FALLS PREVENTIVE MEASURES B 1

Falls preventative measures B

"[Insert Name of Author here]"

Chamberlain College of Nursing

FALLS PREVENTIVE MEASURES B 2

Executive Summary

This project is aimed to increase fall preventive measures for first-year student nurses. People of all ages

are subject to falls, but the probability of a higher rate of falls affects people under 65. Peopleabove65 years are

considered to belong to the aged population whose falls are caused mainly by physical imbalance, especially

when walking or climbing stairs. Therefore, the nurse needs tube aware of the preventive measures that are

applicable and achievable to ensure that accidents caused by falls are reduced maximally. Fall prevention in

hospitals is vital, which is why first-year students need to be informed to ensure that they avoid such incidents

during their practice. Hospitals can cause falls due to factors that the student nurses might not be aware of, so

they must get to identify events when falls are likely to occur and prevent them. Many falls occur each year in

hospitals. The facility managers should establish strategic plans that prevent falls by removing barriers and

putting danger signs where necessary. The workers should be advised to place warning signs around the

working area, which helps prevent as many problems as possible.

The facilities should introduce fall prevention programs for all staff members so that each person can be

cautious in their working area to protect themselves and others. The program should include first aid guidelines

that will help those at the incident assist the victims before receiving professional clinical care. Fall preventive

measures will enable the nurse to prevent accidents during their practice. The nurses will also be able to include

the guidelines in their tasks to ensure that falls are rated at zero for both patients, visitors, and employees.

SECTION 1: INTRODUCTION AND PROBLEM IDENTIFICATION

Falls are common, and they result in complicated health problems, of which some remain permanent

while others take a more extended period to heal. Falls lower the quality of life because fall victims stop doing

most of the things they were doing, and their family members spend most o their time taking of them. Hence

they stop their income-generating activities leading to financial and social instability. The World Health

Organization (WHO) has described it falls as a world as a public health problem. According to WHO, an
FALLS PREVENTIVE MEASURES B 3

estimated 684,000 fatal falls occur annually, the second leading cause of unintentional injury death after road

accidents. 80% of the related fatal falls occur in low and middle-income countries.

Death rates from falls are highest among adults over 65 years of age. 37, 7 million falls are severe

enough to require medical attention. In contrast, globally, the falls are responsible for 38 million disabled-

adjusted life years having more years lived with disability than burns or drowning injuries. People of all gender

and ages are at risk. However, older people are at higher risk of falling, and the possibility increases with age.

The falls mainly occur due to cognitive and sensory changes associated with old age. Although both genders are

the risk of falls, more males are known to die from falls while females suffer non-fatal falls. Higher risk-taking

behaviors and hazards may cause a more significant burden on males in their occupations.

Problem Statement

The research study aims to sensitize fall preventive measures in nursing training and educational

programs. The program focuses on nursing practitioners to enable rates of fall prevention by creating awareness

of the possible falls factors in their environment in the practice setting. Also, targeting the first-year student is

essential to ensure that the nurses are become acquainted with a health hazard around them that is likely to

affect them or those near them. The nurses will also understand the importance of curbing it. Understanding the

causes of falls will help reduce the rate of falls in the population. The training will also enable the establishment

of strategies that will prevent falls in the hospital, such as keeping the patients informed about schedules that

need adherence to access the nurses’ help other than doing things by themselves that might cause falls. The

nurse will emphasize patients seeking help from fellow patients, such as using f belles when they are not in

apposition to. Additionally, the programs will emphasize the availability of the nurse on duty near the patient's

section so that they can always be available to help. Most hospital falls occur when nurses are not available to

assist the patients

Problem Background

Falls are a public health concern, and to ensure that there is a reduction of associated incidents, which

has suggested prevention measures for children and adolescents, workers, and older people. The health
FALLS PREVENTIVE MEASURES B 4

organization has suggested parenting programs for low-income and marginalized families to support

information about child fall risk to reduce these risks around the home. There has also been enforcement of

workplace safety measures in high-risk occupations and multicomponent workplace safety programs for older

people. WHO has a range of interventions that include gait, balance, functional training, home assessment and

modifications, and reduction or withdrawal of psychotropic drugs.

Stakeholders

The falls prevention program will have a significant impact on the public because in as much the

hospitals provide healthcare for the people with falls, the community plays a more significant role in living with

the fall victims every day. Hence the program will help improve the quality of life by reducing people who

might entirely depend on others. They might even get affected because they cannot help themselves. The

healthcare facilities management will ensure that they have created a hazard-free environment where people

will do their tasks without risking their lives. The workplaces will benefit in that more safety measures will be

installed to ensure the employees are safe, especially in high-risk occupations such as construction and

engineering. The nurses will also benefit through gaining adequate knowledge, which they can use in

community health education programs to create awareness to the public on the risks and safety measures to

establish. The program's goals are to ensure that falls have been reduced significantly, reducing the chances of

low-income families being affected by bills that they cannot manage and those that healthcare insurances cannot

pay.

