Date of Conferral
2022
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Dr. Robert McWhirt
Abstract
Psychiatric hospitals are a unique environment and therefore pose unique challenges in preventing falls. Current evidence suggests that multidisciplinary committees to update clinical practice guidelines (CPG) will reduce falls and improve patient care in the acute inpatient psychiatric setting. The purpose of this study was to examine current evidence and develop new CPG with a goal to decrease falls in an inpatient psychiatric hospital. The Iowa model collaborative was used as a framework to develop the CPG to promote quality care and serve as an implementation model that supports the training of evidence-based practice. The methodology, design, and data analysis included a literature review to gather data for evaluation using Fineout-Overholdt’s grading system. A multidisciplinary fall committee consisted of a Psychiatric nurse, psychiatrist, social worker, and the treatment plan coordinator was established with the goal to make recommendations in the development of the CPG utilizing the AGREE II instrument. The fall committee were required to have a minimal of five years’ experience in the psychiatric field. The AGREE II instrument utilizes six key domains to evaluate validity of the CPG. The fall committee made three recommendations that included a process to audit and monitor compliance and update the CPG annually. The fall committee recommendations were addressed in the final CPG. The CPG will decrease falls, improve patient care, and effect social change by reducing the cost of hospital stays.
Recommended Citation
Carroll Smith, Wendy, "Fall Clinical Practical Guideline in a Psychiatric Hospital" (2022). Walden Dissertations and Doctoral Studies. 12289.
https://scholarworks.waldenu.edu/dissertations/12289
