In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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The issue of concern is the fall of patients. Hakamy et al. (2018) depict that the fall of patients may occur in any health setting and it may have devastating impacts on the healthcare standard of patients. As such, healthcare providers should help in the development of strategies to ensure that issues of fall are eliminated. The call for the development of measures to manage fall is attributed to the negative impacts that it could have on the patients. The issue of falls may result from a lack of understanding of risks of fall or it could arise from any other factor as depicted by King et al. (2018).

Problem statement

According to Ramasamy (2019), cases of falls affect patients of all ages but the elderly population is the one that is largely affected by the concern. The elderly population is at a higher risk due to their poor gait. The population is therefore faced with an increasing need for the development of their health. Cases of fall of patients in acute care may end up causing patients to stay for a longer period as affirmed by Zhao et al. (2019). The issue would as well cause the patients to suffer injuries that are permanent or it could result in the death of the patient (Abdalla et al., 2018).

Purpose of the change proposal

The change proposal is to help in the determination of the impacts of cases of fall of elderly patients and the efforts that are taken by healthcare providers in the process of care. The proposed strategy that is being assessed is the use of sensor alarms to help in the identification of risks of falls.


For elderly patients who are in an acute care setting (P), does the use of sensor alarms in identifying risks of fall (I) as compared to lack of use of sensor alarms (C) help in the reduction of issues of fall of patients (O) after three months (T)?

Population: Elderly patients who are in an acute care setting

Intervention: use of sensor alarms in identifying risks of fall

Comparison: Lack of use of sensor alarms

Outcome: Reduction of issues of fall of patients

Time: Three months…

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