documented and transcribed accurately; if not, then many errors can occur. There are many
suggestions such as bed alarming sounds changing and a new call light sound becoming more
distinct giving that familiar sound to focus on the patient. Orienting the patient through
assessments every 2-4 hours throughout shift depending on level of consciousness will help with
fall preventions. Fall rates will decrease in our inpatient medical surgical and progressive care
units. Focusing on post fall forms will help after the revision take place and orienting all staff
new and old will help with the these goals of safety and reliability.
Coming up with reasoning to
why a person fall is the leading answer to the problem.
Every patient is different and their
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reasons are going to be different as well so making sure that the proper assessment is given then
falls should be prevented.
Patient engagement is another suggestion if it’s going to prevent falls in the future.
Introducing safety huddles have been suggested to reduce fall in hospitals which helps with
communication and knowing each patient. Intentional rounding will help with patients that are at
higher risk of falling. Falls inpatient has increased in some facilities. The facility that I am
employed at fall cases have decreased through interventions and hourly rounding.
Falls may
never be fixed but we can all work together to decrease the chances and give the proper
teachings.
Falls seem to be one of the most major problems in older adults.
In the United States
one in three people aged 65 or more living in the community fall at least once a year (BMJ,
2006).
Research and clinical programs in hospital fall prevention should pay more attention to
study design and the nature of interventions (Wiley Online Library, 2015).
Research will be very
beneficial to the hospital and the elderly population. Collecting all information on the patient will
help with eliminating falls.
Nursing Theory
Nursing theories are very important when implementing evidence base practices. There
will be two change theories that will be factored in this healthcare setting. Model and role model
theory has it’s concept from Piaget’s Theory of Cognitive Development. Erickson's theory helps
nurses care for their patients by recognizing each individual’s uniqueness, and focusing on the
individual patient's needs (Nursing Theory, 2016).
It is also a self-care method of nursing,
which means it is based on the patient's perceptions of the environment, and adapts based on
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individual stressors for that patient (Nursing Theory, 2016). Understanding the patient in order to
maintain safety measures will help reach goals and also allow the patient to feel secure.
Next theory that can help with the improvement of this research will be the novice to
expert theory.
Patricia Benner developed a concept known as "From Novice to Expert." This
concept explains that nurses develop skills and an understanding of patient care over time from a

