NUR 2300 Practice for Preventing Falls in Residents Clinical Case Study

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NUR 2300



This question utilizes previous case study of assesment 1, i have attached question for assesment 2 and the case study. see the rubric.

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NUR2300: Written Assessment 2 Task overview Assessment name Written Assessment 2 Brief task description You are to respond to a clinical scenario by applying the key concepts of evidence-based nursing practice. Rationale for assessment task Contemporary nursing practice requires the use of evidence to improve health outcomes for patients, families, and populations. It is important for nursing students to understand the relationship between the generation of evidence and the delivery of safe and effective nursing care. Due Date May 20, 2021 by 2355 AEST Length 1500 words +/-10% (Introduction & conclusion required. Word length includes in-text referencing and excludes your reference list and appendices) Marks out of: Weighting: Marks out of: 40 Weighting: 40% 1. Course Objectives measured 2. 3. 4. 5. 6. Exemplar Define evidence-based practice and identify key stages, principles, and processes of an evidencebased practice approach in nursing Define the research process and identify common research methods within qualitative and quantitative paradigms Describe the relationship between research and identify evidence-based nursing praxis Evaluate data and research findings Determine ways to improve nursing practice and patient outcomes by using an evidence-based practice approach to planning, implementing and evaluating nursing care Examine the issues and ethical considerations which impact on nursing and health care research No. Information of a general nature will be posted to Study Desk to facilitate an informed response. Task information Task detail You are to continue using the Scenario you chose in NUR2300 Written Assessment 1 for S1, 2021 (Please refer to Assignment 1 task sheet): TASK You are to APPLY evidence that is categorized by the National Health and Medical Research Council as Level I (systematic reviews/meta-analyses of randomized controlled trials) or Level II (randomized controlled trials) to answer your research question. This means, you are to include: 1. A table of included studies with the following information summarized from each study (Author, Year, Study Design, Population, Intervention Type, Comparison/Control, Outcome) 2. APPLY the findings from Level I-II evidence to your scenario, clearly answering your chosen research question. Writing Style This assessment piece will be written in the form of a structured response using headings with an introduction and conclusion. Every statement of fact must be supported by a valid reference. Referencing/ citations • • For this assessment you will use APA 7th referencing style. Sources: You are expected to justify every statement of fact with a valid/peer-reviewed reference. 1 • In text citations: You must include in-text citations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to the source. Formatting Style Times New Roman, Size 12, 1.5 spaced. Headings are permitted. No graphics, coloured texts or title pages. Resources available to complete task Refer to the NUR2300 StudyDesk Submission information What you need to submit One file in the following format (.doc, .docx, .rtf) that contains the following items: • Please respond to the assessment task using this sheet. Submission requirements This assessment task must: File Name Conventions Save and submit your document with the following naming conventions: surname_initialORstudentnumber_coursecode_A1.filename Moderation All staff who are assessing your work meet to discuss and compare grading decisions before marks or grades are finalised as part of an assessment moderation process Academic Integrity Statement All students are to abide by the relevant USQ policies and procedures related to assessment. ▪ Use APA and be submitted in an accepted format (.doc, .docx, .rtf) via StudyDesk 2 (
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Explanation & Answer

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Scenario 2:
You attend clinical placement in the hospital where the Nurse Unit Manager tells you they are
wanting to find out best practice for preventing falls in residents. The research question they
want you to answer is: “In adults, what nurse-initiated intervention are effective for preventing
Evidence base practice refers to the profession of a nurse to deliver care for their patients who
are at risk. So, as a nurse, it is important to learn evidence base practice for the specific skills that
they need to be done in a clinical or hospital settings which can aid them from pinpointing care
strategies which can help them to utilize care for their patients. There are five steps for the
evidence base practice. First, as a nurse, it is important form a clinical question to identify the
problem. So, in the case scenario we should comply a question of what strategies should a nurse
need to intervene to prevent falls. Second step, the nurse should gather best evidence which can
help you to identify what is the best evidence that can answer the questions. Third step, the nurse
should analyze the gathered evidence from the problem. Forth step, as the nurse analyzed the
evidence, on this step they can now apply the evidence for their clinical practice. For the last
step, the nurse will now assess the result if it can help within the certain problem or not. In the
evidence base practice, we should combine the clinical expertise of the nurse, its patient values
and preference, and the best research for the evidence. It can help for them to provide a good
quality of care for their patients. For the fundamental principles of evidence-based practice is
that they can formulate a research questions that is considered the best evidence.
For the research process of the scenario, the nurse should comply a question that can create an
answer within the problem. Falls are common for the older patients, so it is considered as one of
the concerns in hospital settings.
Reference: G. A. Rixt Zijlstra, PhD, Jolanda C. M. van Haastregt, PhD, Monique F. M. T. Du
Moulin, PhD, Martha C. de Jonge, MSc, Agnes van der Poel, PhD, Gertrudis I. J. M. Kempen,
PhD, Effects of the Implementation of an Evidence-Based Program to Manage Concerns About
Falls in Older Adults, The Gerontologist, Volume 53, Issue 5, October 2013, Pages 839–

