Qualitative
vanievi
docx23.docx
Literature Evaluation Table
Student Name: Vanessa Noa
Summary of Clinical Issue :
The main topic is falls in patients with dementia. The change topic is preventing falls in patients with dementia.
PICOT question: In patient with dementia(P) how the use of alarms (I) instead of floor mat(C) can prevent patient’s fall (O)within the first 3 months of use (T)
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Criteria |
Article 1 |
Article 2 |
Article 3 |
Article 4 |
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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
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Bray, J., Evans, S., Bruce, M., Carter, C., Brooker, D., Milosevic, S. & Hutt, L.
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Hays, K.
https://digitalcommons.otterbein.edu/cgi/viewcontent.cgi?article=1004&context=stu_doc |
Lim, S. C.
https://www.oatext.com/managing-the-elderly-with-dementia-and-frequent-falls.php |
Rochester, L., Lord, S., Yarnall, A. J., & Burn, D. J.
https://link.springer.com/chapter/10.1007/978-1-4471-6365-7_3 |
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Article Title and Year Published
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Improving activity and engagement for patients with dementia. (2015) |
Advanced Practice Nurses Knowledge and Use of Fall Prevention Guidelines. (2015) |
Managing the elderly with dementia and frequent falls.(2017) |
Falls in Patients with Dementia(2014) |
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Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
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The hypothesis of this article is to improve relationships between staff and patients with dementia in hospitals and give staff more time with patients. The aim of the study is increasing activity and engagement for patients with dementia to reduce disconnect and poor engagement between staff and patients. |
The hypothesis and knowledge of this article are to increase knowledge for practice nurses and to use prevention strategies for falls of these patients. |
The hypothesis is managing elderly patients with dementia who encounters frequent falls. The aim is to establish strategies to manage these patients. |
The hypothesis and aim of this article/study are to assess falls risk factors and mitigating strategies for falls. |
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Design (Type of Quantitative, or Type of Qualitative)
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Descriptive |
Quasi-experimental study |
Descriptive |
Descriptive |
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Setting/Sample
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Sample = 25 Setting: Acute care hospitals.
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Sample= 15 Setting: Acute care hospitals.
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Sample=20 Setting: a long-term care facility |
Sample=16 Setting: a long-term care facility |
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Methods: Intervention/Instruments
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Bridging gap between hospital staff and patients with dementia. |
Pre-intervention and post-intervention groups. |
Individualized interventions and exercise programme. |
Individualized interventions |
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Analysis
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SPSS |
Pre-intervention and post-intervention groups. |
Elderly are prone to develop adverse drug reactions that require hospitalizations and almost 90% of the negative reactions are preventable. |
Falls are risky for elderly patients and require mitigation. |
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Key Findings
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Increased activity and engagement lead to improved connect and relationships between staff and patients. |
Improved knowledge for practice nurses leads to increased prevention strategies for patients with dementia. |
If well-managed, patients with dementia and frequent falls can indicate improvements. |
Falls are common for elderly patients with dementia. |
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Recommendations
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Patients with dementia should engage in improved activity and relationships between patients and staff. |
Practice nurses should seek advanced knowledge to improve prevention strategies for patients with dementia. |
Caregivers in long-term care facilities and home care should apply strategies to manage patients with dementia and frequent falls. |
Caregivers in long-term care facilities and home care should establish therapeutic strategies for falls for patients with dementia. |
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Explanation of How the Article Supports EBP/Capstone Project
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The article uses evidence to come up with recommendations for patients with dementia. |
The article uses evidence of increase ng knowledge to improve prevention strategies for patients with dementia. |
The articles use prevention strategies as evidence to manage patients with dementia and frequent falls. |
The articles use therapeutic strategies as evidence for managing falls for patients with dementia. |
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Criteria |
Article 5 |
Article 6 |
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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
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Aizen, E.
https://europepmc.org/abstract/med/26168645 |
Knight, S., & Singh, I.
https://www.sciencedirect.com/science/article/pii/S2210833516300168 |
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Article Title and Year Published
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Falls in patients with dementia. (2015) |
Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multi-bedded wards(2016) |
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Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
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The research question for this article is, “how are dementia and falls related?” This study aims to find the link between dementia and falls. |
The research question for this article is, “assessing inpatient falls for patients with dementia.” |
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Design (Type of Quantitative, or Type of Qualitative)
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Quasi-experimental study |
Descriptive |
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Setting/Sample
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Sample = 25 Setting: long-term care facility
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Sample = 100 Setting: Acute care hospitals.
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Methods: Intervention/Instruments
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Therapeutic intervention strategies |
Therapeutic intervention strategies |
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Analysis
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SPSS |
SPSS |
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Key Findings
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The study indicated a link between dementia and falls for elderly patients. |
Inpatient falls in patients in dementia are continually increasing in acute care hospitals |
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Recommendations
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Dementia and falls for elderly patients are related. |
Inpatients fall for patients with dementia are common for elderlies. |
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Explanation of How the Article Supports EBP/Capstone
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The articles use therapeutic strategies as evidence for managing falls for patients with dementia. |
The articles use therapeutic strategies as evidence for managing falls for patients with dementia. |
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Bray, J., Evans, S., Bruce, M., Carter, C., Brooker, D., Milosevic, S. & Hutt, L. (2015). Improving activity and engagement for patients with dementia. Nursing older people, 27(8), 22-26.
Hays, K. (2015). Advanced Practice Nurses Knowledge and Use of Fall Prevention Guidelines. Philadelphia: Lippincott Williams & Wilkins.
LIM, S. C. (2017). Managing the elderly with dementia and frequent falls. New York, NY: Springer.
Rochester, L. L. (2014). Falls in patients with dementia. New York, NY: Springer Publishing Company.
Aizen, E. (2015). Falls in patients with dementia. Harefuah, 154(5), 323-6.
Knight, S., & Singh, I. (2016). Profile of inpatient falls in patients with dementia: a prospective comparative study between 100% single rooms and traditional multi-bedded wards. Journal of Clinical Gerontology and Geriatrics, 7(3), 87-92.
Eshkoor, S. A., Hamid, T. A., Nudin, S. S. A. H., & Mun, C. Y. (2014). Research on functional status, environmental conditions, and risk of falls in dementia — International Journal of Alzheimer’s disease, 2014.
Burton, E., Cavalheri, V., Adams, R., Browne, C. O., Bovery-Spencer, P., Fenton, A. M. & Hill, K. D. (2015). The effectiveness of exercise programs to reduce falls in older people with dementia living in the community: a systematic review and meta-analysis — clinical interventions in aging, 10, 421.
