Nurs FPX 8006 Assessment 1 Innovative Healthcare to Current and Ongoing Issue

Nurs FPX 8006 Assessment 1 Innovative Healthcare to Current and Ongoing Issue

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Capella University

NURS-FPX8006

Professor Name

Submission Date

Forming an Innovative Healthcare Team to Promote a New Approach to a Current and Ongoing Healthcare Issue

It is essential to develop a creative healthcare team that will help to resolve long-term medical issues by applying interdisciplinary knowledge and innovative solutions. Various healthcare professionals and team members collaborate with other specialists and client representatives to come up with effective and comprehensive prevention strategies to enhance patient care outcomes (Galperin, 2020). A multicultural healthcare team enhances problem-solving because it will have a combination of skills and reduce the breakdown of the walls between departments. New ideas are brought to the fore when team members with diverse background question the old approach to fall prevention and come up with new evidence-based approaches (Muusse et al., 2023). The joint work results in more comprehensive, patient-centered care that can change the healthcare process and show better safety outcomes. The main idea of the evaluation is the implementation of patient fall prevention in the facilities of healthcare institutions based on the organization of an innovative healthcare team.

Healthcare Issue

The healthcare facilities all over the world are encountering significant challenges that require collaboration in order to enhance patient safety. Patient falls are a safety concern of paramount importance as research has shown that patient falls are a leading cause of injury to patients. It is estimated that every year, 684,000 individuals in the world die because of fall-related events, and over 80 percent of the deaths are reported in developing and middle-income countries (World Health Organization, 2021). The number of patient falls that occur in American medical centers is estimated at between 700,000 and one million a year, leading to about 250,000 injuries and up to 11,000 deaths (LeLaurin & Shorr, 2021). Approximately, 2 percent of admitted individuals fall at least once during hospitalization (LeLaurin & Shorr, 2021). Approximately a quarter of all falls result in the injury of patients, and around 10 percent result in severe injuries (LeLaurin & Shorr, 2021). The issue arises when hospitals fail to put adequate fall prevention measures in place among patients and employees. Inaccurate risk analysis and ambiguous prevention procedures cause hazardous safety issues. Multidisciplinary teams of various healthcare professionals will have to collaborate in order to correct the problem of falls in healthcare facilities.

Roles and Perspectives

The occurrence of patient falls in medical settings is one of the greatest safety concerns that requires comprehensive multi-disciplinary strategies to mitigate injury and improve the outcomes of protective care. The collaborative team that will be involved in the fall issue will be a geriatric nurse specialist, a physical therapy professional, an occupational therapy professional, and a quality improvement coordinator. Geriatric nurse specialists have a specialized knowledge of movement-related complications of aging, mental status assessment techniques, and individualized treatment plans to ensure comprehensive assessment of fall risks and patient education (Lallemand et al., 2025). Physical therapists provide movement assessment skills as well as treatment intervention perspectives, which will aid in identifying stability problems and developing individualized strengthening programs to reduce falls (Vincenzo et al., 2021). Occupational therapists create and evaluate environmental adaptations and assistive device interventions to promote safe movement and minimize the risk of falls using adaptive equipment and house safety assessments (Duro et al., 2021). The multi-disciplinary approach shows how integrating different professional skills can develop a comprehensive framework that can deal with complex and multifaceted issues of fall prevention better than individual disciplines can do. All the specialists bring different knowledge to the table that adds value to the overall fall prevention results and patient safety.

Quality improvement coordinators provide systematic assessment views on fall prevention processes and the relevance of evidence-based intervention strategies in the course of enhancement initiatives. The multi-disciplinary cooperation should be effective and based on uniformed instruments and integrated prevention development structures to address the fall issues in the health facilities (Davey et al., 2024). The various specialization areas need to be integrated by holding regular team meetings and collective prevention strategy sessions. Comprehensive fall prevention strategies eventually promote patient safety, reduce the number of injury incidents, and improve mobility outcomes across all healthcare facilities. The team based approach ensures sustainability of improvement of the methods of fall prevention.