Prevention of falls is one of the most important things to be considered especially for older adults
because it may commonly lead to injury and hospital admission because of trauma, motor
deficits and loss of autonomy. Using the health-related quality of life, it can help the patient to
evaluate the treatment that were going to use and evaluate the health care services which can
help to provide an action for the fall’s prevention. The quality of life was assessed according to
brief version of the World Health Organization Quality of Life instrument such as functional
balance and gait, ADLs, fear of falling and visual analog.
Reference: Lin, M., Wolf, S., Hwang, H., Gong, S., & Chen, C. (2007). A Randomized,
Controlled Trial of Fall Prevention Programs and Quality of Life in Older Fallers. Journal of the
American Geriatrics Society, 55 (4), 499-506
In the first part, it includes the Morse Fall Scale (MSF) assessment where it can use in assessing
for the patients who is at risk for falls. The most important thing is that the nurse should be
trained which is under their protocols because this is the way for them to enhance their
knowledge skills and competence in the health care setting. Using the Morse Fall Scale, it is
important to include the patient’s history of falls, presence of secondary diagnosis, the patients
type of gait, and if they are using a walking aid before assessing to prevent from alteration of the
findings. The total possible score is 125 (Angn, Mordiffi, Wong, Devik, & Evans, 2007). Based
on the Inpatient Falls, 24 total scores, patients were categorized into having a low ( 51) risk of
falling (Angn, Mordiffi, Wong, Devik, & Evans, 2007). The fall incident reports will include the
date, time, location, and circumstance of the patients fall, injuries, medications, and risk factors
according to the MFS (Angn, Mordiffi, Wong, Devik, & Evans, 2007).
Additional intervention for the risk for falls is the use of exercise. This program will provide an
individual to participate because exercise can help strengthen the human body by stretching of
arm and leg. This can help to prevent them from falls due to impaired physical mobility.
Some of the hospital- and staff-related factors can affect the risk of falls are call lights because
sometimes patients are hesitant to call or “bother” nurses who seem busy. Patients with dementia
may not understand the purpose of the call light. Quick responses to call lights are associated
with a lower fall rate and fewer injuries. More patients using call lights are associated with a
decreased incidence of falls. Bed and chair alarms. These alarms alert nurses when patients

attempt to get out of bed or a chair without help. Alarms distract patients so they stop and wait
for help, and they prompt nurses to assist the patient. Many hospital beds are equipped with
built-in alarms. Chair alarm sensor pads are another alternative. Alarms should be used
judiciously in patients with paranoia and psychotic disorders, and in those using medications that
can alter their memory functions. But it was concluded that the use of bed alarm failed to provide
a valid evidence to support in monitoring fall prevention. Nurse-to-patient ratio. Studies have
produced conflicting results about the relationship of falls to short staffing and nurse workload.
One study in a large pediatric population found a significant relationship between nurse staffing
and pediatric falls in the hospital. Analysis was stratified by shift where the night shift had low
staffing levels and significantly high fall rates compared with the day shift. Many families
weren't present to watch the children at night and fewer nurses were working, possibly
contributing to a high fall rate during the night shift. Advising high-risk units of the need for
adequate staffing could reduce fall incidents. In addition is the Environmental factors where it
clutters, an unfamiliar environment, insufficient light, and slippery floors may increase a patient's
fall risk. Research revealed that environmental factors commonly causing falls a...

Nice! Really impressed with the quality.


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