Post-fall assessments and fall prevention practices of emergency room nurse practitioners in the older adult population : a Florida state survey

Material Information

Title:
Post-fall assessments and fall prevention practices of emergency room nurse practitioners in the older adult population : a Florida state survey
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
Cabell, Holly Louise
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
xvii, 141 leaves : illustrations, portraits ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Subjects

Subjects / Keywords:
Falls (accidents) in old age ( lcsh )
Emergency nursing ( lcsh )
Older people -- Medical care ( lcsh )
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Purpose: The purpose of this project was to explore the current practices of ED nurse practitioners in the state of Florida for post-fall assessments and fall prevention efforts in the older adult population. Theoretical Framework: The Theory of Symptom Management is used in this project as the theoretical framework. Methods: A survey exploring the post-fall assessment practices, treatment, and fall prevention efforts of ED nurse practitioners was forwarded through the Florida Nurse Practitioner Network, (FNPN) via MonkeySurvey.com link to ED nurse practitioners in the state of Florida. A descriptive statistical analysis was used to identify the post-fall assessment practices and fall prevention efforts of the practitioners responding. Results: Despite all the literature showing the effectiveness of multi-factorial fall-related interventions for older people who are presenting to the ED following a fall, the interventions are not routinely implemented. Proper fall risk assessments and interventions have been shown to reduce the incidence of falls in the older adult population. This project reflects previous studies done in the UK and Canada, showing the inconsistencies in the use of current fall prevention guidelines for the older adult. It also shows a lack of knowledge and enthusiasm for their use in the ED setting when assessing, treating and preventing future falls in the older adult. Conclusions: Multiple factors, including multiple competing demands and time constraints placed on ED practitioners, likely contribute to the knowledge deficits and lack of interest identified in this project. Further, the burden of falls in the older adult population and on society in terms of morbidity, mortality, and financial costs has long been under-appreciated. Targeted education initiatives, improved guidelines aimed at ED practitioners and heightened awareness of the implications the guidelines could have a positive impact in preventing future falls and preserving quality of life in the older adult population. They may also prove useful in helping ED NPs identify patients at risk and initiate appropriate assessments and treatments as well as encourage education and appropriate follow-up for these patients in order to prevent future falls.
Thesis:
Thesis (D.N.P.)--Barry University, 2014.
Bibliography:
Includes bibliographical references (leaves 98-104).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Holly Louise Cabell. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RC952.5.C33 2014_CabellHolly ( BU-Local )
Classification:
RC952.5.C33 2014 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations