Degree Name
Nursing Practice, DNP
Publication Date
4-28-2025
First Advisor
Mary Newkirk
Second Advisor
Diane Hare
Abstract
Falls among elderly residents in the community living center continue to be a serious public health concern, increasing mortality, morbidity, and healthcare costs. Despite existing prevention measures, fall-related incidence remains high. The purpose of this quality improvement project is to reduce fall rate in a community living center by implementing structured staff training. A facility needs assessment revealed gaps in fall prevention knowledge, inconsistent protocol use, and limited staff confidence in managing fall risks. In the methodology used to answer the PICOT question, the Donabedian Model guided structure, process, and outcome evaluation, while Kotter’s Change Model informed implementation strategies. The intervention included educational sessions based on evidence-based guidelines supported by the Hendrich II Fall Risk Model to assess individual resident risks. Staff knowledge and fall incident rates were evaluated through pre-and post-questionnaires. Following training, staff demonstrated increased understanding and confidence in Fall prevention practices. The observations indicated a measurable decrease in fall incidents that was collected within a 6-month period, suggesting that the training was effective. This project supports structured staff education as a critical component on fall prevention. Therefore, the analysis is based on advanced knowledge on fall prevention. The findings are informative on best practices in the long-term care setting and contribute to improved patient safety and quality of care.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Olatunbosun, Morayo, "Quality Improvement Project Staff Development for Fall Prevention in Community Living Center" (2025). Doctor of Nursing Practice Projects. 196.
https://arch.astate.edu/dnp-projects/196
