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References on the importance of evidence based practice in patient care
Evidence based practice in a clinical setting
Evidence based practice in a clinical setting
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Thank you for reading my post and for the kind feedback. I appreciate that you take time to read my posts. We do share the same observations on incidents of falls as one of the most common reported adverse events in the hospital. The many articles on falls provided me with knowledge and information that I can use to engage the leadership in my workplace to actively initiate the process of using the best research evidence available to change practices that no longer work. At the same time, I would also engage the staff to examine, analyze, and question the effectiveness of fall prevention interventions that are currently in use. There are two topics on falls that I would like to pursue after the course, e.g., the association of inpatient
At Diversicare Rehabilitation, DVCR, between the months of May and July, there were fifty-two falls. Of these falls, twenty-two resulted in major injuries and were reportable to state. All the reportable falls resulted in a form of injury. The injuries noted were ten hip fractures, five femur, three shoulder and four elbow fractures. Out of all the falls, twelve falls with major injuries occurred to residents who had suffered a fall within the past week. Two falls were reportable to the coroner but they were both ruled non-related. In this project, there will be a review of the causes of falls at DVCR. The project will review main reasons why this is such a problem at this facility. The project will focus on the preventable falls and those that may have been avoided. There will be recommendations to prevent falls and an evaluation will be done to determine whether the recommendations are effective in preventing falls.
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
The nurse would firstly identify if Mrs Jones is at risk of falls by conducting a falls risk assessment using an evaluation tool such as the Peninsula Health Falls Risk Assessment Tool (FRAT) (ACSQHC, 2009). The falls risk assessment enables the nurse to identify any factors that may increase the risk of falls (ACSQHC, 2009). The falls risk assessment tool focuses on areas such as recent falls and past history of falls; psychological status for example, depression and anxiety; cognitive status; medications including diuretics, anti-hypertensives, anti-depressants, sedatives, anti-Parkinson’s and hypnotics; as well as taking into account any problems in relation to vision, mobility, behaviours, environment, nutrition, continence and activities
Registered Nurses’ Association of Ontario (RNAO). (2005). Prevention of falls and fall injuries in the older adult. Retrieved from http://rnao.ca/sites/rnao-ca/files/Prevention_of_Falls_and_Fall_Injuries_in_the_Older_Adult.pdf
Currently, I am involved in a prospective cohort study with other colleagues from King Fahad Medical City that aims to study the effect of a low back care educational program on low back pain prevalence among health-care professionals.
Yates K. M., & Creech Tart. (2012). Acute care patient falls: evaluation of a revised fall
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
The purpose of the Inter-professional Event was to develop team skills among various health professionals. Thus, the three main concepts that I found was useful in the session were; first is the teamwork because by working as a team in healthcare will help us keep our patient safe; the second is communication because it will help us to minimize our mistakes; and the third is pre-briefing because it will keep the team members on a same page so that everyone will have the same goals. One of the examples about the PAN-AM air jet discussed by Dr. Cohen in his lecture has allowed me to understand that if the co-pilot has raised his voice at that time, then he could have saved many peoples ' lives; therefore, it is important to always speak up. One thing that I have learned from one of the group activities called “tallest
It is the hope and the goal of many hospital staff to help to decrease the number of falls in the hospital setting. The hope is to establish a plan that will assist nursing staff to decrease the number of falls. Falls can be extremely harmful to the elderly. Preventing falls is a much need goal that will bring better outcomes for the patient and the hospital. Evaluation of the action plan will also be planned for so that revisions can be made as needed to decrease the amount of patient falls.
The goal of my learning plan for this semester is to develop skills in health education specific to adolescents. I chose this as my learning goal because my placement this semester at Sunnybrook Hospital, Injury Prevention Program, gives me an opportunity to provide health education to high school students every Tuesday at out P.A.R.T.Y. Program so I thought I should use this opportunity to develop my and improve my nursing skills in this area. As well as good health education skills to adolescents can benefit the students by proving them a motivating learning environment and better learning outcomes. I hope they can enjoy my teaching and absorb the information and use them in the future. I have considered many factors in the process of developing my learning plan such as the nursing standards of health promotion, prevention and health protection, professional relationships, capacity building etc… I brainstormed possible topics such as possible topics that are related to injury prevention itself for example, concussion prevention or preventing sports related injuries. I also thought about doing topics that are relevant specifically to the P.A.R.T.Y. Program such as teenage suicide and prevention or distracted driving. After assessing my placement and the clients which in this case are the students, I have recognized that one of the program’s goals is to educate the students about injuries and injury prevention. I also found that our clients had a lot of potential in learning about this subject which can greatly benefit their lives and influence change in their behaviour to increase control of their own health and make better choices. In terms of my personal needs, I felt that I had room for improvement in terms of my le...
Currently in the whole United States of America, there has been a noted rise in the prevalence of falls among adult hospitalized patients. It has been revealed by studies that elderly adults of 65 years or greater fall annually and about 1/3 of these patients die every twenty minutes as a result of complications from falls. Studies have shown that approximately 67.7 billion dollars will be spent as a result of fall related injuries by the year 2020. Fall related injuries contributes to a rise in expenditure, as well as complications to the affected individuals. As a result of this, health care sector is now faced with the challenges of providing an effective/efficient strategy for the reduction of the prevalence of falls. Some studies have
I will complete all my courses and obtain my first bachelor degree in kinesiology in August. I am so excited because I spent six years on earning this degree. I realized most of my classmates are applying to different graduate schools right now, but I decide to take one year off and engage in different activities. My original plan was apply to the accelerated nursing program after I finished my first bachelor, but I changed my mind because kinesiology was an amazing major and it opened my eyes. I used to believe I could only be a good nurse; however, I gain confidence when I took exercise physiology and motor control classes and believed I have the potential to become a good surgeon. I was hired as a teacher assistant and a lab research assistant
Social learning theory assumes that criminal behavior is similar to any human behavior. It can be learned through a socialization process, which occurs when interacting with other individuals or social institutions. The duration, frequency and content of this social interaction leads to shaping people’s attitudes and behaviors towards legal codes. Ronald Akers supports differential association as a significant part of his revised social learning theory that attempts to explain deviance. However, he incorporates additional elements, such as differential reinforcement, imitations, and definitions. In the movie, Training Day, the trainee Officer Jake Hoyt needs to do prove himself and impress Commanding Officer Alonzo Harris in order to obtain
Falling mainly occurs when a person is not careful. Proper prevention methods are to be taken in order to eradicate this risk once and for all. There is clear evidence based solution that is managing exercise program at home and walking practice under the qualified health care professional it can prevent falls among older community residents (Balzer, 2012). The evidence based care for patient’s high risk of fall is vital in recognizing more efficient treatments and physical therapy to prevent injury, and to ensure optimal patient outcomes. My proposed solution to the issue of fall incidence to education the patient and family members, and the use of call light, bed and chair alarm. During patient care I always conscious about use of tools visually such as, yellow socks, yellow tag, and magnets on patient locater board also. (Forrest et al.,2006). Maintaining a safe and comfortable environment is the responsibility of the hospital independent of a patient's particular risks for falls, because failure to do so can put any patient at risk. One hourly rounding is always for protection because it reduces patients' need to use the call light to ask for help and therefore decreases the number of unscheduled call lights that require response. These
In everyday life there are many different ways to get injured. A few ways you can get injured are; exercise, working and driving. There are also many ways to prevent injuries. Muscle balance is one of the most important ways to prevent injuries.