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Scenario: A pilot evidence-based project to reduce patient falls…

 

Scenario: A pilot evidence-based project to reduce patient falls was recently implemented on a 32-bed medical-surgical floor at the largest Level I trauma center in the area. The results of this pilot project suggest that patient falls could be significantly decreased if the project is implemented throughout the trauma center. You have been invited to join the nurse educator for this medical-surgical floor and other members of the Patient Safety and Quality department as a consultant for the planned expansion of this evidence-based project. The initial pilot project was institutional review board (IRB) exempt, but expanding to the entire organization will require an additional review by the institutional review board. The intent of this project expansion is to use the Academic Center for Evidence-Based Practice (ACE) star model to integrate the fall-reduction plan throughout the organization.

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  1. EBP Plan Feasibility: Analyze the feasibility of the EBP plan. Consider the following questions to guide your response.
    • How would you determine if the plan can be conducted in a reasonable amount of time?
    • How would you determine if there is an adequate number of participants?
    • What are the major ethical or legal considerations? Consider IRB approval and HIPAA.
  2. EBP Plan Sustainability: Evaluate the sustainability of the EBP plan. As you work, think about whether the plan is at risk of quickly becoming outdated. Consider the following questions to guide your response.
    • Will continuing education need to be offered on a regular or annual basis?
    • Are champions needed on specific units to help facilitate sustainability?
    • Will continued monitoring or auditing be required? If so, identify an example and consider how technology can assist you.
  3. Improvement Strategies: Recommend strategies to improve the feasibility and sustainability of the EBP plan. Use the following questions to guide your thoughts.
    • What strategies can be used to improve the EBP plan over time?
    • What resources do you anticipate needing to augment the success of the plan?
    • What potential sources of funding could be explored?

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