Question

The nurse-manager notes an unacceptable rate of falls on the unit. Hourly rounds by nursing staff are initiated. What is the best method to determine that the change has made a difference?

1. Scores on client satisfaction surveys
2. surveys on staff's perception of the effectiveness
3. comparing fall rates after the rounds are initiated
4. documentation that the rounds are completed as scheduled

Answer 1

The most effective way to measure the impact of hourly nursing rounds on fall rates is by comparing fall rates before and after the implementation of the rounds.

Step-by-step explanation:

The best method to determine that the change (hourly rounds by nursing staff) has made a difference in reducing the rate of falls on the unit is by comparing fall rates after the implementation of the hourly rounds. This direct comparison provides measurable data that can be used to evaluate the impact of the intervention. While client satisfaction surveys, staff perceptions, and documentation are useful, they do not provide direct evidence of the change in fall rates, which is the primary outcome of interest.