| Direct Benefits | When will the direct benefits be achieved | By when should data be collected to measure whether the benefits have been achieved |
| Availability of competent and highly skilled clinical staff for screening and conducting activities on the prevention of falls in the facilities. 80 Clinical staff will be trained and required to observe the National Guidelines on service delivery. | Between November 2020 to February 2021 | After the training, the staff will be observed and their conduct and activities evaluated. This will be a continuous process to which the staff will completely evaluate by the end of February 2021. Engagement of the patient on how they like the care by the staff will be utilized in the data collection. The 80 clinical officers from the 6 facilities will be provided with the Discharge manual and community rehabilitation services by the end of December. Training materials will be given to the clinical staff containing the various misconceptions of National guidelines (Clemson, et al 2010). |
| Utilization of the risk assessment methods by the caregivers and the clinical staff in the 6 facilities. | March 2021 to June 2021 | By March 2021, the staff will be observed on a planned basis to assess and determine the quality of care the patients are receiving across all six facilities. Interviews will be conducted to validate the use of the methods directed as per the FRAM for better care. This will as well be done in the collaboration of the carer, patient, and the administration of the respective facility. |
| More self-identification cases across the facilities. | August 2021 | At the end of April 2021, the facility records will be read and evaluated to determine the number of cases received since the initiative to instil confidence among the residents was affected. This will be done continuously like monthly, to capture the data for comparison. |
| Reduced cases of inpatient fall by rolling from bed or within the facilities | July 2021 | By the end of July, the facilities will be observed and preventive measures employed or installed are evaluated. The purchase of lower beds for the patients will be investigated and recorded. The number of reported cases of falls within the facilities will be identified and scrutinized to represent the major issue of the bed falls among the patients (Clemson, et al 2010). |
| The motivation of the staff in the application of the fall risk assessment methods to prevent further falls | September 2021 | Immediately after the program is established, the staff morale will be evaluated through observation in the service delivery and implementation of the management methods and procedures. Interviewing the staff on what they feel about the project and their opinions will be conducted confidentially. Residents of these facilities will also be interviewed to validate the data required to make the care more advanced and effective. |
| Indirect benefits | When will the indirect benefits be achieved | By when data should be collected to measure benefits have been achieved |
| Improved facility image and services across the region through improved care | After February 2021 | This will be measured by the number of new patient enrolment into the facility after the completion of the training sessions. The staff will be expected to do their best in preventing and screening the patients effectively. This will reduce the cases of the wrong diagnosis hence proper treatment that will satisfy the residents. Facility records will be availed and evaluated to ascertain the latter. |
| Lower future cost on the proper implementation of the fall risk assessment approaches | Beyond June 2021 | After a proper and effective installation and application of the fall management activities within the facilities, the cost of treating these patients will be lower as few cases will be reported. This is beneficial to the facility and also the patient who will benefit as the risk of falls will have been alleviated. The patients will be interviewed to expose the picture of the current care by the staff and their feelings and opinions on the same. Throughout the process, these views will be collected and evaluated accordingly (Lord, et al 2011). |
| Reduced costs of screening and wrong treatment | April 2021 | Through the one-on-one sessions with the residents across the facilities, there will be improved communication between the patient and the care staff, and the doctors. This will enable the patients’ diagnosis to be accurate as they will be confident of what happened to them. Consequently, the costs associated with trial attempts to discern the underlying issue will be reverted. A lot of medication for the wrong problems will be diverted. |
| Reduced future cases of bed fall by rolling | Beyond July 2021 | Through the installment and purchase of lower beds, the patients will be able to move out and into the beds without falling. Fewer cases of bed falls will be recorded in the future on the adoption of the latter. Future patient mobility will be enhanced and improved through better surface constructions and other enrichers (Mitchell, et al 2018). |
| Competent and available care staff | After February 2021 | Through training, the facilities will own a pool of qualified staff who will be readily tasked to take care of the patients across the facilities. The future of the facilities will be guaranteed through the latter. However, proper motivational programs including enough remuneration and other incentives must be incorporated to ensure the benefit. |
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Direct Benefits
When will the direct benefits be achieved
By when should data be collected to measure whether the benefits have been achieved
Availability of competent and highly skilled clinical staff for screening and conducting activities on the prevention of falls in the facilities. 80 Clinical staff will be trained and required to observe the National Guidelines on service delivery.