.PICOT Question

Considering the impact of the falls, and the benefits of the preventive measures taught in the nursing programs,

it is evident that is an excellent expectation to reduce fatal injuries and lifelong disabilities. In that case, the

PICOT question raised should be; how will the fall preventive measure nursing program impact the community

in the future?
FALLS PREVENTIVE MEASURES B 5

SECTION 2: LITERATURE SUPPORT

Review of Literature

According to Guirguis-Blake et al. (2018), the US Preventive Services Task Force (USPSTF) suggested

multifactorial interventions and physical exercises, which concluded that the interventions were associated with

a reduced number of falls but not people experiencing a fall or injury. The falls prevention study confirmed that

many people could prevent falls because the body muscles gained stability, enabling them to resist falls even in

most hazardous environments. Health facilities have also used measures to ensure prevention in hospitals

installing secure locks on beds, stretchers, and wheelchairs (Khandoga et al., 2022). The paths and the floors

have been kept obstacle-free and ensure that there is enough light for visibility.

SECTION III: INTERVENTION DESCRIPTION

Proposed Intervention

The use of multifactorial interventions and physical exercises has a benefit that is associated with falls

prevention because the number of people being affected by falls will reduce in the coming years if the strategies

continue being put in place (Schensul et al. 2021). The strategy will also include the use of the John Hopkins

Nursing Evidence-Based Practice Model that will enable the development of fall prevention programs such that

the nurses will apply this knowledge in their daily practice.

Setting

The project will take place within the hospital institutions to familiarize the nursing students with

environmental factors that might lead to falls and how to prevent them. The learning environment will help the

students broadly capture the expectation of an environment where fall preventive measures have been

applicable and successful, and they can duplicate and expand that experience in other work settings.
FALLS PREVENTIVE MEASURES B 6

Barriers

The barriers that could affect the program could be a lack of preparation for the trainers, mainly because

they could be busy clinicians in other career areas. Hence the learning process for the nursing student might

delay. The nursing institution should ensure the availability of educators so that the learning program can be

conducted as planned. Also, the availability of a facility where the students can identify various fall causes

might be complicated, affecting the practical apart of the programs. The educators should plan ahead of time to

ensure that all the resources needed are available.

Outcomes

The outcome of this program is that the nursing student will be aware of the working environment and

prevent using appropriate strategies applied for the specific places. Also, there is an expected reduction of falls

incidents that will help minimize the number of casualties at the hospital and home. The nurses will also

implement the preventive measures available to ensure quality patient care. The outcomes will be measured

through the number of admissions due to falls injuries. Also, the result will be measured by reviewing statistics

on the number of males affected by falls which is lesser than the previous years.

Action Plan

The action plan will involve the John Hopkins model containing three steps: a practice question,

evidence, and translation approach known as PET. The model will help the nurse implement the two

interventions by including them as students and registered nurses in their practice.

SECTION IV: JOHN HOPKINS NURSING EVIDENCE-BASED PRACTICE MODEL

Introduction to Model

The Johns Hopkins Nursing Evidence-Based Practice Model involves internal factors associated with

the practice, external factors associated with education and research, and non-research associated with research

(Practice et al., 2019). The internal factors include culture, environment, equipment, staffing and standards and

the external factors include the accreditation, quality measures, legislation, regulations and standards. The
FALLS PREVENTIVE MEASURES B 7

research factors involves the experimental, quasi-experimental, non-experimental and qualitative factors. The

non-research factors include expert opinion, organization experience, clinical practice guidelines, clinical

expertise, and consumer preferences.

Use of Model to Support Project

The Johns Hopkins Nursing Evidence-Based Practice Model supported the project by helping nurses un-

derstand the various factors associated with falls prevention and what one should consider when setting up a

safe environment.

SECTION V: IMPLEMENTATION

The healthcare providers should be educated on how to interact with the patients regarding their environment.

The nurses should understand the importance of being available at their line of duty because the patients will

not struggle to help themselves when nurses’ assistance is available. Therefore collaboration between the

patient and the nurse and among the nurse is essential to make the fall preventive measures applicable.

SECTION VI: TRANSLATION TO PRACTICE AND EVALUATION

Data Collection to Support Outcomes

The data used to support the outcomes include the number of healthcare services, including outpatient

and admissions from falls. The data includes the number of patients based on different ages and gender and the

causes of the falls and the location. It includes the treatment that followed; the data also mentioned whether the

falls were fatal or whether the victims survived.

