Change Initiative for Patient Fall Prevention

Benchmark - Change Initiative: Implementation, Evaluation, and Sustainability
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December 14, 2021
Change Initiative: Implementation, Evaluation, and Sustainability
Discuss the issues in this area and the current outcomes as a result of the issues.
The proposed change initiative is implementing purposeful (intentional) hourly rounding, which improves patient outcome, safety, and quality of care. There is a need to prevent falls and closely monitor patients, but nurses are also busy and attend to different patients. The institution has patient fall prevention protocols. As part of providing high-quality care, there is an emphasis on nursing lead initiatives supported by the best evidence to support decisions. Knowledge on implementing purposeful hourly rounding will allow nurses to focus more on patient safety and outcomes. Improving the quality of care and fall-related outcomes are useful indicators of the intervention's effectiveness. 
Describe the external and/or internal driving forces, contributing issues, and the people affected.
 The main internal force is patient fall prevention, as a reduction in the fall rate is one indication of improved health delivery. Healthcare practitioners are expected to provide patient-centered and safe care while reducing the rate of patient falls will also help reduce medical costs, and fewer patients will stay in the hospital. Closely monitoring the patient is recommended as a way to address their immediate needs and support personalized health care planning (Sims et al., 2018). Nurses and patients are the most impacted as it is nurses who implement purposeful hourly rounding and monitor patient progress. Nurses also prioritize the patients' needs in their interventions to improve the quality of care. Patient safety is a top priority in health institutions. It is more likely that patient satisfaction will improve as there will be a lower risk of patient falls and injuries (Spano-Szekely et al., 2019). The nurses closely monitor patient needs and make changes to ensure safe practice.
Externally, hospitals are expected to demonstrate they provide quality care in a healthcare system that is more efficient. Among the performance indicators in hospitals are patient fall rate and hospitalization stay. Stakeholders expected high-quality health service provision and appropriate care to promote healthy communities.
Evaluate the stakeholders involved and discuss how they will be affected by your change initiative.
 Among the stakeholders involved in the change, the process is the nurse, nurse leaders, and the patients. Nurses are involved in implementing the change initiative and providing quality healthcare. They closely monitor patients and undertake purposeful hourly nursing. There are changes in practice so that there are no longer irregular visits, and instead, there is purposeful rounding (Jenko et al., 2019). Patients are important as the intervention affects the quality of health and health outcomes of the standard treatment given to patients with this condition. Nurse leaders promote and support change initiatives. Their support is crucial to the success of the intervention as there is planning ...