A Method to Enhance Nurses Knowledge About Falls Reduction Strategies

Monday, 18 November 2013

Jennifer Kitchens, MSN, RN, ACNS-BC, CVRN
Quality and Risk Management Department, Wishard Health Services, Indianapolis, IN
Shaunte Moore, BSN, RN
Medical Surgical, Wishard Health Services, Indianapolis, IN
Lisa Johnson, BSN, RN
Medical Surgical Unit, Wishard Health Services, Indianapolis, IN

Learning Objective 1: The learner will be able to list two topics that should be included in a falls educational intervention

Learning Objective 2: The learner will be able to discuss at least one method to evaluate a falls educational intervention

Purpose:  To increase knowledge about the hospital’s fall policy in Medical-Surgical  nurses via implementation of a falls educational intervention.  Nursing knowledge plays an important role in preventing and managing falls in acute hospitals. 

Background:  An educational needs assessment indicated a falls educational intervention was needed.  Additional supporting information included audits indicating fall risk interventions were not being implemented consistently, improperly completed fall causation reports, and other documentation issues. 

Methods:  The intervention consisted of an educational poster based on evidenced-based hospital policy and included:  fall risk assessment; high risk alert requirements; interventions; contributing medications; patient/family education; procedure post-fall.  A pre- and post-test was administered to assess knowledge.  A survey (4 point Likert Scale) was administered to further assess the falls educational intervention (1=strongly disagree; 4=strongly agree; higher scores equaling more positive response).

Findings:  Twenty-four nurses completed the pre-test and 72 completed the post-test.    For question 3:  “List four items that alert other hospital personnel that patient is a fall risk” the mean pre-test score=54% and mean post-test score=100%.  Question 4 evaluated proper fall risk scoring, and mean pre-test score=33% and mean post-test score=75%.  Seventy-one out of 72 participants approached completed the survey.  Three surveys were eliminated due to duplicate circling of answers for a total of 68 remaining.  The mean survey score was 3.28.  For survey item, “The information I received from the Falls poster will help me assess my patients for fall risk more accurately” the mean score was 3.38.         

Conclusions:  Descriptive statistical findings indicate the poster may have an impact on pre and post-test scores. Thus, there is a need for further analysis.     

 

Implications:  Further education on using the fall risk tool may be indicated.  A t-test for unequal groups, correlations, additional descriptive statistics and statistical techniques will be applied to questions to determine their relevance.