1
Week 6 Assignment: EBP Change Process form
ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.
Please do not use any of the Nurse Daniel information for your own topic, nursing
intervention, or change project. Nurse Daniel serves as an example only to illustrate the
change process.
Name: _Anita Lorinsky____________________
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing
practice issue.)
m
Fall prevention in the emergency department is an issue that I have chose to work on. Different ways for
er as
nursing to predict a patient that is a potential fall risk and ways to prevent a fall once the risk has been
co
identified.
eH w
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
o.
rs e
Mechanical falls in the emergency department can be minor, not requiring hospitalization, no injury or
ou urc
skin tears that can be repaired, or major, that require hospitalization such a fractured hip of a brain bleed.
There is also the occasion that the fall may be bad enough that it could result in death immediately or
while hospitalized.
o
aC s
vi y re
Star Point 2: Summary (Evidence to support need for a change)
ed d
Describe the practice problem in your own words and formulate your PICOT question.
ar stu
P: I will be looking at patients that enter the emergency room to identify those that are a fall risk with a
fall risk assessment that is appropriate for an emergency room. The falls that will be focused on will be
mechanical falls not intentional falls such as acting out.
is
I: Fall risk scales will be developed, discovered that are appropriate for emergency departments to
Th
identify those that may be a fall risk from the elderly to the intoxicated patients. Ways to identify for all
staff by signage or devices to aid in fall prevention.
C: The number of fall risk patients that were identified with current scoring and identification to the
sh
number of falls with new scoring techniques that prevented falls.
O: There would be a decrease in the number of mechanical falls in the emergency. Also be able to
identify patients that may be intentional or behavioral falls.
9.2019 Update. DLP
This study source was downloaded by 100000822096590 from CourseHero.com on 04-07-2021 16:12:25 GMT -05:00
https://www.coursehero.com/file/66712360/EBP-process-form-9-19-2docx/
, 2
T: An initial review would be performed after 6 months of using the new techniques followed by
modifications and re-education of staff members if needed and another follow up in another 6 months.
List the systematic review chosen from the CCN Library databases. Type the complete APA
reference for the systematic review selected.
Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a
Comprehensive Bundled Intervention for ED Fall Prevention. Journal of Emergency
Nursing, 46(2), 225-232.e3. https://doi.org/10.1016/j.jen.2019.11.010
m
er as
co
List and briefly describe other sources used for data and information. List any other optional
eH w
scholarly source used as a supplement to the systematic review in APA format.
o.
rs e
ou urc
Briefly summarize the main findings (in your own words) from the systematic review and the
strength of the evidence.
o
aC s
That approx. 6% of the falls within a hospital happen in the emergency department and can lead to poor
vi y re
patient outcomes or hospitalizations (Pop, 2020). Much of the known fall risk score interventions are not
made for an emergency room. When triaging someone that comes in via private car do you truly know if
they use a commode or urinal at home or if they use any assistive device for ambulation because everyone
comes in by wheelchair. Patients are not great historians and when you ask them the medications that they
ed d
take they say “a pee pill, a heart pill and the little white one” medications can cause a patient to need to
ar stu
get out of bed often for the bathroom or can cause dizziness if they get up too fast which they may not
know about. When a patient is taken to another department for testing, they may not have any indications
the patient are a fall risk.
is
Outline one or two evidence-based solutions you will consider for the trial project.
Th
By changing the fall risk to questions that a nurse can use some subjective data such as gait pattern with
or without assistive devices, even a change to the type you use in the ED most use the same fall risk
assessment tool as the inpatient setting which has a much more controlled setting. The other option that
would be some type of indicator on the patient that would indicate to all staff the fall status. The second
sh
one may be a bit more of a challenge with management as they at one time had put out notifications that
you could not differentiate one patient from another by giving them a different color sock or band
indicating they were a fall risk.
9.2019 Update. DLP
This study source was downloaded by 100000822096590 from CourseHero.com on 04-07-2021 16:12:25 GMT -05:00
https://www.coursehero.com/file/66712360/EBP-process-form-9-19-2docx/
Week 6 Assignment: EBP Change Process form
ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson.
