Assignment: Evidence-based practice review

May 12, 2022
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Assignment Evidence-based practice review 

Assignment: Evidence-based practice review 

CPT (R) Gwendolyn Godlock, MS-PSL, BSN, RN, AN, CPHQ, is Field Representative Nurse Surveyor, The Joint Commission, Oakbrook, Terrace, IL. CPT Mollie Christiansen, BSN, RN, AN, CMSRN, is Clinical Nurse Officer in Charge, Burn Progressive Care Unit, United States Army Institute of Surgical Research, Joint Base San Antonio Fort Sam Houston, TX. COL Laura Feider, PhD, RN, is Dean, School of Nursing Science and Chief, Department of Nursing Science, Army Medical Department Center and School, Health Readiness Center of Excellence, Joint Base San Antonio Fort Sam Houston, TX. Acknowledgments: The team would like to thank nursing leaders COL (R) Sheri Howell, for- mer Deputy Commander of Nursing and Chief of Staff; and COL Richard Evans, Assistant Deputy Chief Army Nurse Corps, for their support. A special acknowledgment for the former Chief, Medical Nursing Section, COL Vivian Harris, who remained a staunch supporter, advo- cate, and cheerleader, the Medical Section nursing staff, and the Center for Nursing Science and Clinical Inquiry. Note: The view(s) expressed herein are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, Department of Defense, or the U.S. Government.

Implementation of an Evidence-Based Patient Safety Team to Prevent Falls in Inpatient Medical Units

The Centers for Medicare &Medicaid Services identifiedfalls as a preventable health care acquired condition (DuPree, Fritz-Campiz, & Musheno, 2014). A large portion of the medical-surgical inpatient population is aging, and therefore at high risk for falls (Boltz, Capezuti, Wagner, Rosen berg, & Secic, 2013). Falls have physical and emotional implications for patients, as well as increased financial costs for facilities. Nationally, medical units have the highest rates of falls (Bouldin et al., 2013). Most notably, falls can cause significant injuries resulting in increased length of stay, unexpected surgeries, and even death (Williams, Szekendi, & Thomas, 2014). Historically medical-surgical nurses care for a mix of complex patients with an array of comorbidi- ties and patient needs (Carter & Burnette, 2011).

Literature Review The literature search was limited

to keyword searches on falls, team- work, patient safety, nursing, hourly rounding, and communication. Data – bases included PubMed, EBSCO, Agency for Healthcare Research and Quality, CINAHL, and The Joint Commission for years 2008-2014. Use of fall prevention teams was an emerging evidence-based practice (EBP) intervention to decrease the incidence of inpatient falls (Graham, 2012). Consistently, the evidence demonstrated ineffective communication, situation awareness, teamwork, assessment, hourly rounding, and environmental challenges as key factors related to preventable inpatient falls.

Collectively, researchers have shown improving teamwork through successful integration of standard EBP tools proved most efficient in reducing preventable inpatient falls. Successful falls prevention strategies included staff education about the fall-injury risk assessment tool, post- fall assessments, alarm device usage, side effects of medications, hourly rounding, and offering toileting frequently (Tzeng & Yin, 2012). Re – search also suggested hourly rounding positively impacts patient fall rates, call bell usage, and patient satisfaction (Olrich, Kalman, & Nigolian, 2012).

The focus of the literature review was to identify strategies for improving collaborative care, with emphasis on teamwork at the microsystem level. Engaging clinical nurses is key in the creation of an effective falls prevention team. Teams include champions on each nursing unit. Unit champions are responsible for educating staff on all incident trends and the latest preventions strategies (Graham, 2012).

This project examined the use of Continuous Quality Improvemen

Assignment Evidence-based practice review 

Assignment Evidence-based practice review

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Continuous Quality Improvement

Gwendolyn Godlock Mollie Christiansen

Laura Feider

Falls are a patient safety priority among hospital inpatients. The creation of a Patient Safety Team engaged frontline staff in patient safety and falls prevention. This intervention decreased the fall rate from 1.90 to 0.69 falls per 1,000 occupied bed days.

January-February 2016 • Vol. 25/No. 118

EBP TeamSTEPPS® to enhance com- munication and teamwork. Prior to this EBP project, clinical nursing staff were not aware of environmen- tal risk factors contributing to inpa- tient falls. Patient education regard- ing fall risks varied across the depart- ment and preventive strategies were not standardized. EBP TeamSTEPPS provided clinical nursing staff with a simple, yet structured approach to identify fall risk factors and apply patient-specific interventions. Most notably, this project emphasized shared accountability and adher- ence to a standardized process. This was a departmental approach be – cause inpatient falls were considered the nurse executive’s patient safety priority.

Important information for writing discussion questions and participation

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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