Doctor of Nursing Practice (DNP) Projects
Date of this Version
7-20-2021
Embargo Date
7-20-2022
Document Type
Project
Department
Nursing
Track
Post-Master's
Keywords
older residents, home for the aged, nursing home residents
Abstract
Abstract
Falls are frequent in older residents in the United States. 800,000 falls occur yearly, one in three residents will fall again within a year (Agency for Healthcare Research and Quality [AHRQ], 2017). In Frey Village, about 25 falls occur monthly with annual fall-injuries of 1.9%. This project focused on the Individualized Multidisciplinary Immediate Fall Response Program (IMIFRP).
PICOT Question: In the older adults in a long-term facility (P), does an implementation of the individualized multidisciplinary immediate fall response program (I), improve fall care processes, and reduce fall rate (O) within 2-months post-intervention (T), compared to 2-months pre-intervention (C)?
Conceptual and Theoretical Model: The IHI Plan-Do-Study-Act cycle was the conceptual framework that directed IMIFRP. The Theory of Bureaucratic Caring reinforced the impacts of providing quality, ethical, legal, and compassionate care.
Methods: This pre/post-design quality improvement project included residents in long-term units, ³ 65 years. The IMIFRP was initiated with each fall. Project outcomes: usage of the IMIFRP form ([TRIPS]— Tracking Record for Improving Patient Safety) for falls data documentation, number of falls and repeated falls. Data were analyzed, using descriptive statistics, and run chart.
Result: Fall rate reduced from 41 falls pre-intervention to 30 falls during the intervention. 27% reduced fall rate, 90% compliance rate in utilization of the TRIPS form and creation of a fall management team.
Conclusion: The IMIFRP was well supported by the stakeholders and the IMIFRP led to development of a multidisciplinary fall committee.
Date Posted: 23 July 2021