Between November 2020 to February 2021
After the training, the staff will be observed and their conduct and activities evaluated. This will be a continuous process to which the staff will completely evaluate by the end of February 2021. Engagement of the patient on how they like the care by the staff will be utilized in the data collection. The 80 clinical officers from the 6 facilities will be provided with the Discharge manual and community rehabilitation services by the end of December. Training materials will be given to the clinical staff containing the various misconceptions of National guidelines (Clemson, et al 2010).
Utilization of the risk assessment methods by the caregivers and the clinical staff in the 6 facilities.
March 2021 to June 2021
By March 2021, the staff will be observed on a planned basis to assess and determine the quality of care the patients are receiving across all six facilities. Interviews will be conducted to validate the use of the methods directed as per the FRAM for better care. This will as well be done in the collaboration of the carer, patient, and the administration of the respective facility.
More self-identification cases across the facilities.
August 2021
At the end of April 2021, the facility records will be read and evaluated to determine the number of cases received since the initiative to instil confidence among the residents was affected. This will be done continuously like monthly, to capture the data for comparison.
Reduced cases of inpatient fall by rolling from bed or within the facilities
July 2021
By the end of July, the facilities will be observed and preventive measures employed or installed are evaluated. The purchase of lower beds for the patients will be investigated and recorded. The number of reported cases of falls within the facilities will be identified and scrutinized to represent the major issue of the bed falls among the patients (Clemson, et al 2010).
The motivation of the staff in the application of the fall risk assessment methods to prevent further falls
September 2021
Immediately after the program is established, the staff morale will be evaluated through observation in the service delivery and implementation of the management methods and procedures. Interviewing the staff on what they feel about the project and their opinions will be conducted confidentially. Residents of these facilities will also be interviewed to validate the data required to make the care more advanced and effective.
Indirect benefits
When will the indirect benefits be achieved
By when data should be collected to measure benefits have been achieved
Improved facility image and services across the region through improved care
After February 2021
This will be measured by the number of new patient enrolment into the facility after the completion of the training sessions. The staff will be expected to do their best in preventing and screening the patients effectively. This will reduce the cases of the wrong diagnosis hence proper treatment that will satisfy the residents. Facility records will be availed and evaluated to ascertain the latter.
Lower future cost on the proper implementation of the fall risk assessment approaches
Beyond June 2021
After a proper and effective installation and application of the fall management activities within the facilities, the cost of treating these patients will be lower as few cases will be reported. This is beneficial to the facility and also the patient who will benefit as the risk of falls will have been alleviated. The patients will be interviewed to expose the picture of the current care by the staff and their feelings and opinions on the same. Throughout the process, these views will be collected and evaluated accordingly (Lord, et al 2011).
Reduced costs of screening and wrong treatment
April 2021
Through the one-on-one sessions with the residents across the facilities, there will be improved communication between the patient and the care staff, and the doctors. This will enable the patients’ diagnosis to be accurate as they will be confident of what happened to them. Consequently, the costs associated with trial attempts to discern the underlying issue will be reverted. A lot of medication for the wrong problems will be diverted.
Reduced future cases of bed fall by rolling
Beyond July 2021
Through the installment and purchase of lower beds, the patients will be able to move out and into the beds without falling. Fewer cases of bed falls will be recorded in the future on the adoption of the latter. Future patient mobility will be enhanced and improved through better surface constructions and other enrichers (Mitchell, et al 2018).
Competent and available care staff
After February 2021
Through training, the facilities will own a pool of qualified staff who will be readily tasked to take care of the patients across the facilities. The future of the facilities will be guaranteed through the latter. However, proper motivational programs including enough remuneration and other incentives must be incorporated to ensure the benefit.
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Direct Benefits
When will the direct benefits be achieved
By when should data be collected to measure whether the benefits have been achieved
Availability of competent and highly skilled clinical staff for screening and conducting activities on the prevention of falls in the facilities. 80 Clinical staff will be trained and required to observe the National Guidelines on service delivery.
Between November 2020 to February 2021
After the training, the staff will be observed and their conduct and activities evaluated. This will be a continuous process to which the staff will completely evaluate by the end of February 2021. Engagement of the patient on how they like the care by the staff will be utilized in the data collection. The 80 clinical officers from the 6 facilities will be provided with the Discharge manual and community rehabilitation services by the end of December. Training materials will be given to the clinical staff containing the various misconceptions of National guidelines (Clemson, et al 2010).
Utilization of the risk assessment methods by the caregivers and the clinical staff in the 6 facilities.
