Author Type

Graduate Student

Date of Award

Fall 12-2025

Document Type

Dissertation

Publication Status

Version of Record

Submission Date

December 2025

College Granting Degree

Christine E Lynn College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Thesis/Dissertation Advisor [Chair]

Katherine L. Chadwell

Abstract

Hospital falls remain a persistent and preventable cause of patient harm, emphasizing the need for continuous evaluation of fall prevention practices. This project assessed the effectiveness of AdventHealth Orlando’s fall prevention policy using the Centers for Disease Control and Prevention (CDC) Program Evaluation Framework. A mixed-methods design incorporated quantitative analysis of 12 months of fall data and qualitative feedback from frontline staff surveys and discussions. Results demonstrated a decrease in total falls from 549 in the previous year to 528 in the current year, indicating early progress despite the incomplete reporting period. Unit-level analysis showed a mean improvement of 16.9% following the most recent intervention rollout, though variability across service lines revealed inconsistencies in policy adherence and implementation. Staff feedback highlighted barriers such as workflow challenges, inconsistent training, and patient non-compliance, as well as opportunities to enhance the use of standardized tools, proactive toileting, visual cues, and individualized care planning. Guided by Sister Simone Roach’s Six C’s of Caring and the CDC evaluation standards, this project generated evidence-based recommendations to strengthen fall prevention strategies, improve staff competency and engagement, and support organizational goals for patient safety and Magnet readiness. Findings underscore the importance of replicable program evaluation processes, continuous quality monitoring, and compassionate, evidence-driven nursing practice to reduce inpatient falls and promote a culture of safety.

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