Preprint Article Version 1 This version is not peer-reviewed

Implementing Fall Prevention Bundle in a Long-term Care Setting: An Evidence-Based Practice Improvement

Version 1 : Received: 30 September 2024 / Approved: 1 October 2024 / Online: 1 October 2024 (14:31:59 CEST)

How to cite: Toquero, L. M.; Klopp, A.; Heid-Grubman, J. Implementing Fall Prevention Bundle in a Long-term Care Setting: An Evidence-Based Practice Improvement. Preprints 2024, 2024100034. https://doi.org/10.20944/preprints202410.0034.v1 Toquero, L. M.; Klopp, A.; Heid-Grubman, J. Implementing Fall Prevention Bundle in a Long-term Care Setting: An Evidence-Based Practice Improvement. Preprints 2024, 2024100034. https://doi.org/10.20944/preprints202410.0034.v1

Abstract

Background: Falls in older adults are prevalent and can result in an injury affecting their quality of life. Whether a fall is fatal or not, it has a high financial impact. Older adults with dementia are more likely to fall than their cognitively healthy counterparts, increasing their risk of serious injury or even death. This quality improvement project developed, implemented, and evaluated an evidence-based fall prevention bundle to reduce preventable falls in a long-term memory care unit.; Methods: The interventions that were implemented includes fall risk screening, physical exercise, vitamin D supplementation, purposeful hourly rounds, and post-fall huddles. Kurt Lewin’s force field analysis guided the project’s implementation. Nurses, healthcare providers, certified nursing assistants, restorative aides, and life enrichment staff from all shifts at a long-term memory care unit participated in the project. The participants implemented the evidence-based fall prevention bundle based on their scope of practice. They participated for 12 weeks. The frequency of falls was compared three months before, during, and after implementation. Paired t-test and independent samples t-test were used to analyze statistically significant differences between variables.; Results: Thirty staff members attended educational sessions, and 22 residents received interventions. Fall rates dropped 50% during the project's implementation but increased subsequently. The difference in the number of falls before, during, and after implementation was not statistically significant.; Conclusions: Staff working in a long-term care facility may help reduce fall rates using evidence-based interventions, but measures should be taken to sustain the initiative's implementation.

Keywords

accidental falls; older adults; evidence-based; dementia; cognitive impairment

Subject

Public Health and Healthcare, Nursing

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