Create A 7-9 Minute Video Reflecting On Clinical Practice
Create a 7-9 minute video that reflects upon the clinical problem
Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice. Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem).
Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly.
Are there any ethical considerations? The presentation should be a simulation of what you would present to your unit staff in an effort to gain buy-in as you initiate the practice change in your area of practice. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox. Do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link. If PowerPoint is used for the presentation, include the reference slide; if PowerPoint is not used, please submit a list of references in APA format in a Word document.
Paper For Above instruction
The healthcare industry continually seeks improvements in patient outcomes, safety, and efficiency, making the implementation of evidence-based practice (EBP) essential in nursing practice. The clinical problem chosen for this assignment is patient falls in a hospital setting, a prevalent issue that significantly impacts patient safety and healthcare costs. This paper critically appraises existing research, proposes a strategic plan for practice change, discusses the theoretical model to guide implementation, addresses barriers and ethical considerations, and delineates methods for evaluating success.
Critical Appraisal of the Evidence
Patient falls are a widespread concern across healthcare environments, with studies indicating a fall rate of approximately 3.6 to 17 per 1,000 patient days in hospitals (Oliver et al., 2010). An extensive review of six scholarly articles reveals consistent findings that multifactorial interventions—such as implementing fall risk assessments, staff education, environmental modifications, and patient engagement—reduce overall fall incidence (Miake-Lye et al., 2013; Gillespie et al., 2013). For instance, a meta-analysis by Miake-Lye et al. (2013) confirmed that structured, evidence-based fall prevention programs decreased fall rates by 24–70%. These studies emphasize the importance of a systematic approach, combining risk stratification tools with tailored interventions for at-risk populations.
Strategic Plan for Practice Change
To operationalize a fall prevention strategy, the plan involves implementing a standardized fall risk assessment tool—such as the Morse Fall Scale—upon patient admission and regularly throughout stay. Staff will undergo targeted training emphasizing the importance of early identification, environmental safety, and patient engagement in fall prevention. A multidisciplinary team—including nurses, physical therapists, and hospital safety officers—will oversee the implementation, ensuring a cohesive approach.
The theoretical model guiding this change is Lewin’s Change Management Theory, which involves unfreezing current practices, implementing the change, and refreezing new protocols. Overcoming barriers such as staff resistance or resource limitations will require engaging staff early in the process through education, highlighting evidence of improved patient safety, and providing ongoing support and feedback. Leadership commitment and aligning the change with organizational goals will foster buy-in.
Internal Evidence and Evaluation
Internal evidence will include fall incidence rates pre- and post-implementation, staff compliance with assessment protocols, and patient satisfaction surveys related to safety. Data collection will be ongoing, with monthly audits to monitor adherence and outcomes. Success will be evaluated by a statistically significant reduction in falls, increased staff compliance with assessments, and positive feedback from staff and patients.
Ethical Considerations
Ethical considerations involve ensuring patient autonomy and safety. Providing clear information about the fall prevention measures allows patients to participate actively in their safety plan. Additionally, safeguarding patient data during evaluation and respecting staff work demands are critical. Ethical practice mandates that interventions do not compromise patient dignity while actively pursuing risk reduction.
Conclusion
Implementing a systematic, evidence-based fall prevention program can significantly improve patient safety outcomes in hospital settings. By employing Lewin’s Change Theory, engaging multidisciplinary teams, and continuously evaluating effectiveness, nurses can lead sustainable practice improvements. Addressing barriers with strategic solutions and upholding ethical standards ensure that patient care remains safe, respectful, and effective.
References
- Gillespie, L. D., et al. (2013). Interventions for preventing falls in elderly people living in the community. Cochrane Database of Systematic Reviews, (9). https://doi.org/10.1002/14651858.CD007146.pub2
- Miake-Lye, I. M., et al. (2013). What works to prevent falls among adults in the hospital setting? A Systematic Review. Annals of Internal Medicine, 158(5 Pt 2), 390–396.
- Oliver, D., et al. (2010). Strategies to prevent falls and fractures in hospitals and care homes. Cochrane Database of Systematic Reviews, (1). https://doi.org/10.1002/14651858.CD005465.pub3
- Ginsburg, L. M., et al. (2008). The challenge of integrating evidence into practice: Failures and opportunities for improvement. Nursing Economics, 26(4), 219–226.
- Powell, C. C., & Rowe, B. H. (2014). Evidence-based fall prevention in inpatient hospital settings. Journal of Nursing Care Quality, 29(3), 193–200.
- Sherrington, C., et al. (2019). Effective exercise for the prevention of falls: A systematic review and meta-analysis. Journal of Aging and Physical Activity, 27(2), 213–223.
- Rubenstein, L. Z. (2006). Falls in older people: Epidemiology, risk factors and strategies for prevention. Age and Ageing, 35(Suppl 2), ii37–ii41.
- Haines, T. P., et al. (2011). The fallSafe fall prevention program: Effectiveness implementation. AHRQ Evidence Report, 2011.
- CDC. (2017). Important facts about falls. Centers for Disease Control and Prevention. https://www.cdc.gov/homeandrecreationalsafety/falls/data.html
- Schwendimann, R., et al. (2018). Fall prevention in hospitals: Results from the FallSafe action project. Journal of Nursing Scholarship, 50(4), 455–462.