Falls Prevention in Healthcare Settings: A Change Management Approach, Assignments of Nursing

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Implementing Change With an Interprofessional Approach Presentation 10-15 slides, 100-250 words speaker note. Slide for Title page, Slide for Reference page, writing zoom like at the end. Slide for zoom link at the beginning. Zoom for video presentation. Slide 1- Title Page Slide 2 -Zoom Link Slide 3- Background of Situation Falls are a prevalent and serious issue in healthcare settings, particularly among elderly patients or those with mobility impairments. They often result in injuries, increased hospital stays, and even mortality. From an ethical standpoint, preventing falls is imperative as healthcare professionals have a duty to prioritize patient safety and minimize harm. Socially, falls can erode patient trust in healthcare institutions and affect their perception of the quality of care received. Legally, healthcare organizations can face liability issues if patients experience falls while under their care, leading to potential lawsuits. Economically, falls incur signi 昀椀 cant costs for healthcare systems due to additional treatments, prolonged hospitalizations, and potential legal expenses. Politically, there is pressure from regulatory bodies and policymakers to improve patient safety outcomes, including reducing fall rates, as part of broader healthcare quality improvement initiatives. - 133 WORDS.

with other healthcare professionals to conduct comprehensive fall risk assessments, develop personalized care plans, and educate staff and patients on fall prevention measures. Additionally, the nurse serves as a liaison between different disciplines, facilitating communication and teamwork to ensure a coordinated approach to fall prevention. By promoting interprofessional collaboration, advocating for patient safety, and driving organizational change initiatives, the advanced registered nurse contributes to reducing falls and improving patient outcomes 117 words. SLIDE 6- Key Interprofessional Stakeholders: Key interprofessional stakeholders involved in change efforts related to falls include internal healthcare team members such as physicians, nurses, physical therapists, occupational therapists, and pharmacists. These individuals collaborate to assess fall risk, develop interventions, and implement strategies to prevent falls among patients. Additionally, external stakeholders such as patients, families, and caregivers play a crucial role in fall prevention efforts. Patients and their families provide valuable insights into their mobility limitations, environmental hazards, and personal preferences, which inform the development of tailored fall prevention plans. Furthermore, community organizations, government agencies, and advocacy groups may contribute resources,

expertise, and support to enhance fall prevention initiatives both within healthcare facilities and in

SLIDE 8- Application of Lewin’s Model

Lewin's model is suitable for falls prevention because it emphasizes the importance of creating readiness for change, facilitating the change process, and reinforcing new behaviors to sustain long-term improvements. Additionally, this model allows for a systematic approach to change that considers the ethical, social, legal, economic, and political implications of falls prevention interventions. Ethically, falls prevention initiatives prioritize patient safety and well-being. Socially, they promote a culture of patient-centered care and shared responsibility among healthcare team members. Legally, they align with regulatory requirements and standards of care. Economically, they aim to reduce healthcare costs associated with fall-related injuries. Politically, they support healthcare organizations' commitments to quality improvement and patient safety initiatives. 111 words. SLIDE 9- Initiating Change as Advanced Registered Nurse As an advanced registered nurse, I would initiate the change related to falls by 昀椀 rst conducting a comprehensive assessment of the current practices and identifying areas for improvement. This would involve reviewing existing fall prevention protocols, analyzing data on fall incidents, and soliciting input from interprofessional team members and stakeholders. Next, I would collaborate with key stakeholders to develop a tailored falls prevention program based on evidence- based practices and guidelines. This would include implementing

