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NSB203 Inquiry Into Clinical Practice
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NSB203 Inquiry Into Clinical Practice
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Course Code: NSB203
University: Queensland University Of Technology
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Australia
Question:
Identify a patient safety Issue that directly relates to your practice placemnet area
Answer:
Background
The aged care setting refers to a health system that offers a plethora of healthcare options to older adults, with the aim of meeting their different care needs. Hence, the primary objective of healthcare workers present in aged care settings is to improve the wellbeing and health of all older adults, while providing them a safe environment (1).
Patient safety has been identified as the cornerstone of superior quality health care. Most of the work that defines patient safety and related practices that avert harm have focus on undesirable consequences of care, such as, morbidity and mortality. Nurses play a critical role in the coordination and surveillance of the care services, in order to eliminate chances of adverse health outcomes (2).
While in most hospitals, patient safety is considered as a central priority, there is a lack of collaborative work between teams in other aged care settings. Presence of an experienced and strong healthcare team works towards reducing the rates of infection, thereby imposing a check on mistakes that violate the safety of the patients. This is usually achieved with the help of effective communication between the hospital staff, families, and the service users.
Falls in aged care setting is one major issue related to patient safety that has gained tremendous attention in the past decades. Falls in the healthcare setting has been identified as a noteworthy cause of mortality and morbidity, besides being categorised as a central type of preventable or avoidable injuries. While the reason for falls in aged care setting is multifactorial, this requires delivery of care in association with a multidisciplinary approach (3). Hence, the key aim of workers in aged care setting is focused on preventing future falls among the aged patients and treating all forms of injuries that occur due to such circumstances. While 30-50% of fall related incidents in aged care settings threaten the patient safety and lead to bruises, lacerations, and abrasions, some of them even prove fatal and lead to fracture of the bones or intracranial injuries (4). Hence, the primary aim is to conduct an extensive search of article on fall prevention strategies that are effective in aged care
Summary of evidence
The outcomes presented in the poster show a constructive consequence of exercise on detrimental falls in aged people, including the minor falls as well as those that need immediate medical attention. These results should deliver useful supplementary proof for healthcare workers to encourage contribution in exercise based fall deterrence programmes, and additional reasoning for decision makers to afford funding.
Search strategy and critical appraisal
A PICO framework was adopted for the formulation of the research question. The research question is as follows;
Are fall prevention exercise effective in reducing fall related injuries and providing patient safety in aged care settings?
The different components of the PICO question are given below:
Two electronic databases namely PubMed and CINAHL were used for searching the relevant literature with the use of specific key terms namely, ‘fall’, ‘injuries’, ‘elderly’, ‘older adults’, ‘prevention’, ‘exercise’, and ‘management’. English published articles from 2013 till date were retrieved, followed by assessment of their title and abstracts (5). This was followed by appraisal of the articles with the use of the CASP critical appraisal tool.
Limitations
It is clear that heterogeneity exists between the different aged care settings and the fall prevention exercises that are implemented in them, across the globe. Although the articles solely focused on fall prevention exercises to improve patient safety, the interventions selected were moderately diverse in terms of the intensity, duration, frequency, and delivery of the exercises
Recommendations
All healthcare workers present in aged care setting should implement exercise programs to prevent falls and violation of patient safety in older people.
Evidence bottom line statement
Exercise programs alone are insufficient to enhance safety of older adults who are susceptible to falls. There must be other provisions for safety devices, medication monitoring, vitamin D supplementation, and reviewing the living conditions.
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