Date of Conferral
Doctor of Nursing Practice (DNP)
Courtney S. Nyange
This project documented the evaluation of a voluntary patient falls prevention education
program (VPFPEP) of a rehabilitative facility in a Mid-Atlantic US state and ascertained
its sustainability. The project was designed using the customized Moore et al. evaluation
model and Lippitt’s planned theory of change to encourage patient engagement in
physical activity (PA) through fall prevention education to allay patients’ fear of falling.
The sample included patients who opted into the facility’s VPFPEP. Evaluation was
performed using run charts to visually and quantitatively monitor trends and patterns of
fall incidents over time. Run charts also facilitated comparison of injuries sustained from
falls, as a measure of clinical performance. Results showed that during program
implementation, the average yearly fall rates were consistently lower from 2016 to 2019
compared with 2014 and 2015 before the program (5.323 and 6.902 falls PTOPD): 2016
4.157 (22%); 2017-2.624 (51%); 2018-1.877 (65%); and 2019-1.374 (74%) falls PTOPD.
Findings suggest that the VPFPEP is resource-sustainable given the same resolve among
facility healthcare personnel, and comparable patient receptiveness of the program.
Recommendations include strengthening engagement and commitment of facility
personnel through professional development, support groups, linkages with relevant
agencies. Averting injury and saving lives from a preventable event promotes positive
social change through safe healthcare delivery. The project facilitates positive social
change through fall prevention efforts and education of high-risk fall patients to share
responsibility for their safety.
Okonkwo, Immaculata, "Fall-Related Patient Education: An Essential Feature of a Fall Prevention Program" (2020). Walden Dissertations and Doctoral Studies. 8966.