Respond to this discussion, by suggesting an additional practice change or other intervention that y

Respond to this discussion, by suggesting an additional practice change or other intervention that your colleague might consider to address the need, challenge, or issue facing the community of practice selected. supported with scholarly evidence (within the last 5 years) from your research and/or the Learning Resources, and properly cited using apa. The evidence for the need to decrease falls of post-operative patients in an Acute Care Inpatient Unit. The community of practice I have chosen is an acute care inpatient hospital unit specializing in the post-surgical care of patients. This includes the nurses, physicians, physical therapists, and patient care technicians who work together to care for post-operation patients. There is a need to prevent patients’ falls within this community as falls have severe implications that include fractures, more extended hospital stays, high treatment costs, and loss of patients’ trust and health. From your perspective as a future DNP-prepared nurse, explain why this need, challenge, or issue is important and merits attention From the perspective of a future DNP-prepared nurse, reducing post-operative patient falls is a vital component of improving patient safety and overall outcomes. Falls are common among post-operative patients mainly because of the effects of anesthesia, analgesics, restricted mobility, and unfamiliar territory (Schega et al., 2021). For instance, a patient with a recent history of knee replacement surgery may try to walk alone before he or she is strong enough to balance and, in the process, experience a fall. Falls predispose to other injuries and complications that would slow the healing process and cost more to treat. In addition, hospitals experience penalties from value-based purchasing programs based on high patient fall rates, which is also a concern in terms of cost, operation, and, most importantly, the patients. By meeting this need, the healthcare teams can optimize patient satisfaction, maximize patient improvement, and help shift toward a safer hospital. Recommended Practice Changes Based on scholarly evidence, I recommend the following practice changes to reduce post-operative patient falls: Ongoing Translation of Multimodal Fall, Prevention Programs Multimodal fall prevention programs involve a combination approach of action plans that target individuals at fall risk. According to Sc hega et al. (2021), the described programs may encompass fall risk evaluation, patient and family teaching about fall prevention, assessments at the bedside, and the implementation of such gadgets as walkers or bed alarms. For instance, adopting the hourly rounding tool can go a long way in identifying some of the needs of the patients and, consequently, limit occurrences that lead to unassisted ambulation. Improving the Mobility of Patients After Operation The post-operative patients require early and supervised mobilization to avoid the risk of falls. Haines et al. (2022) said it is more effective if mobility protocols involve assessing and evaluating physical therapists and trained nursing staff. Some protocols that should be followed are ambulation exercises, footwear, and instructions on the safe use of orthoses. For instance, a patient with abdominal surgery may require programmed walking sessions that a physical therapist could assist. Realization of Technology and Supervision Instruments Wearable sensors or motion detectors can effectively identify a high-risk patient who tries to mobilize without assistance, and technology can then be used to mobilize the patient. Research by Cheng et al. (2021) explains that technology applications are highly effective in lowering the fall rate through increasing staff engagement and monitoring functionality. Alignment with The Essentials The recommended practice changes align with the following Domains from The Essentials: Domain 1: Knowledge For Nurse Practitioners: Multimodal fall prevention programs and enhanced mobility protocols are framed within an evidence-based practice and exemplify the application of nursing science to patient safety and patient outcomes. Domain 4: Nursing Disciplines Scholarship: Utilizing quality improvement and evaluating the implemented fall prevention strategies are part of quality improvement and count toward the body of nursing knowledge, which is consistent with the DNP’s vision to advance nursing as a discipline (AACN, 2021). Domain 6: Interprofessional Partnerships: Fall prevention involves combining interventions with nurses, physical therapists, physicians, and other healthcare professionals to formulate individual multifaceted plans for managing risk factors.

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