Reflections on Applications of Evidence-Based Practice in a Clinical


Reflectionson Applications of Evidence-Based Practice in a Clinical Setting


Patientfalls in the hospital are of great concern because of the effectsalongside their occurrence. It is unfortunate that patient falls andinjuries have become the most reported adverse cases in a hospital,especially in the inpatient department. In this regard, it isnecessary to ensure that hospital and clinics observe policies andprocedures that prevent patient falls. The purpose of this paper isto present the specific policies and procedures in patient falls,barriers to the observation of the policies and procedures, and thenecessary steps for ensuring compliance with the procedures andpolicies on patient falls as observed at the bridges diagnosticsmedical clinic.

Theassessment and prevention of patient falls are crucial any clinicalsetting. Patient fall results from a broad range of factors such asenvironmental factors, for instance, slippery floors to patientfactors such as blurred vision. To manage patient falls, it iscritical to identify the causative factors contributing to thepatient fall for effective elimination of the risks. The purpose ofthis paper is to bring out the policies and procedures applied inbridges diagnostics in preventing patient falls.

Policiesand procedures in patient fall implemented at bridges diagnostics

Whenthe bridges diagnostics admits any patient, they ensure that thepatient is assessed at frequent intervals to observe any variationsin the condition that are potential risks for patient fall. Thepurpose of this observation is to implement a preventive measure inthe situation where there is a likelihood of an occurrence of apatient fall. The bridges diagnostics is also an interdisciplinaryteam. The role of this team is to ensure there is an ongoing processfor monitoring, assessing, planning, implementation, and evaluationof the process of the patient falls (Gulland, 2012).

Aparticular procedure ought to be followed for the implementation ofthe policies in the prevention of patient falls. The first procedurethat the interdisciplinary team from bridges diagnostics followed wasconducting an assessment of the risk of patient falls. The assessmentincorporated interventions intended at addressing the patientsidentified to have the risk of patient fall and implementation ofcare plan basing on the level of the risk.

Theother procedure followed at the bridges diagnostics is stipulationsof interventions and strategies with the aim of reducing the risks ofpatient falls. This process involved familiarizing the patient withthe surrounding environment upon admission, assigning them a ward anda bed that allows easy and convenient movement of the patient andactive engagement of the patient and the family on the preventivemeasures. The interdisciplinary team carried out a review of themedication plan, for example, the dosage and side effects of the drugto offer advice to the physicians on necessary changes to reduce therisks of patient falls. The team also ensured that the environmentalsetup and the surroundings do not pose the risk of patient fallsthrough measures such as providing an appropriate lighting system,and good stability of the furniture.

Compliancewith policies and procedures

Despitethe efforts of the interdisciplinary team of the bridges diagnostics,I noted challenges in the compliance of policies and procedures onpatient falls. To improve the compliance with the policies and theprocedures, I would ensure that the team gets the appropriatetraining to understand the policies and procedures in handlingpatient fall (Agnew, Flin, &amp Reid, 2012). Again, I would proposean increase in the number of the staff because sometimes it wasoverwhelming for the staff to undertake all the procedures on allpatients (Coletti et al., 2012).

Advantagesof evidence-based practice’s implementation

Evidence-basedpractice’s implementation ensures high quality of health care forthe patients and thus an improvement in the patient outcomes(Gulland, 2012). Again, the implementation of these policies andprocedures empower the team with improved skills, confidence, andadaptability in managing patient falls thus promoting the safety ofthe patients. The interdisciplinary team members required for theimplementation of EBP concerning patient falls include nurses,administrators, and staff from the rehabilitation and maintenancedepartments.

Asa BSN prepared nurse, my role in the implementation of EBP thatincludes policies and protocols relating to patient falls is ensuringthat I work as a team with the other members. I should also ensurethat am always at the right time at the right place, and reportingany challenges in the administration of laid down policies andprocedures.


Agnew,C., Flin, R., &amp Reid, J. (2012). Nurse leadership and patientsafety. BritishMedical Journal. 345,1, 4589.

Coletti,M. et al. (2012). Building Better Health Care through Evidence-“It’sNot Just a Retention Problem”: A Hearing on ‘Bullying’ and‘Lateral Violence’ in Nursing. Journalof Hospital Librarianship.12, 3, 229-257.

Gulland,A. (2012). Patient safety: where nothing is unavoidable. BritishMedical Journal. 344,1, 2160.