PICOT Question Does the provision of education to nurses on preventing falls in healthcare facilities help reduce the instances of falls among patients in Community Regional Medical Center (CRMC) Fresno?

 PICOT Question
Does the provision of education to nurses on preventing falls in healthcare facilities help reduce the instances of falls among patients in Community Regional Medical Center (CRMC) Fresno? Shaw et al. (2020) identified education as a single intervention or it can be incorporated as part of the multifactorial interventions used in the programs aimed at reducing or preventing falls. Nurses’ education in fall prevention strategies should be comprehensive and versatile in order to cover the various aspects of the problem in question. The educational interventions must support policies and guidelines to create a safe environment and reduce risk factors. Additionally, the prevention strategies explained in the process of education should stimulate engagement in technical aspects to eliminate potential fall hazards. Finally, the last point of nurses’ education should elaborate on raising awareness among patients and communities on the risk factors and prevention measures of falling.

Literature Search Strategy
The change project proposal is based on the literature studies. Relevant articles were retrieved from various sources through search engines that included the GCU library, CINAHL, Google Scholar, Web of Science, and PubMed. The search of these articles involved words related to the topic of the project, such as fall prevention, nurses’ education, patient safety, nursing knowledge and skills, and nurses’ learning. The search only considered articles that have been published over the past five years.

Literature Evaluation
King et al. (2018) identified falls as a major safety concern when it comes to hospitalized patients considering the severe impacts it causes, such as reducing life quality, increasing the stay in hospitals, and being costly to patients. These researchers examined a multidisciplinary approach as a requirement for fall prevention and the need to create a safe environment for patients and reduce injuries. Aguwa (2019) argued in favor of nurses’ education in combination with other fall prevention programs as being crucial to preventing falls. The researchers concluded that those nurses involved in education received a verbal report on the risk of falling among patients.

Montejano-Lozoya et al. (2020) found falls as common events, which majorly happen he older adults, which then result in negative outcomes for hospitals and the patients. The findings showed that the overall incidence of falls was 1.2% following the education of the nurses in charge of the patients. Park et al. (2019) examined adverse events as the cause of mortality and morbidity, considering that they lead to issues of clinical safety hence the need to avoid falls in health institutions. From this study, the fall prevention program was found to be particularly effective for patients in the experimental group as opposed to the control group. Leverenz and Lape (2018) examined how designing and implementing a multidimensional fall prevention educational program can help reduce the cases of injury in health facilities. The findings showed that the improvements in the self-efficacy for falls were statistically significant, especially among the nursing assistants.