Please do not use any of the Nurse Daniel information for your own topic, nursing
intervention, or change project. Nurse Daniel serves as an example only to illustrate the
change process.
Name: _Anita Lorinsky____________________
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing
practice issue.)
m
Fall prevention in the emergency department is an issue that I have chose to work on. Different ways for
er as
nursing to predict a patient that is a potential fall risk and ways to prevent a fall once the risk has been
co
identified.
eH w
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
o.
rs e
Mechanical falls in the emergency department can be minor, not requiring hospitalization, no injury or
ou urc
skin tears that can be repaired, or major, that require hospitalization such a fractured hip of a brain bleed.
There is also the occasion that the fall may be bad enough that it could result in death immediately or
while hospitalized.
o
aC s
vi y re
Star Point 2: Summary (Evidence to support need for a change)
ed d
Describe the practice problem in your own words and formulate your PICOT question.
ar stu
P: I will be looking at patients that enter the emergency room to identify those that are a fall risk with a
fall risk assessment that is appropriate for an emergency room. The falls that will be focused on will be
mechanical falls not intentional falls such as acting out.
is
I: Fall risk scales will be developed, discovered that are appropriate for emergency departments to
Th
identify those that may be a fall risk from the elderly to the intoxicated patients. Ways to identify for all
staff by signage or devices to aid in fall prevention.
C: The number of fall risk patients that were identified with current scoring and identification to the
sh
number of falls with new scoring techniques that prevented falls.
O: There would be a decrease in the number of mechanical falls in the emergency. Also be able to
identify patients that may be intentional or behavioral falls.
9.2019 Update. DLP
This study source was downloaded by 100000822096590 from CourseHero.com on 04-07-2021 16:12:25 GMT -05:00
https://www.coursehero.com/file/66712360/EBP-process-form-9-19-2docx/
, 2
T: An initial review would be performed after 6 months of using the new techniques followed by
modifications and re-education of staff members if needed and another follow up in another 6 months.
List the systematic review chosen from the CCN Library databases. Type the complete APA
reference for the systematic review selected.
Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a
Comprehensive Bundled Intervention for ED Fall Prevention. Journal of Emergency
Nursing, 46(2), 225-232.e3. https://doi.org/10.1016/j.jen.2019.11.010
m
er as
co
List and briefly describe other sources used for data and information. List any other optional
eH w
scholarly source used as a supplement to the systematic review in APA format.
o.
rs e
ou urc
Briefly summarize the main findings (in your own words) from the systematic review and the
strength of the evidence.
o
aC s
That approx. 6% of the falls within a hospital happen in the emergency department and can lead to poor
vi y re
patient outcomes or hospitalizations (Pop, 2020). Much of the known fall risk score interventions are not
made for an emergency room. When triaging someone that comes in via private car do you truly know if
they use a commode or urinal at home or if they use any assistive device for ambulation because everyone
comes in by wheelchair. Patients are not great historians and when you ask them the medications that they
ed d
take they say “a pee pill, a heart pill and the little white one” medications can cause a patient to need to
ar stu
get out of bed often for the bathroom or can cause dizziness if they get up too fast which they may not
know about. When a patient is taken to another department for testing, they may not have any indications
the patient are a fall risk.
is
Outline one or two evidence-based solutions you will consider for the trial project.
Th
By changing the fall risk to questions that a nurse can use some subjective data such as gait pattern with
or without assistive devices, even a change to the type you use in the ED most use the same fall risk
assessment tool as the inpatient setting which has a much more controlled setting. The other option that
would be some type of indicator on the patient that would indicate to all staff the fall status. The second
sh
one may be a bit more of a challenge with management as they at one time had put out notifications that
you could not differentiate one patient from another by giving them a different color sock or band
indicating they were a fall risk.
9.2019 Update. DLP
This study source was downloaded by 100000822096590 from CourseHero.com on 04-07-2021 16:12:25 GMT -05:00
https://www.coursehero.com/file/66712360/EBP-process-form-9-19-2docx/