Critical Appraisal of Studies

Falls in the elderly are one of the healthcare issues that demand evidence-based measures. Crawford et al. (2024) conducted a quantitative research, the problem was formulated, the impact of a community falls pharmacist on medicines optimization in older people at risk of falls was addressed, and the purpose of the research was to determine the clinical and economic outcomes. The literature review proved as a good theoretical background with references to the guidance of World Falls and recommendations of the National Institute for Health and Care Excellence (NICE), but it could have been more detailed when it comes to the current pharmacist-led interventions. The quantitative prospective study design was suitable as it was used to measure the before and after changes, however, the lack of a control group limited the causal inferences. The sampling was done on 92 patients aged 65 and above who were referred to the community falls pharmacist, and there was an inclusion criterion, but the single site design was limited to Northern Ireland. The ethics committee of Queen’s University Belfast was appropriately consulted and the study was considered a service evaluation and therefore did not require formal ethical review. Data collection methods were also strong and this is because validated tools were used and these tools were reviewed by peers thus making them reliable.

The statistical analysis was appropriate by use of significance testing at p 0.05, although more advanced statistical analysis could have been used. Results showed a considerable reduction in polypharmacy (8%), anticholinergic burden (33%), and cost-effective (£1.25-2.54 returned per 1). Results were well contextualized in the literature and the research was able to recognize the complexity of deprescribing. Limitations were the absence of the randomized controlled design, the single-site environment, and possible selection bias. The conclusions rightly pointed out the effectiveness of the role with the limitations on generalizability in mind Funding was received by Northern Ireland Centre for Postgraduate Learning and Development (NICPLD) and Belfast Health Trust and no competing interests were reported. The results were consistent with the literature on the significance of pharmacist-led interventions and added valuable evidence to it.

The attitudes of healthcare professionals play a major role in enhancing the success of falls prevention education in hospitals. The research problem was clear, and the study design was qualitative descriptive with a focus group, and the aims of the research were to explore the opinions of health professionals on barriers and enablers of evidence-based falls prevention education delivery, and the methods of educational delivery were appropriate. The literature review provided the context with references to relevant literature on the effectiveness of patient education and the experience of health professionals, but it might have been deeper in terms of theoretical frameworks on which behavior change is based. The focus groups qualitative descriptive design was employed in the exploration of the professional views and rich narrative data. The study employed purposive sampling technique in the three Australian hospitals and enrolled 23 nursing and allied health professionals with pertinent experience, although only participants who spoke English were represented in one state.

Ethical concerns were well taken into consideration by the La Trobe University Human Research Ethics Committee approval and clinical trial registration. The data collection strategies were strong, and they involved the use of semi-structured focus groups that were conducted by experienced moderators, audio recordings, and field notes to ensure thoroughness. Thematic analysis was done by three separate researchers through iterative steps, which adds credibility and minimizes bias but software-aided analysis would have further aided systematic coding. The discussion successfully tied the results with the available literature on interprofessional collaboration and patient-centered care. Weaknesses were geographical limitation, hospital-based setting only, and power imbalance in focus groups. Conclusions were rightfully followed by the need to systematically approach identified barriers and the need to develop a collaborative responsibility in terms of falls prevention. The National Health and Medical Research Council (NHMRC) provided the funding in which there were no competing interests reported. The study provided meaningful insights that may guide the implementation of evidence-based practice in hospitals in any part of the world.

Outcomes and Solutions

To make healthcare systems safer, evidence-based fall prevention strategies need to be implemented with the help of strengthened interprofessional collaboration. Careful fall prevention rounds are proposed as the main intervention to decrease fall incidents by a multidisciplinary team consisting of geriatric nurse specialists, physical and occupational therapists, and quality improvement coordinators. The research shows that the hourly rounds contribute to a substantive increase in the accuracy of risk assessment and prevention compliance (Kim et al., 2020). The overall protocol must include the initial risk assessment, specialist examination, ongoing mobility, and regularized communication. Such elements as electronic exchange of information, continuity of team training, and well-defined roles to deal with territorial concerns and competency gaps are essential (Dykes et al., 2020). Consistent team meetings are the key to sustainable outcomes because of the aligned initiatives and unified assessment procedures (Randell et al., 2024). The methodical method integrates technical fall prevention components with a high level of collaborative relations, and allows to distribute the resources of health care efficiently, reduce complications and unnecessary interventions in all care environments, and ultimately, achieve staggering changes in patient safety outcomes.

