One of the most critical practice-related issues within my work setting is the frequency of falls among elderly patients, and its significance is conditional upon the possibility of preventing adverse outcomes through nursing interventions. The change in the regulatory aspect of the matter is likely to improve the safety of the affected persons while contributing to the overall efficiency of the facility. Hence, modifying the procedures while emphasizing the need for direct care in order to eliminate the threat can be beneficial.
This suggestion is based upon the evidence complemented by my personal experience in the workplace. Thus, the inappropriateness of the existing approaches to this challenge is reflected by the growing fear of nurses when there is pressure to achieve goals, such as zero falls (King et al., 2018). Indeed, the situation does not improve because there are no suitable mechanisms for meeting this objective rather than creating patient restrictions. This solution does not seem ethical as the caretakers are unwilling to be active in implementing it out of negative feelings (Hiyama, 2017). This fact is complemented by legal difficulties since the presented ways to mitigate risks are not underpinned by legal regulations other than target goals (King et al., 2018). It means that the regulatory actions of healthcare providers are not clear to the staff as the available instruments are not described.
In conclusion, the change in the perceptions of the nursing personnel regarding the decisions to prevent patients from falls is necessary due to the mentioned aspects. Ethics related to the need for highlighting individuals’ feedback and the absence of legal frameworks within the facility are accompanied by unclear regulations. From this perspective, any improvements are impossible to expect when these crucial obstacles are not eliminated by managers.
Hiyama, A. (2017). Relationship between ethical issues in fall prevention care and nurses’ characteristics. International Journal of Nursing, 4(2), 22-28. Web.
King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340. Web.