Doctor of Nursing Practice
Date of Defense
Nancy Magnuson, DSN, APRN, PCNS, FNP-BC, Chairperson
Nancy Magnuson, DSN, APRN, PCNS, FNP-BC
Cathy Koetting, DNP, APRN, CPNP, PMHS, FNP-C
Deborah Mitchell, MA, MHA
Problem: Falls and fall-related injuries are considered preventable. Fall risk screening is crucial in the prevention of falls and fall-related injuries in community dwelling elders. The purpose of this quality improvement project was to initiate the use of the CDC’s self-rated Fall Risk Questionnaire (Self-rated FRQ) screening tool and CDC-guided education in a cohort of community dwelling seniors at a geriatric agency.
Method: A pre-post assessment was conducted on community dwelling seniors 65-years and older. A convenience sample of eligible participants (N=16) was taken from a geriatric agency in a Midwest, metropolitan city. Fall incidence and fall-related injuries were assessed eight weeks before and after implementation of the Self-rated FRQ and CDC-guided education with a retrospective chart review and self-reported data. Individual Zoom calls were conducted with each participant by the principal investigator. At this time, the screening tool was verbally administered with a 15-minute open-ended education session. Common risk factors were identified based on the results of the Self-rated FRQ. Additional questions were addressed regarding utilization of an assistive device and self-rated risk for falling.
Results: After implementation, thirteen participants were considered a high risk for falling (81.25%). There was an 85% reduction in falls pre-intervention to post-intervention and a 0% reduction in fall related injuries. Population means were not statistically significant based on the Wilcoxon-Signed Rank test (T=2.50, z=-1.725, p=0.84).
Implications for Practice: This quality improvement project demonstrates that fall screening can be effective in a community setting the screening tool can be utilized by the geriatric agency with routine annual assessments and after new falls.
Dickinson, Natasha, "Fall Risk Screening in Community Dwelling Elders through Self-Assessment" (2022). Dissertations. 1191.