Conclusion

Multidisciplinary fall prevention teams are needed to solve the critical patient safety issues in healthcare systems. The evidence shows that structured fall prevention rounds, thorough risk assessment, and the strengthening of interprofessional collaboration reduce fall incidents and lead to better patient outcomes considerably. The barriers to implementation can be addressed by setting standard communication protocols, regular training of the team, and well-defined professional roles. The new team-based model will transform the healthcare delivery system, relying on the collaboration of various disciplines, and eventually making healthcare settings safer and preventing hospital falls that are a serious threat to patient safety every year.

References

You can use these references on your assessment:

Crawford, P., Plumb, R., Burns, P., Flanagan, S., & Parsons, C. (2024). A quantitative study on the impact of a community falls pharmacist role, on medicines optimisation in older people at risk of falls. BioMed Central Geriatrics, 24(1), e604. https://doi.org/10.1186/s12877-024-05189-6

Davey, N., Connolly, E., Elwaine, P. M., & Kennelly, S. (2024). A systematic review of falls risk of frail patients with dementia in hospital: Progress, challenges, and recommendations. Clinical Interventions in Aging, 19, 1127–1139. https://doi.org/10.2147/cia.s400582

Duro, M. D. C. M., Nieto-Riveiro, L., Moscoso, P. C., Groba, B., Pousada, T., Canosa, N., & Pereira, J. (2021). Occupational therapy and the use of technology on older adult fall prevention: A scoping review. International Journal of Environmental Research and Public Health, 18(2), e702. https://doi.org/10.3390/ijerph18020702

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries. Journal of the American Medical Association Network Open, 3(11), 1–10. https://doi.org/10.1001/jamanetworkopen.2020.25889

Galperin, R. V. (2020). Organizational powers: Contested innovation and loss of professional jurisdiction in the case of retail medicine. Organization Science, 31(2), 508–534. https://doi.org/10.1287/orsc.2019.1314

Heng, H., Kiegaldie, D., Slade, S. C., Jazayeri, D., Shaw, L., Knight, M., Jones, C., Hill, A.-M., & Morris, M. E. (2022). Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study. Public Library of Science One, 17(4), e0266797. https://doi.org/10.1371/journal.pone.0266797

Kim, J., Lee, W., & Lee, S. H. (2020). A systematic review of the guidelines and delphi study for the multifactorial fall risk assessment of community-dwelling elderly. International Journal of Environmental Research and Public Health, 17(17), e6097. https://doi.org/10.3390/ijerph17176097

Lallemand, W. P., Coughlin, V., Tammaro, G. B., Pierluissi, H., & Williams, W. (2025). Nursing-Led targeted strategies for preventing falls in older adults. Geriatric Nursing, 62, 297–299. https://doi.org/10.1016/j.gerinurse.2025.01.050

 LeLaurin, J. H., & Shorr, R. I. (2021). Preventing falls in hospitalized patients. Clinics in Geriatric Medicine, 35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007

Muusse, J. S. C., Zuidema, R., Scherpenseel, V., & te, J. (2023). Influencing factors of interprofessional collaboration in multifactorial fall prevention interventions: A qualitative systematic review. BioMed Central Primary Care, 24(1), 116. https://doi.org/10.1186/s12875-023-02066-w

Randell, R., McVey, L., Wright, J., Zaman, H., Cheong, V.-L., Woodcock, D. M., Healey, F., Dowding, D., Gardner, P., Hardiker, N. R., Lynch, A., Todd, C., Davey, C., & Alvarado, N. (2024). Practices of falls risk assessment and prevention in acute hospital settings: A realist investigation. Health and Social Care Delivery Research, 12(5), 1–194. https://doi.org/10.3310/JWQC5771

Vincenzo, J. L., Patton, S. K., Lefler, L. L., Falvey, J. R., McElfish, P. A., Curran, G., & Wei, J. (2021). Older adults’ perceptions regarding the role of physical therapists in fall prevention. Journal of Geriatric Physical Therapy, 45(3), 127–136. https://doi.org/10.1519/jpt.0000000000000304

World Health Organization. (2021). Falls. WHO.int. https://www.who.int/news-room/fact-sheets/detail/falls

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