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Addressing Falls Among Older Oncology Patients Through Complexity Science.

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Doctor of Nursing Practice (DNP) students can disrupt quality assurance by implementing an interdisciplinary fall prevention program in oncology clinics. This approach uses complexity leadership and the STEADI initiative to reduce fall risks in older adults with cancer.

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Area of Science:

  • Nursing Practice
  • Quality Improvement Science
  • Geriatric Oncology

Background:

  • Older adults with cancer have a higher risk of falls, which can negatively impact treatment and outcomes.
  • Oncology settings often lack routine fall screening, assessment, and prevention protocols.
  • Fall-related injuries in this population can lead to hospitalization, functional decline, and mortality.

Purpose of the Study:

  • To present an innovative, point-of-care, interdisciplinary approach to reduce high fall risk frequencies in ambulatory oncology clinics.
  • To leverage complexity leadership principles and Doctor of Nursing Practice (DNP) student competencies for organizational change.
  • To suggest replicable processes for nurse executives to address other clinical challenges.

Main Methods:

  • Utilized complexity theory to support grassroots, nonlinear change for emergence and adaptation.
  • Implemented the Centers for Disease Control and Prevention's STEADI (Stopping Elderly Accidents, Deaths, and Injuries) initiative.
  • Emphasized interdisciplinary collaboration, communication, and coordination among healthcare specialists.

Main Results:

  • Established a fall prevention quality improvement system process within an ambulatory healthcare organization.
  • Enabled oncology professionals to screen, assess, and intervene for fall risks.
  • Highlighted the role of DNP-educated nurses in leading large-scale change initiatives.

Conclusions:

  • An interdisciplinary, point-of-care approach, guided by complexity leadership, can effectively address fall risks in oncology.
  • The STEADI initiative provides a framework for fall prevention in ambulatory oncology settings.
  • DNP-prepared nurses are crucial for driving quality improvement and implementing evidence-based practices in complex healthcare environments.