Date of Conferral

7-9-2026

Date of Award

July 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Dr. Robert McWhirt

Abstract

Falls in the elderly are a significant cause of injury, disability, and preventable medical expenditure; thus, fall prevention is an issue to assisted living homes like Townson Assisted Living Facility (TALF). The internal incident reports showed that persistent fall incidents were associated with inconsistent knowledge among the staff and unequal observed compliance with fall-prevention guidelines, indicating a practice gap in the systematized education of nurses. Educational interventions are effective in achieving high-quality staff, adherence to protocols, and outcomes concerning falls. Consequently, the current project was conducted to determine whether a specialized falls-prevention education program would enhance the knowledge and competency of nurses. The extensive literature review based on the Johns Hopkins Evidence-Based Practice (EBP) Model identified 15 sources Level I-V, which indicated the presence of a high and stable level of evidence supporting structured nurse fall-prevention training. Multifactorial methods such as nurse training, standardized risk assessment, and patient involvement are effective in preventing falls and injuries in the institutional environment, as confirmed by experimental and quasi-experimental studies. Clinical guidelines highlight competency validation, application of validated instruments like the Hendrich II Fall Risk Model, as well as continuous training as essential elements of proper fall-prevention initiatives. Reviews set in-store the significance of multimodal education, where case-based learning, simulation, mobility plans, and risk reduction of medication-increasing fall risk are incorporated.

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