NURS FPX 4005 Assessment 4 Stakeholder Presentation

NURS FPX 4005 Assessment 4 Stakeholders Presentation Student Name Capella University NURS FPX 4005 Professor Name Submission Date     Stakeholder Presentation Slide: 1 I am _________. My presentation is based on a research study to devise an evidence-based strategy to lessen patient fall risks in Green Valley Medical Center’s high-acuity medical-surgical units. There are many reasons why patients in medical-surgical units fall, such as when unit staff members are too busy to respond to a patient’s call for help in a timely manner, or when the staff members responsible for assisting the patient to move about are different from the staff members who receive and document the patient’s mobility order. My presentation will attempt to engage the leadership team to advocate for the development of a collaborative practice framework. Slide: 2 This presentation provides rationale and an evidence-based plan to reduce patient falls in a high-acuity unit and includes reason(s) to support an interprofessional approach beyond nursing. Multiple professionals touch various aspects of patient falls and therefore, an interprofessional approach is necessary. In the absence of a comprehensive, interprofessional plan to address fall risk, it is expected that silos and communication gaps will exist across professional disciplines. This includes a lack of standardization of screening for patient risk of falls during transfers and/or movement. An interprofessional team will work to screen for patient risk of falls and determine the best approach to ensuring the patient’s safety during movement. Assistance from management is required to implement the changes described, including allowing unit-based safety officers protection from busy work, and adjusting the EHR to support fall risk management. Slide: 3 Recurrent Falls in High-Acuity Medical-Surgical Units Green Valley Medical Center’s medical-surgical unit (MSU) has challenges with patient falls related to lack of assistance during transports, response to call lights, and communication regarding patient mobility. Various units across Green Valley Medical Center, as well as other health care facilities, experience similar issues. The Joint Commission states that more than 700,000 to 1,000,000 patient falls occur in health care facilities in the U.S. each year. The data collected by Green Valley Medical Center for each MSU reflects the fall trends for the U.S. healthcare system, which show either no change or an increase in fall rates. Fall rates can be reduced if the team takes an active role in fall prevention instead of the individual nurse being responsible for fall prevention. Thus, a team approach to preventing falls is imperative. Slide: 4 Consequences of Not Addressing the Issue This problem will, ultimately, lead to increased costs and risks. According to Reider and colleagues (2024), in the United States, the annual cost to the health care system for falls by older adults is approximately $22.9 billion. The most medically vulnerable and complicated older adults account for the highest costs. Fractures are the most common serious injuries from falls, and they increase the risk of additional injuries and prolong the recovery and rehabilitation process. One of the most important concerns of the health care staff is to regain the trust of patients and their families by ensuring their safety and well-being and by minimizing the risk of further injuries and falls. Failure to address falls increases the risk of injury, prolongs patient recovery and rehabilitation, and increases the staff’s injury and liability exposure. From a regulatory perspective, failure to limit the number of patient falls increases the burden on the health care facility. This is especially true for Green Valley, where a high number of patient falls increases staff liability exposure and adds to the existing burden on staff. Slide: 5 Relevance of an Interdisciplinary Team Approach It should be noted that the prevention of patient falls in high-acuity areas is the responsibility of the entire team and not solely that of the nurses on duty. The results of a recently conducted systematic review and meta-analysis reported that the effectiveness of multiple falls prevention interventions is greater than that of single-intervention falls prevention strategies. The authors noted that the multiple intervention falls prevention strategies were composed of a combination of intervention components, which were informed by the individual patient falls risk factors. It was, therefore, important to have members of the patient’s team (i.e., physician, pharmacist, physical and occupational therapist) who are able to identify and assist in the management of the patient’s mobility and activity level. Slide: 6 Sources of Evidence Used to Develop the Plan There is a significant body of evidence to support the various components of this Plan. Pavlova et al. (2022) reported that the best approach to falls prevention is a multidisciplinary approach, which includes members of the patient’s healthcare team. Basic et al. (2021) noted that effective real-time communication among members of a patient care team is key to preventing patient falls. Baumann et al. (2022) supported this view and added that fall prevention is enhanced by effective teamwork and collaboration among members of the healthcare team. Ameri et al. (2025) reported unequal risk among patients in various units, ages, and comorbidities. Slide: 7 Evidence-Based Interdisciplinary Plan Summary This interdisciplinary Plan summarizes strategies to make the hospital-wide standardized fall prevention program more effective. There will be greater standardization for risk screening, and in real time, communication and accountability will increase. Mobility and risk screening will continue to be the responsibility of the nursing staff. Restrictive conditions, including medication, will be determined by the physician. Mobility goals will be developed by a Physical or Occupational Therapist. Outcome measures will be the responsibility of the Quality Improvement Staff. Decreased communication will continue to be addressed by the interdisciplinary huddles. The mobility status of the patient will be displayed on the Board. The mobility programs and huddles will be introduced first to address barriers to fall prevention. Audits will continue to be performed to evaluate and adjust the new processes. The activities will be performed using the principles of Lewin’s Change Model and transformational leadership. Slide: 8 Real-World Examples Relevant to the Healthcare Organization Effective, interdisciplinary, and team-based approaches to fall