Assessment 01 – Nursing Informatics in Health Care For this

Bases on these two articles https://pubmed.ncbi.nlm.nih.gov/28207841/. AND https://pubmed.ncbi.nlm.nih.gov/38243175/ SCENARIO A male in his mid-sixties presented to his St Bryans Hospital emergency department (ED) with complaints of shortness of breath and chest pain. He had a history of chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD). The patient was admitted for exacerbation of COPD symptoms and atypical chest pain. At various times during the admission process, the patient was noted to be a ‘falls risk’ but not fully recorded or assessed using a falls risk tool. He fell twice while in the acute ward in the am shift. He was then found later in the day on the floor near his bed and was subsequently diagnosed with a fractured neck of femur. This resulted in the patient having to undergo a surgical procedure to treat the fractured neck of femur. The patient stated that he had used the call bell to request assistance getting to the bathroom but no- one responded. As a result, the patient attempted to get out of bed on his own and got caught in wires and cords that were attached to him, causing him to fall. On investigation of the incident, the team found that there were several safety issues that contributed to his fall. These included no bedside commode, no access to the bed alarm, no signage on the door or a wrist band. The number of falls on the ward has also increased over the recent months. As part of the St Bryans Hospital Best Practice committee, you are required to research the current nursing literature about nursing management and prevention of falls. You will then submit a report on your findings and make recommendations for possible ‘nursing best practice standards or quality improvement strategies’ that would reduce the risk of falls for other patients in the facility. Please use the template and headings below for the creation of this report. Dear Team Members, There has recently been some increases in falls within our hospital. All members of the Best Practice committee are required to research current ‘nursing research data’ about the management of Falls and Falls Prevention. You will submit a report on your findings and make recommendations for possible ‘nursing best practice standards or quality improvement strategies’ that would reduce the risk of falls for other patients in our hospital. There are important issues that we need to resolve regarding the increased prevalence of falls and achieve a team decision to reduce the occurrence of falls. The recommendations will be discussed by the committee, to then agree to best practice actions for implementation by the hospital. . Lauren Wilson (Chair) Assessment Instrument: Questions and Observation Checklist Student Name: Student ID: Committee Meeting Questions and Presentation A) State the title and date of each article and make comment on their currency. B) Give a summary of each article and its findings. C) Make a comment on the reliability of each journal article. D) Make comment on how relevant the main findings of each article are for future use in management of Falls and Falls Prevention in your nursing practice. E) What are the benefits/risks in using the information and findings stated in each journal article for management of Falls and Falls Prevention in the hospital F) What 3 recommendations would you make based on your articles to reduce the number of falls in the hospital and discuss the action plan for each. G) Are there any improvements you could make to the clinical practice guidelines on falls? Evaluate the Falls Management Policy – RPH H) Are there any gaps in falls research that you have identified? Article 1: Article 2: Article 3: Evidence of teamwork/question allocation: Read the scenario and agenda questions on falls and answer/give evidence of knowledge on the following related questions. Please writee your meeting notes below and include these in your final submission. A Contribute to group discussion about the different information shared in the committee meeting and assess the different actions that could be implemented within the hospital to prevent and manage falls. B As part of the Best Practice Committee, what three agreed and final recommendations would you make to reduce the number of falls in the hospital? C As part of the Best Practice Committee identify if sufficient information has been presented to decide if further research is required. Make notes of this discussion D As a committee develop actions and a plan to implement your final decisions and outcomes. (i.e. how you will complete further research or how you will implement your recommendations) Make notes of these agreed actions

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