Professional Capstone and practicum -NRS-493-05. Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Professional Capstone and practicum -NRS-493-05.

 Various issues face clients in medical facilities. Most of these problems compromise patients’ safety and health. An example of these issues is patients fall in hospitals. Thus, this paper will focus on the PICOT question, “In a sub-acute hospital setting (P) the incorporation of fall prevention program (I) compared to those who do not implement fall prevention program(C) reduces cases of patient fall in hospital by 30% (O) in three months (T).” Professional Capstone and practicum -NRS-493-05.

Evidence-Based Solution

Incorporating fall prevention program to primary care services offered to the patients prevents fall cases in healthcare facilities. These programs involve the adjustment of bed alarms. The ringing duration of hospital bed alarm is reduced from 10 minutes totwo minutes(Windsor& Dix,2017). This action, in turn, reduced the duration that the patients could stay out of bed without being noticed and intervention measures incorporated. Another initiative involves the introduction of safety rounds. Nurses conduct safety roundshourly on high-risk patients. The program also involves incorporating fall precautions, such as providing the patients with an armband(Becker’s Hospital Review, 2013). Finally, the program entails keeping the patients busy to prevent them from moving out of bed when bored, thus reducing the chances of falling. In this intervention, family members might act as safety companions. They keep the patient busy to divert her attention elsewhere, thus reducing the urge to move out of the bed that might result in a fall. Professional Capstone and practicum -NRS-493-05.

Nursing Intervention

Nursing intervention plays a significant role in reducing cases of patients fall in medical facilities. First, nurse leadership reviewsadministered medications such as antihypertensive agents and psychotropic drugs. These drugs are likely to make the patients fall. Additionally, nurses can reduce fall incidents through visual assessment(Morris& O’Riordan,2017). Nurses can also improve patient safety by engaging the patient when investigating falls attributed to serioushealthcare issues (Cracknell et al., 2016). According to the Centers for Medicare and Medicaid Services(2018), high cases of hospital-acquired conditions are associated with patient falls. Therefore, understanding the root cause of the fall enables practitioners to prevent these cases in the future. Professional Capstone and practicum -NRS-493-05.

Patient Care

Also, patient care contributes to reducing the causes of falls in healthcare facilities. Patientcare focuses on preventing, managing, and treating a particular condition to preserve the mental and physicalwell-being of an individual. In this case, patient care focuses on ensuring that critically ill patients are prevented from falling (Healeyet al., 2014). This action prevents further complications that might arise from fall incidents. Professional Capstone and practicum -NRS-493-05.

Health Care Agency

The role of health care agencies in preventing the causes of falls cannot be underrated. Specifically, the Care Quality Commission proposes a cost-effective and less time-consuming technique for managing cases of patients fall in the healthcare facilities (Morris & O’Riordan, 2017). Additionally, the agency supports continuous learninginvolving the patients and their families. These programs equip them with the knowledge required to manage fall cases.

Nursing Practice

Finally, the nurse practice has a significant role to play in preventing patient falls. Nurse practice entails the duties, functions, activities, and responsibilitiesassigned to the nurses being educated, registered, and authorized to perform in the healthcare facilities. Thus, nurse practitioners use acquired knowledge to accomplish their duties. In this case, they use their knowledge and skills and prevent patients from falling. Professional Capstone and practicum -NRS-493-05.

In conclusion, the cases of patient fall in healthcare facilities have increased significantly. These cases can be reduced through various aspects, including evidence-based solutions, patient care, nursing intervention, health care agency, and nursing practice. Professional Capstone and practicum -NRS-493-05.