NURS FPX 4035 Assessment 4 Improvement Plan Tool Kit
NURS FPX 4035 Assessment 4 Improvement Plan Tool Kit
Name
Capella university
NURS-FPX4035 Enhancing Patient Safety and Quality of Care
Prof. Name
Date
Improvement Plan Toolkit
The Improvement Plan Toolkit is designed to support healthcare professionals, particularly nurses, in implementing evidence-based fall prevention strategies within clinical environments. The toolkit contains curated academic and clinical resources aimed at reducing patient falls through risk assessment tools, educational methodologies, and technological interventions. Each resource includes an explanation of its clinical relevance, practical application, and implementation guidance. With the support of these resources, nurses can enhance both safety outcomes and the overall quality of care delivered across healthcare settings. Keywords that guided the toolkit’s development include “fall prevention,” “patient safety,” “risk assessment,” “root cause analysis,” and “evidence-based nursing practice.”
Annotated Bibliography Table
| Organizational Safety and Fall Prevention | Environmental Risk Reduction | Staff Education and Patient-Centered Care Strategies |
|---|---|---|
| Garcia et al. (2021) explore nurses’ views on effective fall prevention methods. The study favors multifactorial strategies that combine education with environmental modifications. These methods were perceived as practical and efficient in minimizing falls. The article identifies challenges such as limited time, patient engagement, and organizational support, emphasizing the need for education and planning during the initial phases of implementation. | Campani et al. (2021) highlight how home safety evaluations and modifications, like eliminating tripping hazards or installing grab bars, can mitigate fall risks in elderly patients. Nurses can apply these approaches both in home care and clinical settings to identify environmental risks and educate caregivers. | Albertini et al. (2022) implement a person-centered care model focusing on tailored patient strategies. The study demonstrates that adapting fall prevention protocols to individual needs improved staff adherence and reduced incidents by 30%. This model benefits nursing educators and leaders during onboarding and ongoing training. |
| Linnerud et al. (2023) discuss the co-creation of fall prevention strategies by various stakeholders in Norwegian home care. Their participatory method ensures that local conditions and healthcare staff insights shape sustainable and customized solutions. The strategies can be adapted for workshops and planning in both inpatient and outpatient settings. | Locklear et al. (2024) present a comprehensive review of fall causes in hospitals and effective prevention methods such as the Morse Fall Scale, hourly rounding, and staff education. They note that risk assessment systems have saved institutions millions while significantly reducing fall-related injuries. Nurse leaders can use this resource for training and monitoring fall programs. | Mulfiyanti & Satriana (2022) examine the SBAR communication model and its role in improving safety during nurse handovers. The study finds that structured communication leads to more accurate information transfer and fewer safety incidents. SBAR proves effective in shift changes, emergencies, and interdisciplinary communication. |
| Stathopoulos et al. (2021) investigate how overcrowded hospital conditions, including reduced space and high noise, contribute to patient falls. This resource encourages systemic changes in staffing and spatial design to improve safety. Hospital leaders can use findings to advocate for policy and facility improvements. |
References
Albertini, A. C. da S., Fernandes, R. P., Püschel, V. A. de A., & Maia, F. de O. M. (2022). Person-centered care approach to prevention and management of falls among adults and aged in a Brazilian hospital: A best practice implementation project. JBI Evidence Implementation, 21(1), 14–24. https://doi.org/10.1097/xeb.0000000000000356
Campani, D., Caristia, S., Amariglio, A., Piscone, S., Ferrara, L. I., Barisone, M., … & Obbia, P. (2021). Home and environmental hazards modification for fall prevention among the elderly. Public Health Nursing, 38(3), 493–501. https://doi.org/10.1111/phn.12852
NURS FPX 4035 Assessment 4 Improvement Plan Tool Kit
Garcia, A., Bjarnadottir, R. (Raga) I., Keenan, G. M., & Macieira, T. G. R. (2021). Nurses’ perceptions of recommended fall prevention strategies. Journal of Nursing Care Quality. https://doi.org/10.1097/ncq.0000000000000605
Linnerud, S., Aimée, L., Graverholt, B., Idland, G., Taraldsen, K., & Brovold, T. (2023). Stakeholder development of an implementation strategy for fall prevention in Norwegian home care – a qualitative co-creation approach. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-10394-x
Locklear, T., Kontos, J., Brock, C. A., Holland, A. B., Hemsath, R., Deal, A., … & Biswas, S. (2024). In-patient falls: Epidemiology, risk assessment, and prevention measures. A narrative review. HCA Healthcare Journal of Medicine, 5(5). https://doi.org/10.36518/2689-0216.1982
Mulfiyanti, D., & Satriana, A. (2022). The correlation between the use of the SBAR effective communication method and the handover implementation of nurses on patient safety. International Journal of Public Health Excellence (IJPHE), 2(1), 376–380. https://doi.org/10.55299/ijphe.v2i1.275
NURS FPX 4035 Assessment 4 Improvement Plan Tool Kit
Stathopoulos, D., Hansson, E. E., & Stigmar, K. (2021). Exploring the environment behind in-patient falls and their relation to hospital overcrowdedness—a register-based observational study. International Journal of Environmental Research and Public Health, 18(20), 10742. https://doi.org/10.3390/ijerph182010742