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¶ … interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
My research question: Among acute patients on medical surgical units does hourly rounding as opposed to only setting the bed alarm help decrease patients falls by 75%.
Falls are a major problem amongst acute patients, particularly amongst the 65+ population and can lead to so many related problems, occasionally to fatal results, that this essay considers it a crucial topic for nurses and caregivers to look into and investigate.
The fall is traumatic aside from which consequences of falling can also include post-fall anxiety, fractures, head injuries and loss of independence through falling, each of which has far wider ramifications impacting physical, social, mental, emotional, and behavioral spheres of the patient's life. The ramification of falling, therefore, for the patient has a wider and far-reaching impact that touches virtually very segment of his or her life.
Oliver et al. (2004) record that approximately 2.9 -- 13 falls per 1,000 bed days have been reported and that up to 30% of such falls may result in injury, including fracture, head and soft tissue trauma, all of which may in turn lead to impaired rehabilitation and co-morbidity.
Falls are also associated with higher anxiety and depression...
Falls of patients also may cause guilt feelings of staff, or litigation from patients' families. This study investigates two methods that can prevent falls from occurring amongst acute patients on hospital wards.
Nurses have at least two options in controlling and preventing falls. One is hourly rounding which refers to either nurse or nurse tech checking on the patient every hour, to see if patient requires anything or setting bed alarms on patients that are at high falls risk, so that alarm notifies the nurse.
The 5 questions that you have generated and a description of how you analyzed them for feasibility
1. How effective is hourly rounding generally?
2. How effective is alarm generally?
3. With which populations (region, age group, disease, other relevant demographics) has (a) hourly rounding bee observed; (b) alarm techniques been observed?
4. Are there any other options for preventing falls with patients?
5. Are there any techniques of preventing falls in general that can be applied to this situation (of preening falls of acute patients on medical surgical units
Rationale for the questions:
I will want to make my research…
Sources
Broe, K et al. (2007) A Higher Dose of Vitamin D Reduces the Risk of Falls in Nursing
Home Residents: A Randomized, Multiple-Dose Study JAGS 55:234 -- 239
Oliver D. et al. (2004) Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review Age and Ageing 33:122 -- 130
Davies, K.S. (2011). Formulating the evidence-based practice question: A review of the frameworks. Evidence-Based Library and Information Practice, 6(2), 75a€"80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
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