Evaluation

The fall prevention program enhanced the nurses’ knowledge in handling and preventing falls. The out-

come of this program should show the reduced number of patients and the improvement d done in facilities, in-

cluding making the places more spacious hazardous free from people to work in.
FALLS PREVENTIVE MEASURES B 8

Dissemination

The program outcomes will be shared with the stakeholders through the falls records before and after the

program. The outcome will also determine what the stakeholder will need to do more to improve the preventive

measures. 

Conclusions and Contributions to the Profession of Nursing

The fall preventive program creates awareness of health hazards and the effects concerned.

Consequently, understanding these situations enables the nurse to understand their working environment.

Being present at one's place of duty will help reduce falls at the hospital and provide intervention that ensures

body stability, especially for older adults.

FALLS PREVENTIVE MEASURES B 9

References

Guirguis-Blake, J. M., Michael, Y. L., Perdue, L. A., Coppola, E. L., & Beil, T. L. (2018). Interventions to pre-

vent falls in older adults. JAMA, 319(16), 1705. https://doi.org/10.1001/jama.2017.21962

Khandoga, E., Kochin, I., Terekhov, R., Ostapenko, A., & Tsarjov, V. (2022). Modern approaches to ensure

hand hygiene of medical staff in a measure complex for prevention of nosocomial infections in health

facilities. EMERGENCY MEDICINE, 17(4), 32-38. https://doi.org/10.22141/2224-

0586.17.4.2021.237724

Practice, N. R., Jember Ferede, A., & Bifftu, B. B. (2019). Corrigendum to “Work interruption experienced by

nurses during medication administration process and associated factors, northwest Ethiopia”. Nursing

Research and Practice, 2019, 1-1. https://doi.org/10.1155/2019/6106932

Schensul, S. L., Ha, T., Schensul, J. J., Grady, J., Burleson, J. A., Gaikwad, S., Joshi, K., Malye, R., &

Sarna, A. (2021). Multilevel and multifactorial interventions to reduce alcohol consumption and im-

prove ART adherence and related factors among HIV positive men in Mumbai, India. AIDS and Behav-

ior, 25(S3), 290-301. https://doi.org/10.1007/s10461-021-03303-y
FALLS PREVENTIVE MEASURES B 10

Appendices, Tables, and Figures

Appendix A
FALLS PREVENTIVE MEASURES B 11

Appendix B
FALLS PREVENTIVE MEASURES B 12

Appendix C
FALLS PREVENTIVE MEASURES B 13

Appendix D
FALLS PREVENTIVE MEASURES B 14

Appendix E
FALLS PREVENTIVE MEASURES B 15

Appendix F
FALLS PREVENTIVE MEASURES B 16

Appendix G
FALLS PREVENTIVE MEASURES B 17

Appendix H

Other appendices that are likely to be includes are the data collection tools, consent form,

instructional design table for educational component of project

FALLS PREVENTIVE MEASURES B 18

Tables

Table 1 (Sample)

Budget

EXPENSES REVENUE

Direct Billing

Salary and benefits Grants

Supplies Institutional budget support

Services

Statistician

Indirect

Overhead

Total Expenses Total Revenue

Net Balance
FALLS PREVENTIVE MEASURES B 19

Table 2
[Table Title]

Column Head Column Head Column Head Column Head Column Head

Row Head 123 123 123 123

Row Head 456 456 456 456

Row Head 789 789 789 789

Row Head 123 123 123 123

Row Head 456 456 456 456

Row Head 789 789 789 789

Note: [Place all tables for your paper in a tables section, following references (and, if applicable,

footnotes). Start a new page for each table, include a table number and table title for each, as

shown on this page. All explanatory text appears in a table note that follows the table, such as

this one. Use the Table/Figure style, available on the Home tab, in the Styles gallery, to get the

spacing between table and note. Tables in APA format can use single or 1.5 line spacing. In-

clude a heading for every row and column, even if the content seems obvious. A default table

style has been setup for this template that fits APA guidelines. To insert a table, on the Insert tab,

click Table.]
FALLS PREVENTIVE MEASURES B 20

Figures Title

0
Category 1 Category 2 Category 3 Category 4

Series 1 Series 2 Series 3

Figure 1. [Include all figures in their own section, following references (and footnotes and tables,

if applicable). Include a numbered caption for each figure. Use the Table/Figure style for easy

spacing between figure and caption.]

For more information about all elements of APA formatting, please consult the APA Style Man-

ual, 6th Edition.