs on medical and surgical wards: A
scoping review of patients’ perspectives. Journal of clinical nursing, 29(3-4), 347-369.
Chua, W. L. & et. al., (2020). A call for better doctor–nurse collaboration: A qualitative study of
the experiences of junior doctors and nurses in escalating care for deteriorating ward
patients. Australian Critical Care, 33(1), 54-61.
Feo, R., Kitson, A., & Conroy, T. (2018). How fundamental aspects of nursing care are defined
in the literature: A scoping review. Journal of Clinical Nursing, 27(11-12), 2189-2229.
Frumkin, K. (2020). Toppling oranges: death, disability, decline, and readmission of community-
dwelling elderly patients after an emergency department visit. The Journal of emergency
medicine, 58(2), 339-345.
Kullberg, A. & et. al., (2018). Nurse perceptions of person-centered handovers in the oncological
inpatient setting: A qualitative study. International journal of nursing studies, 86, 44-51.
Labrague, L. J. & et. al., (2021). Authentic leadership, nurse‐assessed adverse patient events and
quality of care: The mediating role of nurses' safety actions. Journal of Nursing
Management, 29(7), 2152-2162.
Lin, S. & et. al., (2022). Nurse-led health coaching programme to improve hospital-to-home
transitional care for stroke survivors: A randomised controlled trial. Patient Education
and Counseling, 105(4), 917-925.
Muntlin Athlin, Å. (2018). Methods, metrics and research gaps around minimum data sets for
nursing practice and fundamental care: A scoping literature review. Journal of clinical
nursing, 27(11-12), 2230-2247.
Santosaputri, E., Laver, K., & To, T. (2019). Efficacy of interventions led by staff with geriatrics
expertise in reducing hospitalisation in nursing home residents: a systematic
review. Australasian Journal on Ageing, 38(1), 5-14.
Testa, L. & et. al., (2020). Models of care that avoid or improve transitions to hospital services
for residential aged care facility residents: an integrative review. Geriatric
Nursing, 41(4), 360-372.
Wang, K. N. & et. al., (2018). Medications and prescribing patterns as factors associated with
hospitalizations from long-term care facilities: a systematic review. Drugs &
aging, 35(5), 423-457.
Ward-Ciesielski, E. F., & Rizvi, S. L. (2021). The potential iatrogenic effects of psychiatric
hospitalization for suicidal behavior: A critical review and recommendations for
research. Clinical Psychology: Science and Practice, 28(1), 60.
Online:
Effects of falls prevention interventions on falls outcomes for hospitalised adults, 2017 [Online]
Available through: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695509/>
Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients, 2020 [Online]
Available through: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504031/>
7

8