Date of Graduation

12-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Dr. Susan Mortell DNP,RN, CNL

Second Advisor

Dr. Cynthia Huff, DNP,RN, OCN, CRNI, CNL

Abstract

Objective. The quality improvement project aimed to study the effects of purposeful rounding on falls in a long-term care unit. The focus was on CNAs who provided care for 6 residents each, with a current census of 36 residents in the long-term care setting. Problem. Many of the residents are at risk for falls due to immobility, medication, and environmental hazards (Centers for Disease Control and Prevention, 2022). Context. Research has found that the key reasons residents call for staff include needing to use the bathroom, to address pain, to address positioning, and to address IV pumps and alarms (Studer Group, 2023). Intervention. Purposeful rounding includes preemptively addressing the patient’s needs before they were urgent. This technique reduced falls by 50% in the clinical setting (Studer Group, 2023). Measures.Using evidence-based research on implementing changes and the quality improvement PDSA tool, the staff in a long-term care setting in Marin staff were trained on how to round purposefully exhibiting 8 key behaviors and addressing the 5 Ps. Results. Preliminary results were encouraging. The most meaningful outcome was the feedback from the staff. Conclusion. Purposeful rounding when used in collaboration with the motion sensor detector reduces fall incidents in a long-term care setting.

Keywords: purposeful rounding, intentional rounding, fall reduction, quality improvement intervention

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