Date of Conferral

2017

Degree

Doctor of Nursing Practice (DNP)

School

Health Services

Advisor

Cathleen Colleran-Santos

Abstract

Falls are nurse-sensitive outcome which reflect the quality of nursing care. Nurses, therefore, have a major role to play in efforts to decrease fall rates. The objective of this project is to increase nurses' knowledge on the proper use of the CVVM as an attempt to effectively decrease fall rates. Pretest, post test, and course evaluation data were collected from 30 nurses. A descriptive analysis of the data was performed. Overall, the pretest evaluation showed that nurses had an average score of 43% in the combined assessment of their knowledge on fall prevention strategies, their use of the CVVM, and their knowledge about the hospital's policy on patient monitoring. The nurses' post test average score in the combined assessment of these measures increased to 89% after the educational training which included presentations, hands-on-training, and provision of reference materials and cheat cards on fall prevention strategies and the use of the CVVM surveillance system. Inadequate training, lack of knowledge on the utilization of CVVM surveillance, inadequate use of system resources, and noncompliance with hospital policies were the primary drivers of fall rates in this hospital. Main recommendations include training and periodic retraining of staff on fall prevention strategies; leadership involvement to ensure nurses' compliance with the use of CVVM technology and hospital policy on patient monitoring; provision of CVVM reference materials; and nursing responsibilities in patient monitoring. Social change implications of this project include that nurses are better equipped through training to prevent falls, therefore, lowering patient morbidity and mortality rates.

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