Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following: The problem, issue, suggestion, initiative, or educational need that will be the focus of the project The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. evidence-based practice proposal Capstone Project Topic Selection and Approval . Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing. A proposed solution to the identified project topic

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following: The problem, issue, suggestion, initiative, or educational need that will be the focus of the project The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. evidence-based practice proposal Capstone Project Topic Selection and Approval . Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing. A proposed solution to the identified project topic

Background

The quality of healthcare is comprised of clinical safety which is considered a crucial component that identifies and reduces the risks faced by patients. Montejano-Lozoya et al. (2020) defined falls as adverse events which occur in a hospital environment and have a significant impact of about 10% of income made by the organization. The effects come in terms of costs, damage, pain, and mistrust of the health system by patients. The environmental improvements can reduce the possibility of falling up to 30 to 50% (McCarty et al., 2018). However, the effects of risk of falls in hospitals remain unclear due to the low quality of evidence despite the interventions put in place. Therefore, the education of nurses has been employed as a single intervention or being treated as part of the multifactorial intervention process for fall prevention programs.

Clinical Problem Statement

In the most recent years, the authority at Community Regional Medical Center (CRMC) Fresno has been receiving numerous complaints from clients who experience falls within the facility. Most of the cases are experienced among patients with lacerations, fractures, and internal bleeding. Reports indicate that many nurses attending to the clients have limited information on how to prevent falling. The project’s focus is on the lack of education among nurses to identify risk factors and work toward preventing falls which requires change.

The Purpose of Change Proposal

The decision to propose the change within the facility is based on previous investigations and the current situation at the facility. Research by Heng et al. (2020) indicated that falls often occur when healthcare professionals are not keen on helping guide clients. This is often contributed by limited skills and knowledge to observe policy standards when handling patients. Whenever falls happen, they are likely to increase the complications of patients, especially those already with injuries and the older people exposed to the risk of falling (Kempegowda et al., 2018). The purpose of the proposed change is to improve the education of nurses when it comes to preventing falls. The measures include nurses’ empowerment to have them lead patient care and curricula strengthening to focus on the skills and concepts needed for one to participate in activities of preventing falls.

PICOT Question

Does the provision of education to nurses on preventing falls in healthcare facilities help reduce the instances of falls among patients in Community Regional Medical Center (CRMC) Fresno? Shaw et al. (2020) identified education as a single intervention or it can be incorporated as part of the multifactorial interventions used in the programs aimed at reducing or preventing falls. Nurses’ education in fall prevention strategies should be comprehensive and versatile in order to cover the various aspects of the problem in question. The educational interventions must support policies and guidelines to create a safe environment and reduce risk factors. Additionally, the prevention strategies explained in the process of education should stimulate engagement in technical aspects to eliminate potential fall hazards. Finally, the last point of nurses’ education should elaborate on raising awareness among patients and communities on the risk factors and prevention measures of falling.

Literature Search Strategy

The change project proposal is based on the literature studies. Relevant articles were retrieved from various sources through search engines that included the GCU library, CINAHL, Google Scholar, Web of Science, and PubMed. The search of these articles involved words related to the topic of the project, such as fall prevention, nurses’ education, patient safety, nursing knowledge and skills, and nurses’ learning. The search only considered articles that have been published over the past five years.

Literature Evaluation

King et al. (2018) identified falls as a major safety concern when it comes to hospitalized patients considering the severe impacts it causes, such as reducing life quality, increasing the stay in hospitals, and being costly to patients. These researchers examined a multidisciplinary approach as a requirement for fall prevention and the need to create a safe environment for patients and reduce injuries. Aguwa (2019) argued in favor of nurses’ education in combination with other fall prevention programs as being crucial to preventing falls. The researchers concluded that those nurses involved in education received a verbal report on the risk of falling among patients.

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Montejano-Lozoya et al.

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