Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem
Part 1: Falls are a major health problem globally with sequelae ranging from minor abrasions and bruises to more complex consequences like head injuries, fractures lacerations, and death. Mortality rates among age-adjusted falls have increased over the past few years. According to the Centre for Disease Control and Prevention (CDC), every year, approximately one million patients fall in hospitals within the United States accounting for roughly 85% of all hospital-acquired conditions(Dykes et al., 2020).Incidences of hospital fall and injury vary based on the unit characteristic, with increased rates among medical-surgical patients as compared to intensive care patients. In the United States, medical-surgical units report approximately 3.67 to 6.26 falls per 1000 patient days (PDs). Several evidence-based strategies have been utilized in fall prevention. However, the Center for Medicare and Medicaid (CMS) identifies falls as a “never event,” leading to a substantial amount of pressure on hospital administrators hence no falls goals in most hospitals. Advanced nurse practitioners bear the responsibility of providing direct patient care and promoting fall prevention interventions. This project will thus focus on evaluating the benefits associated with the use of the Tailoring Intervention for Patient Safety (TIPS) toolkit to reduce the incidences of falls on a medical-surgical unit.
Part II:In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)
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| PICOT Question | ||
| P | Population | The project will focus on hospitalized adult patients in the medical-surgical ward. Fall injuries are the most reported adverse events among hospitalized adult patients(Tzeng et al., 2021). |
| I | Intervention | The TIPS toolkit is a nurse-led, evidence-based intervention utilized in fall prevention. This intervention uses bedside tools to identify patient-specific fall risk factors and develop a tailored prevention plan(Tzeng et al., 2021). |
| C | Comparison | |
| O | Outcome | |
| T | Timeframe | |
| PICOT | ||
| Problem Statement |
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References
Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries. JAMA Network Open, 3(11), e2025889. https://doi.org/10.1001/jamanetworkopen.2020.25889
Tzeng, H.-M., Jansen, L. S., Okpalauwaekwe, U., Khasnabish, S., Andreas, B., & Dykes, P. C. (2021). Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home. Journal of Nursing Care Quality, Publish Ahead of Print. https://doi.org/10.1097/ncq.0000000000000547
The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based practice project proposal. To identify a relevant problem, consider problems generally faced in nursing practice (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.). Use the “PICOT Draft” template to complete this assignment.
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