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Environmental influences on human behavior
Environmental influences on human behavior
Environmental influences on human behavior
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Introduction The main purpose of nursing intervention models is to create interventions based on solid and proven evidence. According to Moyle et al., (2015), The Partnering with Patients Model of Nursing Interventions (PPM-NI) is one of the most significant nursing intervention models. The goal of this paper is to choose the utmost effective intervention model to address fall issues occurring at the Progressive Care Unit (PCU) in Blodgett Hospital. The implementation of fall prevention strategies at the context requires the analysis of various issues. Butcher et al., (2013) suggests that the major issue in preventing falls is the role played by staff. The second most critical issue is the strategies that will ensure new practices are implemented. …show more content…
Finally, the facility needs to adopt the current fall risk intervention model to decrease falls. Intervention Model: Social Ecological Model (SEM) The Social Ecological Model (SEM) is a theory-based framework utilized in the identification and understanding of the impacts of personal and environmental factors that dictate behavior (Langille & Rodgers, 2015). The purpose of SEM is to consider health …show more content…
This is mainly because of its central constructs to change the perception of individuals about health. According to Green & Murphy (2014), perceived susceptibility refers to the individual’s opinion of the chances of contracting a particular disease or condition. Whenever such individuals feel they are at a high risk for falls, for example they will change their behavior accordingly. The second component of the model has perceived severity which entails the person’s view of the seriousness of the consequence of the disease. This strategy is applied to specify the implications of possible illness. Patients will follow fall prevention actions when they understand that falls could lead to harm. Perceived benefits involve the individual’s belief in the value of the selected approaches of reducing risk of diseases. This enables the individual to take action to change the behavior. When clients realize the benefits of fall prevention strategies, they are likely to honor them. The perceived barriers enable the individual to embrace the recommended suggestion to avoid challenges associated with new behavior. Major strategies often utilized in the process of reducing the obstacles include reassurance, assistance, and incentives. Individuals have to believe in their abilities to carry out the strategies such as using a gait belt or a walker to prevent falls. This model strives
Jones, D., & Whitaker, T. (2011). Preventing falls in older people: assessment and interventions. Nursing Standard, 25(52), 50-55.
It indicated that people will carry out a health-related action if they have the perception
Falls in nursing homes residents are associated with morbidity, mortality, and healthcare costs. The centers for Medicare and Medicaid indicate falls as the quality indicator. (Leland, Gozalo, Teno, Mor, 2012). Factors such as new environment, medication, cognition, and non-compliance contribute to falls. A significant number of falls occur from wheelchairs. (Willy, 2013). Newly admitted residents to long-term care facilities are confused with the change. The new environment and the new unfamiliar faces increase the level of anxiety. Pain may also contribute to falls. In order to take tailor made preventative measures, fall risk factors for each resident should be evaluated periodically. Tools scoring risk factors can be utilized.
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,
This document’s purpose is to assist nurses to identify elderly patients at risk for falls and to implement interventions to prevent or decrease the number of falls and fall related injuries (RNAO, 2005). The target population are elderly adults in acute or long-term care. The recommendations are to help practitioners and patients make effective healthcare decisions, support nurses by giving educational recommendations, and to guide organizations in providing an environment receptive to quality nursing care and ongoing evaluation of guideline implementation and outcomes. These guidelines stress and interdisciplinary approach with ongoing communication and take patient preferences into consideration.
Nurses play an important role to facilitate these programs successful. Fall can have happened to any patient’s at any age or due to physiological changes such as medications, medical conditions. It is very important that nurses to follow evidence- based fall prevention management initiative- purposeful rounding to reduce fall in hospital
Although very divergent in their focus, the existing theoretical models seem to have some similarities and differences. This is especially true in regard to their factors of analysis when considering social determinants of health. For example, Krieger’s ecosocial theory encompasses and acknowledges the roles of social and psychosocial processes of disease process (WHO 2010).
The Quality and Education for Nurses (QSEN) project has set several goals for future nurses to meet in terms of knowledge, skills, and attitude (KSAs), one of which is safety (2014). The definition of safety according to QSEN is minimizing risk of harm to patients through system effectiveness and individual performance (QSEN, 2014). Since falls are such a huge occurrence in health care, preventing falls is critical for patient safety. The Joint Commission (2011) has also noted fall prevention as a National Safety Patient Goal (NPSG) 09.02.01 requiring hospitals to reduce the risk of harm resulting from falls.
To determine the appropriate model of care and how we can apply them in our nursing practice, we may be able to create a work environment this is conducive to promote healing, patients and staff satisfaction and optimal patient outcomes. Primary care nursing may give the nurse autonomy but it does not provide quality care because of the strain on one nurse. Team nursing provides a collaborative approach which allows each team member to provide care for the patients. This helps decrease the workload on the primary nurse. Nursing care models are created to facilitate structure in nursing care as the profession evolves and work to maximize the care delivery
A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization (Swartzell et al. 2013). Because the multi-etiological factors contribute to the incidence and severity of falls in older society, each cause should be addressed or alleviated to prevent patient’s injuries during their hospital stay (Titler et al. 2011). Therefore, nursing interventions play a pivotal role in preventing patient injury related to hospital falls (Johnson et al. 2011). Unfortunately, the danger of falling rises with age and enormously affect one third of older people with ravages varying from minimal injury to incapacities, which may lead to premature death (Johnson et al. 2011). In addition, to the detrimental impacts on patient falls consequently affect the patient’s family members, care providers, and the health organization emotionally as well as financially (Ang et al. 2011). Even though falls in hospital affect young as well as older patients, the aged groups are more likely to get injured than the youth (Boltz et al. 2013). Devastating problems, which resulted from the falls, can c...
These variables can then help to understand why an individual fails to sustain a behaviour. The five models that have been commonly implemented by health behaviour researchers are the health belief model, protection motivation theory, self-efficacy theory, the theory of reasoned action, and the theory of planned behaviour (Sutton, 2002).
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
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)
This model was put in place to avoid health problems. Some people are more likely to take action towards their health if they feel threatened. An example can be an obese lady who might be at risk of suffering from a heart attack, she is likely to go to her GP and seek for help as having a heart attack can lead to death, and if she gets help, and her health will be less damaged. In order to help her the GP would refer her to a nutritionist which will help her maintain a healthier diet, even more the professionals from the GP would explain the side effects of what can happen if she doesn’t get healthier. The health care professional will also encourage the lady to start doing physical activities to avoid other diseases such as heart diseases or if she has a heart disease, it helps her avoid having a heart attack.
Primary prevention are means necessary to prevent health problems before they occur, and it involves health promotion. The purpose of primary prevention is to reduce an individual’s susceptibility to an illness by strengthening the individual’s capacity to withstand physical, emotional, and environmental stressors (Harkness & Demarco, 2016). Examples of primary prevention for obesity include education about proper diet and exercise before someone becomes obese. Another example is to educate people about the potential health risks of obesity (Lundy & Janes, 2001). Secondary prevention addresses pathology, and is aimed at early detection through diagnosis (Harkness & Demarco, 2016). This level of prevention focuses on identifying groups of individuals who have early symptoms of disease or condition so that they can receive prompt treatment. Examples of secondary prevention for health consequences of obesity include: blood pressure screenings and blood sugar testing (Lundy & Janes, 2001). Tertiary prevention consists of activities designed around rehabilitation. This level of prevention has a goal to restore the individual back to his/her optimal level of functioning. Examples of tertiary prevention include: regular exercise and healthy eating patterns for individuals with obesity, hypertension and diabetes (Lundy & Janes,