C361 Task 1 Evidence-Based Practice and Applied Nursing Research 2021 NOV

A. Impact of Problem on Patient and Organization This clinical practice problem impacts patient’s safety, falls contribute to increased fractures, soft tissue injuries, lacerations, and increased incidence of preventable sentinel events. Falls adversely affect organizations as they may be financially burdened by losing reimbursement for injuries caused when falls occur. A1. Identify PICO components Patient/population/problem (P) The clinical practice problem addresses patient falls in an acute inpatient hospital setting. Patient falls not only affect patient safety but financially affect the facility with the loss of reimbursement for preventable patient injuries. Intervention (I) Improving patient fall rates with increased patient and family education. Education on safety and fall prevention provided to the patient by facility staff is intended to decrease the rate of falls throughout the patient's hospitalization. Comparison (C) The clinical practice problem will examine the difference in fall rates between patients without fall risk and safety education as compared to patients that have been provided education on safety and fall prevention during treatment. Outcome (0) The ideal outcome for the clinical practice problem is an increased understanding from hospitalized patients on fall precautions and safety through education. This increased understanding will decrease the rate of falls and increase patient safety. Decreased patient falls will save the organization from financial setbacks and loss of reimbursement for preventable events. A2. Evidence-Based Practice Question In hospitalized patients at risk for falls, will patient education on fall prevention reduce falls as compared to no patient education on fall precautions? B. Research-based article B1. Background/Introduction Patient falls during hospitalization is an ongoing concern worldwide. Organizations are continually striving to introduce strategies to prevent inpatient falls to not only improve clinical outcomes but protect the organization financially This article addresses patient education as a way to increase patient understanding and engagement in fall prevention programs. “Up to 80% of falls occur when patients are not observed. Some patients initiate risky decisions about mobility based on their own judgments, without always seeking help from nurses or other health professionals”(Heng et al 2020). The article seeks to examine multiple reviews, clinical trials, and hospital interventions used to show changes based on patient education in the incidence of falls