NUR 630 Topic 1 DQ 1

Sample Answer for NUR 630 Topic 1 DQ 1 Included After Question

You are assigned to a quality team on a rehabilitation floor where patient falls are on the rise. What strategy would be best to approach this issue—quality improvement, evidence-based practice, or research? Support your choice with one or two examples and one or two references. 

Knowledge Check

Think of your current employment; which of the above strategiy/approach is most relevant to your practice and why?

A Sample Answer For the Assignment: NUR 630 Topic 1 DQ 1

Title: NUR 630 Topic 1 DQ 1

In the hospital environment, the safety of patients is of utmost importance. Healthcare consumers and organizations share a common goal of creating a healing environment that is safe and free from harm. Quality of care and safety go hand in hand and falls continue to be a major area of concern within hospitals across the United States. According to LeLaurin & Shorr (2019), nearly one million patients experience falls annually while hospitalized, significantly impacting reimbursement, quality of care, reputation, patient experience, and quality of life. These impacts are felt not only by the patients but also by the healthcare systems and organizations that serve them. Hospitalized patients are at varying degrees of risk for falls due to various factors such as environmental hazards, treatments, and illness.

As a former assistant nurse manager in an inpatient acute rehabilitation program, I dealt with an increase in falls which required an interdisciplinary team effort to address through a quality improvement project. Quality improvement aims to standardize processes and structures to reduce variation, achieve predictable results, and enhance patient outcomes (CMS, 2021). LeLaurin & Shorr (2019) highlight several focus areas to reduce falls, including design, leadership structure, staffing challenges, and organizational culture. In rehabilitation, patients are taught to enhance their mobility to promote autonomy, and rehab nurses strive to promote independence through education, collaboration, and coordination, as per the Association of Rehabilitation Nurses (n.d.).

Effective fall interventions require interdisciplinary support and top-down leadership to ensure stakeholder buy-in. A fall prevention program must consider individualized approaches and environmental modification since not every intervention may be appropriate for every patient, as noted by the Patient Safety Network (n.d.). To ensure sustainability, every team member must be vigilant in assessing the environment and reinforcing education. Given that the interdisciplinary team is the cornerstone of care delivery and planning in rehabilitation, a quality initiative approach is the best way to reduce the occurrence of falls. Effective communication among team members is critical to facilitate the exchange of critical information for continued program implementation.

Kotter and Cohen (2002) emphasize the importance of assembling a guiding team with diverse skill sets to lead successful change. By partnering with various disciplines, we can better understand patient assessment and bridge the gap to promote a safer healing environment. Educating patients and staff on individualized fall strategies is critical to support patients’ expectations of improving their health while hospitalized. By implementing a comprehensive and collaborative approach to fall prevention, we can create a safer healing environment that supports the well-being of patients and enhances the reputation of healthcare systems and organizations. This approach involves assessing the physical environment for potential hazards, identifying patients at high risk for falls, and developing and implementing a customized care plan that addresses each patient’s individual needs.

The care plan should include patient education on fall prevention strategies, such as using assistive devices, asking for help when getting out of bed, and wearing non-slip footwear. In addition, healthcare organizations must provide ongoing training and support to staff to ensure they have the necessary knowledge and skills to prevent falls. This training should include identifying fall risk factors, recognizing signs and symptoms of injury, and responding appropriately to a fall. Effective communication among staff members is also critical to ensure that information is shared promptly and accurately.

Overall, reducing falls in the hospital setting requires a collaborative effort from an interdisciplinary team and a comprehensive approach that includes customized care plans, patient education, ongoing staff training, and effective communication. In the rehab setting QI projects are best as they involve the entire team in the process, which supports carryover and continuous application of safety strategies. By implementing these strategies, we can create a safe and healing environment that promotes the well-being of patients and enhances the reputation of healthcare systems and organizations.

Reference

Association of Rehabilitation Nurses. (n.d.). Roles of the rehab nurse. https://rehabnurse.org/about/roles-of-the-rehab-nurse 

Centers for Medicare & Medicaid Services. (2021, December 1). Quality measurement and quality improvement. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/mms/quality-measure-and-quality-improvement-

Kotter, P., & Cohen, D. S. (2002). The heart of change: Real-life stories of how people change their organizations. Boston, MA: Harvard Business Press. ISBN-13: 978-1422187333

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing Falls in Hospitalized Patients: State of the Science. Clinics in geriatric medicine, 35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007

Patient Safety Network. (n.d.). Falls. https://psnet.ahrq.gov/primer/falls

A Sample Answer 2 For the Assignment: NUR 630 Topic 1 DQ 1

Title: NUR 630 Topic 1 DQ 1

The medical facilities have a primary role of taking care of the patients that visit the facility and reducing the injuries that could interfere with the recovery period of the patients. One of the issues that could affect the recovery period of patience includes infection and falls that could make illness to the patients worse (LeLaurin & Shorr, 2019). Falls in the patients’ rehabilitation unit is one of the challenges that have been on the rise within the medical facilities.

The medical facilities are therefore responsible for the control of such incidents that could inhibit the health quality service offered by the hospitals. A medical facility that is concerned with the rehabilitation of the floor has been experiencing a rise in the number of falls must have initiatives to reduce this. I would recommend the use of a quality improvement approach to curbing the fall issue.

In the medical sector quality improvement involves the application of the framework approach of improving the care service delivered to the patients through a continuous effort of achieving the stability of offering quality services. Patients’ satisfaction has been achieved through the application of a quality improvement approach (Karaca & Durna, 2019). The improvements could be used to ensure that the falls are reduced by involving the nurses and the facilities maintenance personnel.

The quality improvement includes taking care of the patients’ safety and the nurses could ensure safety by monitoring the patients on rehabilitation reducing the cases of falls as they will be under constant watch on the areas they visit with proper guidelines. Additionally, a quality approach based on improving the outcome of healthcare services with an effort to improve outcomes improved staff efficiency and reduce waste based on process failures, the medical facility could therefore focus on making sure all the floors are safe for movement and avoid slippery among the patients and other people visiting the facility.

References

Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing open6(2), 535–545. https://doi.org/10.1002/nop2.237

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing Falls in Hospitalized Patients: State of the Science. Clinics in geriatric medicine35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007