promoting patient and caregiver education on fall prevention strategies, and instituting environmental modi 昀椀 cations to reduce fall hazards. Additionally, I would advocate for the allocation of resources, such as staff training and assistive devices, to support the implementation of the fall’s prevention program. Finally, I would continuously monitor and evaluate the effectiveness of the program, adjusting as needed to ensure sustained improvements in patient safety and outcomes. 144 words. SLIDE 10- Impact of Unsuccessful Change to the Organization If the change initiative related to falls prevention proves unsuccessful, the organization may experience several negative impacts. Firstly, there could be an increase in fall-related injuries among patients, leading to higher healthcare costs and potential legal liabilities for the organization. Additionally, there may be a decline in staff morale and con 昀椀 dence in leadership's ability to implement effective changes, which could affect overall employee satisfaction and retention. Moreover, the organization's reputation may suffer if there is public scrutiny or negative media attention surrounding patient safety issues- 85 WORDS. SLIDE 11- Potential steps for Unsuccessful Change In response to an unsuccessful change initiative, the interprofessional team could take several

steps to address the situation. Firstly, they could conduct a

assessment and prevention, changes in reimbursement models tied to patient safety metrics, and

growing awareness of the economic and human costs associated with fall-related injuries. Additionally, demographic shifts, such as an aging population with complex healthcare needs, may further drive the need for organizational changes aimed at optimizing fall prevention strategies and enhancing patient care outcomes 96 words. As an advanced registered nurse serving as a change agent in falls prevention initiatives, several key roles can be undertaken. Firstly, the nurse can lead interdisciplinary teams to assess current practices, identify areas for improvement, and develop evidence-based interventions tailored to the organization's needs. Secondly, the nurse can advocate for resources and support from senior leadership to implement changes effectively. Moreover, fostering a culture of safety and continuous improvement through education, training, and feedback mechanisms is essential. Lastly, the nurse can serve as a liaison between frontline staff, administrators, and external stakeholders, facilitating communication and collaboration to drive sustainable change. By actively engaging in these roles, the advanced registered nurse can play a pivotal role in driving organizational change efforts related to falls prevention, ultimately enhancing patient outcomes and safety 130 words. SLIDE13- Reference include zoom link.

SLIDE 7: Change Theory to Achieve Results Lewin's Change Model

• Unfreezing: Recognize the need for change and prepare stakeholders.
• Changing: Implement evidence-based interventions and address barriers. SLIDE 8: Application of Lewin's Model
• Ethical: Ensures patient safety and prioritizes ethical care delivery.
• Social: Fosters collaboration and teamwork among healthcare professionals.
• Legal: Helps meet regulatory requirements and mitigate legal risks.
• Economic: Reduces healthcare costs associated with fall- related injuries. SLIDE 9: Initiating Change as Advanced Registered
• Conduct comprehensive assessment of current falls prevention practices.
• Engage stakeholders in collaborative discussions and planning. Slide 10: Impact of Unsuccessful Change to the
• Continued high rates of falls and fall-related injuries.
• Decreased patient satisfaction and trust.
• Potential legal liabilities and 昀椀 nancial costs. Slide 11: Potential Steps Taken in Unsuccessful Change
• Physical therapists
• Occupational therapists
• Pharmacists
• Patient care assistants External:
• Patients and families
• Regulatory bodies
• Community organizations

Advocate for patient safety, lead quality improvement initiatives, and adapt to evolving Slide 12: Predicted Organizational Change and the Role of ARN Emerging healthcare trends, technological advancements, and regulatory requirements. Shifts in patient demographics and healthcare delivery models. Outline the Role of Advan

• Conduct root cause analysis to identify barriers and challenges.
• Reassess strategies and seek additional resources or expertise.
• Revise implementation plan and engage stakeholders in problem- solving. SLIDE 13- Reference include zoom link Barrow, J. M., Toney-Butler, T. J., & Annamaraju, P. (2022). Change Management. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459380/ DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661 Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., Ruíz- Hontangas, A., & Ortí-Lucas, R. (2020). Impact of nurses’ intervention in the prevention of falls in hospitalized patients. International Journal of Environmental Research and Public Health , 17 (17), 6048. https://doi.org/10.3390/ijerph Weberg, D. R., & Mangold, K. (2023). Leadership in nursing practice: The intersection of innovation and teamwork in healthcare systems (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284248890