One would suggest that using the MFS does not accurately ascertain patients with high or low fall risks. Using the Stratify assessment tool, together with the MFS, will help accurately to determine patients with fall prevalence accurately. To understand the effectivity of each tool in identifying patients at risk, one would need to understand the terms sensitivity and specificity. Sensitivity is predicting if patients who were recognized as high risk had a fall. In contrast, specificity is predicting patients who were recognized as a low fall risk and didn’t fall (CHAPMAN, BACHAND & HYRKÄS, 2011). The issue when classifying patients as either high or low risk is the prediction is not accurate.
Before implementing this new suggestion, we needed to carry out pre surveying to establish the staff competency in using the two tools by creating a voluntary survey via the web. We used 15 questions focusing on STRATIFY and MFS competency, the current program, and the existing data. The survey was conducted on the orthopedic staff members, and the participants logged in anonymously. In this case, they were anonymous to the management as well as the author. In terms of competency, the nursing staff was equally divided. 5 % had 3-5 years of experience, 50 % more than ten years, while 45 % had three years or less. After the pre-survey, we subjected the nurses to an online training course set up by the VA. The main intentions were imparting skills competency to see a proper application of the Stratify tool with the MFS. To test the effectivity of the training, we administered a test to all the participants who needed to earn at least a 97 grade to pass the competency test.
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The next survey was assessing whether the training, as well as the test, were beneficial. Based on specific questions related to the assessment of the fall risk as well as fall prevention, all the staff felt that hospital falls are a problem of great concern. In this regard, all the nurses felt that the training and the test were beneficial thing. Bearing in mind the seriousness of hospital falls amongst the patients, everything possible should be done to address the problem, such as rewards to maintain positive behavior (Gallion & Ashlee, 2015). To ensure that there is compliance with the training, the nurses would need to have a drive, and in this case, STALLING THE FALLING. Less falls would translate to qualification and, thus, fit for the reward.
References
CHAPMAN, J., BACHAND, D., & HYRKÄS, K. (2011). Testing the sensitivity, specificity and feasibility of four falls risk assessment tools in a clinical setting. Journal Of Nursing Management , 19 (1), 133-142. doi: 10.1111/j.1365-2834.2010.01218.x
Gallion, Ashlee D. (2015). Improving a Fall Prevention and Management Program in an Acute Care Setting. Doctor of NursingPractice Capstone Projects . 7.https://encompass.eku.edu/dnpcapstones/7
