Communication in Falls Prevention - Shellie Raisanen

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Transcript Communication in Falls Prevention - Shellie Raisanen

FALL PREVENTION
COMMUNICATION
Shellie A. Raisanen
Ferris State University
May-July 2013
OBJECTIVES
Conduct a needs assessment related to fall risk
communication
 Develop and implement an educational project to
promote effective staff communication when
implementing patient-specific interventions
around fall risk
 Evaluate the successful completion of the
educational project

NEEDS ASSESSMENT
Data review
 Literature search
 Unit manager support
 Staff observation and interviews
 Patient interviews

DATA REVIEW
Identified different
ways to evaluate data
to determine units
with high fall rates
 Identified needs based
on staff observation
and interviews
 Identified needs based
on patient interviews

Support for
communication
strategies already in
place, but not used
accordingly
 Support for patient
safety interventions
already in place, but
not practiced
regularly

LITERATURE REVIEW
Literature provided by Cara Knapp
 Literature search with assistance from Sandra
Kommitt
 Analyze literature to current state- similarities
and gaps
 Explore literature for specific communication
techniques lending to patient safety

DEVELOPMENT
Data collection results review
 Incorporation of multiple teaching strategies that
meet the needs of different learning styles
 Utilization of learning theories to enhance
knowledge in the presentation of the educational
session

TEACHING STRATEGIES
Poster to keep in break room
 Quiz show in PowerPoint format
 Tri-fold note-cards
 Case studies with discussion

IMPLEMENTATION

Provide multiple venues for presentation of
material
TSM
 SLC
 Monthly staff meetings

EVALUATION
Provision of learner’s post education evaluation
form
 Preceptor evaluation of met learning objectives
 Self evaluation of met learning objectives
 Long term- evaluation of data to determine
decrease in fall rates for unit

Learner Evaluation Tool
Please complete the evaluation form below by circling the appropriate number that best fits your evaluation of the educational
activity. Completion of this form is required to successfully complete the educational activity.
Purpose/Goal statement: The purpose of the Communication in Falls Prevention project is to promote effective staff
communication when implementing patient-specific interventions around individualized fall-risk factors.
Using the following scale, please respond to these statements regarding this educational activity:
5= strongly agree
4=agree
3=neutral
2=disagree 1=strongly disagree
At the end of this program, I was able to:
Recognize the lack of communication between peers and patients regarding fall prevention.
Recognize the impact of communicating implemented fall prevention interventions
on nursing practice and patient safety.
5 4 3 2 1
The objectives related to the overall purpose/goal(s) of this educational activity.
5 4 3 2 1
The session content was well organized.
5 4 3 2 1
The speaker demonstrated expertise in the content area.
5 4 3 2 1
The speaker demonstrated respect to the learners.
5 4 3 2 1
The teaching/learning resources were effective:
Case studies (if applicable)
5 4 3 2 1
Group discussion
5 4 3 2 1
Visual aides (poster, note-cards)
5 4 3 2 1
Quiz Show
5 4 3 2 1
List any other comments/suggestions regarding this educational activity below:
5 4 3 2 1
REFERENCES
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


American Nurses Association and National Nursing Staff Development Organization.
(2010). Nursing professional development: Scope and standards of practice. Silver
Springs, MD: Nursebooks.org
Bonel, W. (2009). Clinical performance evaluaiton. In D. M. Billings & J. A. Halstead
(Eds.), Teaching in nursing: A guide to faculty (3rd ed., pp. 449- 466). St. Louis, MO:
Saunders/Elsevier.
Bourke, M. P., & Ihrke, B. A. (2009). The evaluation process. In D. M. Billings & J. A.
Halstead (Eds.), Teaching in nursing: A guide to faculty (3rd ed., pp. 391-408). St.
Louis, MO: Saunders/Elsevier.
Carroll, D. L., Dykes, P. C., & Hurley, A. C. (2010). Patients’ perspectives of falling
while in an acute care hospital and suggestions for prevention. Applied Nursing
Research, 23(4), 238–241. doi:10.1016/j.apnr.2008.10.003
Cook, P. R. (2011). Critical thinking in health professions. In M. J. Bradshaw & A. J.
Lowenstein (Eds.), Innovative teaching strategies in nursing and related health
professions (5th ed., pp. 49-64). Sudbury, MA: Jones and Bartlett.
Dykes, P. C., Carroll, D. L., Hurley, A., Lipsitz, S., Benoit, A., Chang, F., Meltzer, S.,
Tsurikova, R., Zuyov, L., & Middleton, B. (2010). Fall prevention in acute care
hospitals: A randomized trial. Journal of American Medical Association, 304(17), 19121918.
Dykes, P. C., Carroll, D. L., Hurley, A. C., Benoit, A., & Middleton, B. (2009). Why do
patients in acute care hospitals fall? Can falls be prevented? Journal of Nursing
Administration, 39(6), 299–304. doi:10.1097/NNA.0b013e3181a7788a
Esper-Kanze, C., & Cardente, R. (2011). Case study: An ongoing campaign to reduce
patient falls. American Nurse Today, 6(2), 19. Retrieved from
http://www.americannursetoday.com/assets/0/434/436/440/7364/7542/7544/7634/4e4e7
c0a-fddc-498a-9e6b-2f8736c36adb.pdf






