Capstone Project Change Proposal Presentation  

 Create a 10-15slide Powerpoint presentation of your evidence-based intervention and change proposal to be disseminated to an inter-professional audience of leaders and stakeholders.  

PICOT Question Paper

Mananita Gerochi-Caparas
Grand Canyon University
NRS-493-O503 Professional Capstone and Practicum
Davida Murphy Smith
September 18, 2022

PICOT Question Paper

PICOT Question

In elderly adult patients in the outpatient radiology clinic (P) what is the effect of placing push button alarms while changing in the dressing room (I) compared with no alarm system (C) reducing the incidence of falls (O) within four weeks (T)?

PICOT Problem

Falls are the most common and severe risk factors among elderly patients in any healthcare setting. It has been found that disability and morbidity are the leading factors resulting in falls among the elderly. Falls may develop severe injuries and a significant risk of death within the organization (Ang, Low & How, 2020). Some additional causal factors, such as chronic conditions, medications, hazards within the environmental setting (radiology setting), and other age factors, like low balance, may have significant risks to the fall. Changing clothes is a primary or daily personal duty that may also develop risks among the elderly towards falls. While seeking the services or screening for multiple tests in a radiology clinic, there is a need for undressing and putting on a gown (Berková & Berka, 2018). Therefore, it is vital to understand that there is a need for assistance when an elderly patient tries to change their clothes, as poor balance while changing clothes may result in falls. Since changing clothes is a private act, healthcare staff cannot provide necessary services or support.

Nursing Intervention

An adequate nursing intervention would be providing support services to the elderly when they are in the dressing room of the clinical radiology setting. Therefore, patients are equipped with the push button alarms in clinical settings, where they would receive adequate support services while they are in the dressing room while changing (Santiago et al., 2017). Pressing the button will alert or inform the nurses to provide and connect to patients to understand their requirements. It has been found that such a portable alarm unit is efficient for the care providers as they would be able to identify the needs and provide the needful support to the patients (Wang, Ellul & Azzopardi, 2020). While changing clothes in the clinical setting, there could be a need for assistance in balancing and wearing oversized dresses or gowns. Therefore, the push button alarm is identified as an evidence-based intervention in healthcare to improve the overall health outcome.

Clinical Problem and Patient Outcome

The push button alarm would help and empower the elderly to have immediate and emergent accessibility to the help of nurses or technicians while performing any tasks or after any accident. Prompt attention and care should be provided to the elderly after the incident of falls. Therefore, the usage of

Capstone Project Change Proposal Presentation for Faculty Review and Feedback

Assessment Description

Create a 10-15 slide Power Point presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.

PICOT Question (See other file uploaded)

Interventions

Falling incidences can cause several complications, including health care costs, severe health issues, immobility, etc. With the severity of this issue, appropriate interventions should take place. In this context, proper monitoring is one of the significant interventions to prevent this incidence (Huang et al., 2020). Hence, incorporating educated and efficient technicians while providing patient care can be an essential step. Yet, due to decreased mobility or functionality, older people often require help in doing basic activities, in this aspect, providing help to the patients while changing to hospital-approved gowns (Liu-Ambrose et al., 2019). In addition, one significant and effective intervention is providing quick education to the patient regarding fall prevention strategies (Radecki, Reynolds & Kara, 2018). Another critical aspect is providing a safe environment for clinical care. Outpatient clinics should improve their workflow and environmental condition, such as removing hazardous materials, and keeping the floor clean and dry, so that the clinic can provide a safe area for older patients. These interventions can help prevent falls (Guirguis-Blake et al., 2018).

Benchmark – Capstone Change Project Objectives

1. Prevent elderly falls in an outpatient radiology clinic.

Rationale: Falls occur as age advances due to individual risk factors or environmental factors. For example, gait or balance deficits, chronic conditions, medications, and footwear the patient is wearing. Assisting these patient populations can prevent falls in the department.

2. Educate patients and people in the community on how to prevent falls.

Rationale: Educate patients regarding physical changes and chronic health conditions that cause or probability of falls.

3. Provide a safe environment for clinical care in the outpatient clinical setting.

Rationale: Design the clinical area accessible to patients in wheelchairs, with assistive devices, and with mobility deficits. Have handrails on walls and hallways for support, clean, non-skid floors, and lighted pathways in hallways, rooms, and bathrooms.

4. A patient care technician (PCT) is available in the outpatient clinical area for patients.

Rationale: Having a PCT in the clinical area, especially