Implementing an evidenced-based toolkit for fall prevention in community-dwelling Hispanic elderly

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dc.contributor.advisorWalker-Smith, Tammy
dc.contributor.authorHourigan, Claudia
dc.contributor.committeeMemberAndelman, Dixie
dc.contributor.committeeMemberHemmer, Lynn
dc.creator.orcidhttps://orcid.org/0000-0002-2835-9491
dc.date.accessioned2023-10-24T20:51:34Z
dc.date.available2023-10-24T20:51:34Z
dc.date.issued2023-08
dc.descriptionA dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.en_US
dc.description.abstractBackground: One in four elderly falls, frequently resulting in unintentional injuries and death, causing a health concern and a financial burden. This project identified a home health agency (HHA) with a vulnerable population and unmet fall goals. It recognized nurses had fall knowledge deficits, no single fall identification instrument, and lacked evidence-based practice (EBP) resources. Objective: Project aims included: implementing an EBP fall prevention Stop Elderly Accidents, Death, and Injury (STEADI) protocol and minimizing elderly injuries and death in a South Texas HHA. Pre- and post-intervention comparisons were analyzed for employee STEADI tool kit knowledge and patient screening effectiveness in decreasing community-dwelling Hispanic elderly (CDHE) fall rates. Methods: The project employed a Quasi-Experimental with a Quality Improvement Initiative. On day one, the nurses (n=8) STEADI trained. Over three months, they applied the STEADI tool kit on CDHE (n=48). Evaluation and Measurement: Pre-STEADI fall data was the baseline. Quantitative pre-and post-STEADI educational tests, fall data chart review, and feedback surveys were collected and analyzed over three months. Paired sample t-Test compared pre- and post-STEADI scores to reveal a significant difference. Results: All HHA nurses (100%) were STEADI-trained and subsequently screened the CDHE (100%). Post-STEADI, an increase in the nurses' knowledge (36.25, 95% CI) and skills (147.5%, p =.007) occurred, and the CDHE fall rates were reduced (71%, p =.019). Conclusion: Adopting policies and procedures, including STEADI in HHA care, to sustain fall monitoring and screening is recommended as STEADI enhanced nurse organizational support, communication, training, and prudence and decreased CDHE falls.en_US
dc.description.collegeCollege of Nursing and Health Scienceen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent83 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/97620
dc.language.isoen_USen_US
dc.rights.urihttps://creativecommons.org/licenses/by-nd/4.0/deed.en*
dc.subjectelderly fallsen_US
dc.subjectHispanicen_US
dc.subjecthome health careen_US
dc.subjectpreventionen_US
dc.subjectrisken_US
dc.subjectscreeningen_US
dc.titleImplementing an evidenced-based toolkit for fall prevention in community-dwelling Hispanic elderlyen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
thesis.degree.disciplineDoctor of Nursing Practice
thesis.degree.disciplineNursing Practiceen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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