Date of Conferral



Doctor of Nursing Practice (DNP)




Joan Moon


The Centers for Medicare and Medicaid Services (CMS) report thousands of falls in hospitals each year. The CMS does not reimburse hospitals for fall related injuries, costing the hospital system organization for which this DNP project was designed millions of dollars each year. Framed within the Iowa model of evidence-based practice and using a team approach, the purpose of this project was to develop an evidence-based (EB) fall safety bundle for use by nursing staff and a curriculum to educate staff on prevention strategies. The components of the EB fall bundle kit were approved by the stakeholder committee. Evaluation of the curriculum and the pretest/posttest items was completed by three content experts. The curriculum was evaluated related to the objectives using a 'met' (2) and a 'not met' (1) response. All responses were 'met' for an average score of 2 showing the content met the objectives. Validation of the pretest/post items was conducted using a 10-item, Likert scale, ranging from 1- 'is not relevant' to 4- 'is highly relevant'. The content validation index was 1.0, showing that the test items met the objectives and content of the course. Recommendations included providing a consistent methodology to disseminate the fall safety bundle and educational curriculum across the entire healthcare system as well as adding the fall safety bundle tool kit to the hospital's intranet page for ease of access for all staff. Social change will be achieved by facilitating prevention of fall related injuries and avoiding the financial impact on the facility.