Hayes, J. M. (2011b). Student evaluation of teaching. In M. J. Bradshaw & A. J.
Lowenstein (Eds.), Innovative teaching strategies in nursing and related health
professions (5th ed., pp. 563-574). Sudbury, MA: Jones and Bartlett.
Ireland, S., Lazar, T., Mavrak, C., Morgan, B., Pizzacalla, A., Reis, C., & Fram, N.
(2010). Designing a falls prevention strategy that works. Journal of Nursing Quality,
25(3), 198-207.
National Oceanic and Atmospheric Administration. (2009). Designing education
projects: A Comprehensive approach to Needs Assessment, Project Planning and
Implementation, and Evaluation, 2nd ed. Retrieved from
http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0
CC8QFjAA&url=http%3A%2F%2Fwww.oesd.noaa.gov%2Fleadership%2FDEP_Manua
l_2ndEdt_Final.pdf&ei=aWXUUeSWIMfJyAH28IHAAw&usg=AFQjCNEI9_YvbMeLN
PZMsbq1DlQo2276bA&sig2=bBKM7ATdK82QnXMMIjUang&bvm=bv.48705608,d.aW
c
Polit, D. F., & Beck, C. T, (2008d). Developing and testing self-report scales. In D. F.
Polit & C. T. Beck (Eds.), Nursing Research: Generating and assessing evidence for
nursing practice (8th ed., pp. 474-505). Philadelphia, PA: Lippincott Williams &
Wilkins.
Rowles, C., & Russo, B. L. (2009). Strategies to promote critical thinking and active
learning. In D. M. Billings & J. A. Halstead (Eds.), Teaching in nursing: A guide to
faculty (3rd ed., pp. 238-261). St. Louis, MO: Saunders/Elsevier.
Ryu, Y. M., Roche, J. P., & Brunton, M. (2009). Patient and family education for fall
prevention: Involving patients and families in a fall prevention program on a
neuroscience unit. Journal of Nursing Care Quality, 24(3), 243-249.








Sauter, M. K., Johnson, D. R., & Gillespie, N. N. (2009). Educational program evaluation.
In D. M. Billings & J. A. Halstead (Eds.), Teaching in nursing: A guide to faculty (3rd ed.,
pp. 467-509). St. Louis, MO: Saunders/Elsevier.
Scheckel, M. (2009). Selecting learning experiences to achieve curriculum outcomes. In D.
M. Billings & J. A. Halstead (Eds.), Teaching in nursing: A guide to faculty (3rd ed., pp.
154-172). St. Louis, MO: Saunders/Elsevier.
Spectrum Health. (2013). Relationship-Based Care [Website]. Retrieved from
http://www.spectrumhealth.org/RelationshipBasedCare
Tzeng, T. M., & Yin, C. Y. (2008). Nurses’ solutions to prevent inpatient falls in hospital
patient rooms. Nursing Economics, 26(3), 179-187.
Yates, K. M., & Tart, R. C. (2010). Acute care patient falls: Evaluation of a revised fall
prevention program following comparative analysis of psychiatric and medical patient falls.
Applied Nursing Research. doi: 10.1016/j.apnr.2010.06.003
Vandeveer, M. (2009). From teaching to learning: Theoretical foundations. In D. M. Billings
& J. A. Halstead (Eds.), Teaching in nursing: A guide to faculty (3rd ed., pp. 189-226). St.
Louis, MO: Saunders/Elsevier.
White, M., Garbez, R., Carroll, M., Brinker, E., & Howie-Esquivel, J. (2013). Is "teach-back"
associated with knowledge retention and hospital readmission in hospitalized heart failure
patients? Journal of Cardiovascular Nursing; 28(2), 137-46.
doi:10.1097/JCN.0b013e31824987bd.
Zwirn, E. E., & Muehlenkord, A. (2009). Using media, multimedia, and technology-rich
learning environments. In D. M. Billings & J. A. Halstead (Eds.), Teaching in nursing: A
guide to faculty (3rd ed., pp. 335-350). St. Louis, MO: Saunders/Elsevier.