PICOT
vanievi
LiteratureEvaluationTable.doc
Literature Evaluation Table
Student Name: Vanessa Noa
Change Topic (2-3 sentences): Patient safety is one of the pertinent issues in nursing home health care. The literature evaluation table summarizes the strength and relevance of eight peer-reviewed articles on the role of nurse education on fall prevention.
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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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Author: Howard Katrina Journal: MEDSURG Nursing |
Authors: Jang and Lee Journal: Educational Gerontology |
Authors: Kuhlenschmidt et al. Journal: Clinical Journal of Oncology Nursing |
Authors: Minnier et al. Journal: Creative Nursing |
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Article Title and Year Published
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Title: Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story Year: 2018 |
Title: The Effects of an Education Program on Home Renovation for Fall Prevention of Korean Older People Year: 2015 |
Title: Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial Year: 2016 |
Title: Four Smart Steps: Fall Prevention for Community-Dwelling Older Adults Year: 2019 |
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Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
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RQs: Why falls remain a challenging and complex problem What innovative measures can reduce patient falls Quantitative research Aim/purpose: To discuss a project that seeks to implement innovative measures that help decrease patient falls |
RQs: Does an education program on home renovation reduce falls among older people? Quantitative study Hypothesis: Appropriate education is crucial for fall prevention Aim/Purpose: To verify the impacts of an education program on home renovation for preventing falls among older adults |
RQs: Are there evidence-based interventions tailored to the perception of falls risk Quantitative study Aim/Purpose: To determine the effects of tailored, nurse-delivered interventions |
RQs: Do guides for fall prevention enhance older adults’ knowledge and awareness of fall risks. Quality improvement project Aim/Purpose: To implement a simple, author-designed guide for fall prevention among older adults dwelling in the community |
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Design (Type of Quantitative, or Type of Qualitative)
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Survey |
Quasi-experimental |
Randomized, controlled design |
Narrative model |
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Setting/Sample
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A team of clinical staff and leaders |
51 participants |
91 patient participants |
Senior center |
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Methods: Intervention/Instruments
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Open discussions to enable clinical staff to discuss concerns and provide feedback |
In-depth interviews and survey |
A two-group, controlled design. This design helped to test interventions in the bone marrow plantation unit |
The prevention program dubbed Four Smart Steps targeted community-dwelling older adults |
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Analysis
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Inadequate engagement of staff in fall prevention as well as post-fall processes is the greatest concern for the healthcare team |
The education program had a far-reaching effect on fall efficacy |
The differences between the two groups were examined using a paired McNemar’s test. |
Registered nurses implemented the project. The four steps of the program includes exercise, primary care, eye exams, and home safety |
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Key Findings
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A team effort would help curb patient falls |
Provision of appropriate education is an important intervention for preventing falls |
One-third of the patients were at a lower risk of falls. Statistically important difference in the proportion of at-risk patients |
Community-dwelling older people with enhanced education on fall prevention were able to live more independently |
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Recommendations
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Open discussions among team members on fall prevention strategies |
Education programs can be used to boost confidence as well as encourage preventive behaviors |
Tailoring education in keeping with the perceived risk of falls among patients |
Increasing community-dwelling older adults’ knowledge and awareness of safety. |
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Explanation of How the Article Supports EBP/Capstone Project
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The article supports the EBP project |
The arguments shows the article supports the EBP project |
The findings reveal that the article supports the EBP project |
The article clearly supports the EBP project |
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Criteria |
Article 5 |
Article 6 |
Article 7 |
Article 8 |
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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
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Author: Murray Elizabeth Journal: Pediatric Nursing |
Authors: Sullivan et al. Journal: Journal of Interprofessional Care |
Authors: Uymaz and Nahcivan Journal: Educational Gerontology |
Authors: Zhao et al. Journal of Nursing Administration |
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Article Title and Year Published
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Title: Quality Improvement. Implementing a Pediatric Fall Prevention Policy and Program Year: 2016 |