March 2021 to June 2021
By March 2021, the staff will be observed on a planned basis to assess and determine the quality of care the patients are receiving across all six facilities. Interviews will be conducted to validate the use of the methods directed as per the FRAM for better care. This will as well be done in the collaboration of the carer, patient, and the administration of the respective facility.
More self-identification cases across the facilities.
August 2021
At the end of April 2021, the facility records will be read and evaluated to determine the number of cases received since the initiative to instil confidence among the residents was affected. This will be done continuously like monthly, to capture the data for comparison.
Reduced cases of inpatient fall by rolling from bed or within the facilities
July 2021
By the end of July, the facilities will be observed and preventive measures employed or installed are evaluated. The purchase of lower beds for the patients will be investigated and recorded. The number of reported cases of falls within the facilities will be identified and scrutinized to represent the major issue of the bed falls among the patients (Clemson, et al 2010).
The motivation of the staff in the application of the fall risk assessment methods to prevent further falls
September 2021
Immediately after the program is established, the staff morale will be evaluated through observation in the service delivery and implementation of the management methods and procedures. Interviewing the staff on what they feel about the project and their opinions will be conducted confidentially. Residents of these facilities will also be interviewed to validate the data required to make the care more advanced and effective.
Indirect benefits
When will the indirect benefits be achieved
By when data should be collected to measure benefits have been achieved
Improved facility image and services across the region through improved care
After February 2021
This will be measured by the number of new patient enrolment into the facility after the completion of the training sessions. The staff will be expected to do their best in preventing and screening the patients effectively. This will reduce the cases of the wrong diagnosis hence proper treatment that will satisfy the residents. Facility records will be availed and evaluated to ascertain the latter.
Lower future cost on the proper implementation of the fall risk assessment approaches
Beyond June 2021
After a proper and effective installation and application of the fall management activities within the facilities, the cost of treating these patients will be lower as few cases will be reported. This is beneficial to the facility and also the patient who will benefit as the risk of falls will have been alleviated. The patients will be interviewed to expose the picture of the current care by the staff and their feelings and opinions on the same. Throughout the process, these views will be collected and evaluated accordingly (Lord, et al 2011).
Reduced costs of screening and wrong treatment
April 2021
Through the one-on-one sessions with the residents across the facilities, there will be improved communication between the patient and the care staff, and the doctors. This will enable the patients’ diagnosis to be accurate as they will be confident of what happened to them. Consequently, the costs associated with trial attempts to discern the underlying issue will be reverted. A lot of medication for the wrong problems will be diverted.
Reduced future cases of bed fall by rolling
Beyond July 2021
Through the installment and purchase of lower beds, the patients will be able to move out and into the beds without falling. Fewer cases of bed falls will be recorded in the future on the adoption of the latter. Future patient mobility will be enhanced and improved through better surface constructions and other enrichers (Mitchell, et al 2018).
Competent and available care staff
After February 2021
Through training, the facilities will own a pool of qualified staff who will be readily tasked to take care of the patients across the facilities. The future of the facilities will be guaranteed through the latter. However, proper motivational programs including enough remuneration and other incentives must be incorporated to ensure the benefit.
References
Barker, A. L., Morello, R. T., Ayton, D. R., Hill, K. D., Landgren, F. S., & Brand, C. A. (2016). Development of an implementation plan for the 6-PACK falls prevention programme as part of a randomised controlled trial: protocol for a series of preimplementation studies. Injury prevention, 22(6), 446-452.
Campbell, D. T. (2017). Factors relevant to the validity of experiments in social settings. In Sociological methods (pp. 243-263). Routledge.
Clemson, L., Finch, C. F., Hill, K. D., & Lewin, G. (2010). Fall prevention in Australia: policies and activities. Clinics in geriatric medicine, 26(4), 733-749.
Lord, S. R., Sherrington, C., Cameron, I. D., & Close, J. C. (2011). Implementing falls prevention research into policy and practice in Australia: past, present and future. Journal of safety research, 42(6), 517-520.
Lord, S. R. (2010). Fall prevention in Australia—current research and knowledge translation initiatives. In Canadian Fall Prevention Conference: transforming knowledge to action. Vancouver, BC.
Mitchell, D., Raymond, M., Jellett, J., Webb-St Mart, M., Boyd, L., Botti, M., … & Haines, T. (2018). Where are falls prevention resources allocated by hospitals and what do they cost? A cross sectional survey using semi-structured interviews of key informants at six Australian health services. International journal of nursing studies, 86, 52-59.
Sævareid, T. J. L. (2019). Advance care planning in nursing homes–A mixed methods study of a complex intervention using a whole-ward approach.
