Award Date

5-2010

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

First Committee Member

Nancy Menzel, Chair

Second Committee Member

Cheryl Bowles

Third Committee Member

Margaret Louis

Fourth Committee Member

Ronald Smith

Graduate Faculty Representative

Henry Selvaraj

Number of Pages

43

Abstract

The purpose of the study was to determine the level of nursing compliance in implementing Fall Prevention Protocol (FPP) in an acute care hospital in a high fall risk patient population and to identify the barriers in complying. This study is important because falls are considered one of the nursing-sensitive quality indicators. The AACN Synergy model for patient care was used as the organizing framework for this study. A total of 24 nurses participated in the study, and a total of 29 high fall risk patients were assessed. The degree of compliance among nursing staff was measured using the modified Scripps Mercy Hospital Rounding Tool (Rounding Tool) for patients identified at high risk for falls. The modified Scripps Mercy Hospital Fall Prevention Intervention Questionnaire (Barriers Tool) was used to determine the nurses perceived barriers (Gutierrez and Smith, 2008). High-to-moderate compliance was noted. High patient turn over and proximity of patient assignments were the frequently cited barriers with hourly rounding cited as the most valued intervention to prevent falls.

Keywords

Fall prevention protocol (FPP); Fall risk; Hourly rounding; Nursing compliance

Disciplines

Nursing | Other Nursing

Language

English


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Other Nursing Commons

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