Title: Interprofessional education with a community fall prevention event Year: 2015 |
Title: Evaluation of a nurse-led fall prevention education program in Turkish nursing home residents Year: 2016 |
Title: Evidence on Fall and Injurious Fall Prevention Interventions in Acute Care Hospitals Year: 2019 |
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Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
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RQs: Do cognitive and physical abilities influence the risk of falls? Quantitative study Aim/Purpose: To determine how quality improvement initiatives reduce patient falls |
RQs: Do all healthcare professionals exhibit positive attitudes toward interprofessional teamwork Qualitative study Aim/Purpose: To describe the development of interprofessional education opportunity and assessment of the changes on student’s attitudes |
RQs: Do nurse-led education programs on fall prevention reduce the risk of falls? Qualitative study Aim/Purpose: To examine the impact of nurse-led education programs in Turkey |
RQs: What factors are associated with patient falls in acute care hospitals? Qualitative study Aim/Purpose: To highlight clinical implications of falls among adult inpatients |
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Design (Type of Quantitative, or Type of Qualitative)
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Correlational |
Observations |
Interviews |
Systematic review |
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Setting/Sample
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Pediatric settings |
Students drawn from 4 health science programs |
46 older adults |
Acute care hospitals |
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Methods: Intervention/Instruments
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Humpty Dumpty Fall Scale
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Interprofessional community service |
An interview form was used to collect data. Other instruments include Fall Behavioral Scale, Morse Fall Scale, and medication checklist |
Reviewing factors associated with injurious falls in acute care facilities |
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Analysis
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The Humpty Dumpty Fall Scale was used to assess the risk for falls |
The health programs include pharmacy, physical therapy, nursing, and physician assisted studies |
The elderly adults used in this study were 60 years and older. They could act independently in their day-to-day activities |
The article discussed the clinical implications of inpatient falls as well as analyzed factors contributing to injurious falls. |
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Key Findings
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The project played a pivotal part in preventing pediatric falls |
Interprofessional community service events offer an important approach to incorporate IPE. |
A nurse-led education program impacts the need to increase knowledge about development of protective fall behavior |
Current practices used to prevent falls have facilitated attempts to prevent injurious falls |
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Recommendations
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Pediatric staff involvement would influence success of the program. |
Positive attitude is vital to achieving the goals of interprofessional teamwork events. |
Increasing patient knowledge about medications will also help reduce the risk of falls |
Effective prevention of injurious falls will help ease financial burdens on patients and their families |
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Explanation of How the Article Supports EBP/Capstone
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Murray’s article partly supports the EBP project. It largely focuses on fall prevention among pediatric patients. |
The results show that the article fully supports the EBP project |
The article definitely supports the EBP project since it emphasizes awareness creation |
The article supports the EBP project thanks to its fall prevention practices |
References
Howard, K. (2018). Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story. MEDSURG Nursing, 27(6), 388–391.
Jang, M., & Lee, Y. (2015). The Effects of an Education Program on Home Renovation for Fall Prevention of Korean Older People. Educational Gerontology, 41(9), 653–669. https://doi.org/10.1080/03601277.2015.1033219
Kuhlenschmidt, M. L., Reeber, C., Wallace, C., Yanwen Chen, Barnholtz-Sloan, J., & Mazanec, S. R. (2016). Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial. Clinical Journal of Oncology Nursing, 20(1), 84–89. https://doi.org/10.1188/16.CJON.84-89
Minnier, W., Leggett, M., Persaud, I., & Breda, K. (2019). Four Smart Steps: Fall Prevention for Community-Dwelling Older Adults. Creative Nursing, 25(2), 169–175. https://doi.org/10.1891/1078-4535.25.2.169
Murray, E. (2016). Quality Improvement. Implementing a Pediatric Fall Prevention Policy and Program. Pediatric Nursing, 42(5), 256–259.
Sullivan, K., Charrette, A., Massey, C., Bartlett, D., Walker, C., Bond, I., … Fong, J. J. (2015). Interprofessional education with a community fall prevention event. Journal of Interprofessional Care, 29(4), 374–376. https://doi.org/10.3109/13561820.2014.969834
Uymaz, P. E., & Nahcivan, N. O. (2016). Evaluation of a nurse-led fall prevention education program in Turkish nursing home residents. Educational Gerontology, 42(5), 299–309. https://doi.org/10.1080/03601277.2015.1109403
Zhao, Y. (Lucy), Bott, M., He, J., Kim, H., Park, S. H., & Dunton, N. (2019). Evidence on Fall and Injurious Fall Prevention Interventions in Acute Care Hospitals. Journal of Nursing Administration, 49(2), 86–92. https://doi.org/10.1097/NNA.0000000000000715
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