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What Is Jean Watson's Theory Of Fall Prevention

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The other part of the agreement consisted of things that the staff can do to prevent falls and some examples included helping the client when they are weak, using a bed alarm for the client, keeping the room clutter free, checking up on the client hourly. According to Hoke & Zekany (2022), “after implementing the fall prevention agreement, nurse leaders reported a decrease in falls and falls with injury, which has been sustained for the past 6 years...” (p. 638). Utilizing a fall prevention agreement ensured that the staff and the clients were educated on fall prevention and that falls were reduced. Solares and Calero (2022) discussed the importance of how having the client involved as an active part of their care can improve care for the client. …show more content…

Data from these studies show that making sure the client’s and staff have a clear understanding of fall prevention is key to increasing system effectiveness and minimizing harm. Nursing Context Theory / Philosophy The Theory of Human Caring by Jean Watson is a theory that relates the most to my personal nursing philosophy. Watson in her theory explains the importance of bringing meaning to nursing through involving the practice of love, spiritual openness, honoring others, actively listening, creating a healing environment, assisting with basic needs, and developing a trusting relationship with the client (“Watson's Caring Science & Theory”, 2023). I also believe in the importance of taking the time to truly sit down with the client and create an environment that is comfortable for the client. I believe that nursing is more than just giving medications, it is also about what the client is truly feeling and involving the whole picture, including spiritual …show more content…

I also did not realize how many different specialties and places that nurses could go into for work. I was mainly thinking about hospitals before I came to nursing school. However, now I realize that there are cruise ship nurses, flight nurses, insurance nurses, and many more. I also assumed that the nurses just did whatever the doctor said to do. I never knew the importance of critically thinking as a registered nurse and being able to appropriately question orders and advocate for the client. I also had never considered the opportunities to further my career as a nurse. Although I have relatives who are nurse practitioners, I never realized that you can become one after becoming a nurse, I always assumed it was a separate degree path, as well as nurse anesthetists. I had previously only thought that BSN was the farthest that nursing could take me. Nursing is not just a career; it is a profession in which clients place their trust in the nurse to advocate for them. Nursing is also about creating a milieu that is comforting, actively listening to the client, involving the family in the plan of care, properly educating the client and family, proper medication administration, and proper aseptic technique when

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The staff nurses and patient care technicians (PCT) in 6 East were not getting the sufficient education reinforcement regarding fall prevention. Consequently, this has created a knowledge gap among staff members regarding fall prevention strategies. The knowledge gap in fall prevention has led to an increase of staff non-compliance with the policy and the trending increase of fall rates in the unit during the 1st and 2nd quarter of 2015. The plan to mitigate this problem was developed through the collaboration with the nursing leadership on the provision of staff education on fall prevention. The stakeholders involved were the unit manager, fall prevention resource nurse, and clinical nurse educator who were interested in coordinating the quality

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Capstone Project: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Evidence Based Practice – NUR 4775L Dr. Susan Poole, DNP, CNE November 22, 2015 Capstone Part I: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Introduction to Problem According to Centre for disease Control (CDC) more than 1.4 million people 65 and older live in nursing homes. If current rates continue, by 2030 this number will rise to about 3 million (CDC, 2014). Nursing home residents are at an increases risk for falls depending on the acuity of their illness and their mental state.

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Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

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In a recent article published in the MEDSURG Nursing journal it discussed the effects of hourly rounding to prevent falls for patients in acute care. Falls not only cause harm to patients, they cost hospitals money. In 2012 “the Joint Commission identified reduction of harm from patient falls as a national patient safety goal” (Hicks, 2015). In attempts to reduce falls, studies have been conducted on hourly rounding. “The main components of hourly rounds include reducing anxiety by using key words, addressing the four Ps (pain, potty, position, possessions), assessing the environment for safety issues and telling the patient when staff will return” (Hicks, 2015).

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The elderly in nursing home are at an increased risk for falls, more than any other area. An average of 5% of all persons over the age of 65 reside in nursing homes. On average, over 1,800 people over the age 65 fall while in nursing homes every year and 20% of all fall related deaths occur from falls while living in nursing homes (Centers of Disease Control & Prevention, 2012). Falls result in decrease of quality of care through decline in functional ability, fear, restricted activities, and serious injury (U.S. Department of Health and Human Services, 2014). Not only does falls have an effect the overall quality of the persons whom live there and their families, but it also effects the facility and the staff.

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Optimum care and patient safety is a nurse’s main goal, and therefore, affects each and every nurse. With falls being such a critical part of a patient’s hospital stay as well as the nursing profession, nurses must perform adequate assessment and implementation

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This career did not come from nowhere, it began in 1965. " Loretta Ford and Henry Silver, a nurse and a physician, created the first training program for nurse practitioners. In 1970s, they documented that they increased the availability of primary care services" (O'Brien). I chose this career because nursing has always been

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Change is inevitable not only in the hospital setting but also in all other organizations that put the safety of stakeholders at hand. It is, however, sometimes challenging to have all stakeholders adopting a proposed change since some individuals would rather stick to the old ways of doing things as opposed to trying out new interventions (Guse, Peterson, Christiansen, Mahoney, Laud, & Layde,, 2015). Nevertheless, positive change is essential, especially when such a change is expected to positively impact on the safety of patients (Johnson, Veneziano, Green, Howarth, Malast, Mastro, Moran, Mulligan, & Smith, 2011). The purpose of this paper is to critique the adoption of hourly rounding as a nursing intervention for preventing falls.

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In this step residents who are at high risk of fall will be given first priority such as residents with the previous history of falls, generalized muscle weaknesses, delirium, poor vision, use of psychoactive medicines. Most effective interventions will be implemented based on the likelihood of success, cot involvement and range of benefits. For instance, placing alarms on the bed and wheelchair, continuous monitoring of patients with delirium, application of bedside rails and health education to healthcare workers on fall prevention are crucial factors of fall prevention program because older people in the nursing home are dependent on healthcare workers. If health care workers are well trained and educated on fall prevention, they will be able to apply most effective strategies to prevent falls. Personally, I have seen many nursing assistants who ignore the fall safety alarms and forget to buckle the seat belt of the person in the wheelchair so it is most crucial to focus on the basic and most effective strategies of fall prevention program (Australian Catholic University,

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(Current Nursing, 2013). It is therefore very critical to undertake the safety measures as was proposed in the paper, but may not be confident in their ability to adhere to speculated safety measures successfully. (Liu-Ambrose at el., 2012). It is very necessary to encouraged patients especially those of them that have had falls more two times. Devoting time and teaching the patients will help improve their

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It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.

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It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).

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(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

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113 Words | 1 Pages

A fall is defined as moving downward, in a rapid and freely without control from a higher position to a lower position. There are many contributing factors that increase the risk of falls including age, medications, disease and changes in environmental needs. This paper contains an overall assessment of fall prevention including current protocols in place to decrease the incident of falls and barriers to overcome. Included will be evidence based research that on the current standards in place for fall prevention and where there are improvements to be made. The incident of falls has an overall impact on the cost of healthcare and with fall prevention measures the decrease can be

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1201 Words | 5 Pages

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

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