Hourly Rounding AND FALL Preventio edited PDF

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Critical Evaluation Summary on Falls Prevention

Name of Student Institutional Affiliation Professor Subject Date

2 Critical Evaluation Summary on Falls Prevention The hourly rounding technique is an organized way of intensifying patient-centered communication in a healthcare facility, that is, between the patients, loved ones, and the staff. When hourly rounding is constructively used, it reduces patient falls. Patient falls result in burdens in the hospitals, and therefore, there is a desperate need for better-designed interventions for fall prevention. For a very long time, patient falls have been a critical problem in many medical organizations. Many of them have sought the use of hourly rounding to prevent the situation. Hourly rounding is a measured way whereby the staff and loved ones of patients take turns checking on their loved ones in a period of every one or two hours. PICOT Question In the PICOT format, the research question formulated is: "In modern healthcare facilities (P), does hourly rounding technique (I), compared to no hourly rounding method (C), reduce patient falls (O), for a duration of 30 days from the preceding year (T)?' Qualitative Article Analysis "Spano-Szekely, L., Winkler, A., Waters, C., Dealmeida, S., Brandt, K., Williamson, M., ... & Wright, F. (2019). Individualized fall prevention program in an acute care setting: an evidencebased practice improvement. Journal of nursing care quality, 34(2), 127132. https://doi.org/10.1097/NCQ.0000000000000344" This research article shows that inpatient falls are caused by many factors such as lack of proper understanding of patient's fall risk and unorganized medical institutions. More than 79% of patient falls occur inpatient in rooms, especially in acute care settings. This is partly evidence of ignorance of medical facilities and a lack of a systematic staff schedule in taking turns to

3 check on patients (Spano-Szekely et al., 2019). Evidence from various researches shows that many patients' falls involve multiple intrinsic factors such as physical condition, age, and mental health. Therefore, the old aged patients prove that a higher percentage of patients do not have the skills and knowledge of handling themselves. According to Spano-Szekely et al. (2019), the implementation of hourly rounding to reduce patient fall rates technique was implemented in the Studer group for 30 days during the same year at the exact time for the previous year. Their results indicate a significant reduction in the number of patient falls following the implementation of the hourly rounding program. The results revealed that the patient falls reduced from 3.9 to 1.3 falls in every 1000 occupied rooms compared to previous years (Spano-Szekely et al., 2019). Besides, from over 360 articles analyzed, more than 250 of the articles supported the implementation of hourly rounding as an excellent and effective way of reducing patient falls Quantitative Article Analysis "Goldsack, J., Bergey, M., Mascioli, S., & Cunningham, J. (2015). Hourly rounding and patient falls: what factors boost success?. Nursing2019, 45(2), 2530. https://doi.org/10.1097/01.NURSE.0000459798.79840.95" Many support staff and health care providers have set on applying for hourly rounding programs to help reduce patient falls in hospital facilities. Patient falls are commonly prevalent among the aged population and those in critical conditions in most healthcare facilities from the research. Besides, the article also contends that roughly 30 percent of the patients cared for in hospitals that experience falls are often linked to unhealthy physiological problems. These factors may lead to deadly fall-related accidents, recurrent pain mainly caused by decreased individual independence. Therefore, these adverse effects call for an urgent need to examine the

4 current evidence-based practice that involves preventing and making immediate intervention plans. Evidence-based practice is determined to increase patient satisfaction and decrease workload to healthcare providers. Therefore the hourly rounding program was proposed. All participants were charged with making steadfast rounds every one or two hours established on their shifts when studying the program. The application of the hourly rounding program, which is majorly centered on helping patients, involved an interdisciplinary staff comprising of healthcare providers, nurses, the leadership, patients, and loved ones. It was also directly linked to an immediate reduction of the rates of patient falls. It, however, calls for collaboration among all relevant stakeholders through an organized and systematic program in a medical facility to ensure no unnecessary inconveniences by the staff concerning the 1-2 hourly rounds assigned to them. Much research has been done on the hourly program that proved that the hourly rounding program helps in reducing patient falls.

5 References Goldsack, J., Bergey, M., Mascioli, S., & Cunningham, J. (2015). Hourly rounding and patient falls: what factors boost success?. Nursing2019, 45(2), 2530. https://doi.org/10.1097/01.NURSE.0000459798.79840.95 Spano-Szekely, L., Winkler, A., Waters, C., Dealmeida, S., Brandt, K., Williamson, M., ... & Wright, F. (2019). Individualized fall prevention program in an acute care setting: an evidence-based practice improvement. Journal of nursing care quality, 34(2), 127132. https://doi.org/10.1097/NCQ.0000000000000344...