NRS 493 Capstone Topic Summary Paper

NRS 493 Capstone Topic Summary Paper

NRS 493 Capstone Topic Summary Paper

NRS 493 Capstone Topic Summary

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NRS 493 Capstone Topic Summary Paper
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 The selected evidence-based topic for the capstone project change proposal is the management and prevention of falls among elderly patients in nursing homes. Falls in older patients admitted to nursing homes are widespread and it has become a significant public health issue in the US (MacKay et al., 2021). Elderly Falls are associated with a significant economic burden stemming from huge monetary demands needed in managing the consequences of falls. Economic burden also stems from the reduced productivity of elderly persons at personal, family, community, and national levels. Falls in elderly people also lead to various adverse impacts including disabilities and deaths associated with fall injuries (Hill et al., 2019). The victims can also experience psychological and physical discomfort and longer hospital stay days.     


The management and prevention of falls among elderly patients in nursing homes can be categorized under leadership intervention. The implementation of initiatives seeking to prevent and manage falls requires strong leadership input and support (Montero-Odasso et al., 2021). Healthcare leaders have a crucial role in ensuring patient safety within their organizations by formulating a safety culture that needs to be followed by providers and patients. The development of a safety culture in fall prevention and management is a complicated process that needs a competent leader to manage (Heng et al., 2022). Competent leadership is expected to ensure staff are trained on fall management and prevention, development of responsive fall prevention strategies, continuous assessment of fall incidences, and provision of a safe environment to reduce fall rates.


Heng, H., Kiegaldie, D., Shaw, L., Jazayeri, D., Hill, A. M., & Morris, M. E. (2022). Implementing patient falls education in hospitals: a mixed-methods trial. In Healthcare (Vol. 10, No. 7, p. 1298). MDPI.

Hill, A. M., Jacques, A., Chandler, A. M., Richey, P. A., Mion, L. C., & Shorr, R. I. (2019). In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. The Joint Commission Journal on Quality and Patient Safety, 45(2), 91-97.

MacKay, S., Ebert, P., Harbidge, C., & Hogan, D. B. (2021). Fear of falling in older adults: a scoping review of recent literature. Canadian geriatrics journal, 24(4), 379. Doi: 10.5770/cgj.24.521

Montero-Odasso, M. M., Kamkar, N., Pieruccini-Faria, F., Osman, A., Sarquis-Adamson, Y., Close, J., … & Kobusingye, O. (2021). Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. JAMA network open, 4(12), e2138911-e2138911. Doi:10.1001/jamanetworkopen.2021.38911


Assessment Description

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership).

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