Professional Capstone and practicum

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Natalie Callis, Applied nursing research link: https://www.sciencedirect.com/science/article/pii/S0897189715001056

Guirguis-Blake, J. M., Michael, Y. L., Perdue, L. A., Coppola, E. L., & Beil, T. L. Link: https://jamanetwork.com/journals/jama/article-abstract/2678103

Joseph, A., Henriksen, K., & Malone, E. (2018). Health Affairs. Link: https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2018.0643

Shaw & Kiegaldie,

Article Title and Year Published

Falls prevention: Identification of predictive fall risk factors, (2016)

Interventions to Prevent Falls in Older Adults. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force (2018)

The Architecture Of Safety: An Emerging Priority For Improving Patient Safety (2018)

Educating hospital patients to prevent falls: protocol for a scoping review (2019)

Research Questions (Qualitative)/Hypothesis (Quantitative), : and Purposes/Aim of Study

Provide a comprehensive literature review in an attempt to synthesize research evidence regarding the risk factors that contribute to patient falls in healthcare facilities.

To systematically review the literature regarding the effectiveness and harms of fall prevention interventions in community-dwelling older adults to inform the US Preventive Services Task Force.

The goal of the study is to summarize the key findings linking safety outcomes, healthcare falls and infection, injuries and medical errors. In addition, the article reviews facility designs, legislation in safety and quality improvement and the role of the different stakeholders in healthcare.

To explore the implementation of patient education in reducing falls as captured in research. This includes the content of patient education, the education design and the outcomes or results of patient education.

Design (Type of Quantitative, or Type of Qualitative)

Qualitative

Qualitative and quantitative

Narrative review

Systematic review

Setting/Sample

Review of existing documentation

Randomized clinical trials of interventions to prevent falls in community-dwelling adults 65 years and older.

Review of existing documentation. 45 publications reviewed

PubMed, CINAHL, Cochrane Central Register of Controlled Trials, Allied and Complementary Medicine Database, PsychINFO, Education Resources Information Center. 34 publications reviewed

Methods: Intervention/Instruments

Literature review

Literature review, Randomized clinical trials

Literature review

Literature review. Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR)

Analysis

Descriptive analysis

Random-effects meta-analysis and independent review by two reviewers.

Content analysis

Narrative analysis, thematic analysis.

Key Findings

Communication failure, insufficient orientation and supervision, poor leadership and failure to observe safety protocols or procedure present patients with heightened risks for falling

Awareness and exercise trials had a significant reduction in the number of falls.

Education healthcare providers and creating sufficient support for relatives significantly reduce falls and their associated injuries.

There is a positive association between patient education and reduction in falls.

Recommendations

Need to train both healthcare givers on the risk factors of falls including psychological changes and organizational physical infrastructure.

Development of projects geared towards Increasing awareness and exercise to reduce the number of falls.

Need to increase research on falls and patient safety beyond inpatient to outpatient and long-time care.

There is a need for further research regarding the design of patient education.

Explanation of How the Article Supports EBP/Capstone Project

Provides an analysis of the potential risk factors which is useful in developing EBP interventions

The article provides important insights into the effectiveness of interventions aimed at reducing falls.

The article provides evidence from numerous sources with a focus on EBP projects hence rich in insights on EBP

The review maps the key elements regarding effective education of patient to prevent falls and provide insights on educational interventions that can help patients mitigate falling within hospitals

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Tricco, Thomas, Veroniki, Hamid, Cogo, Strifler & Riva, (2017). https://jamanetwork.com/journals/jama/article-abstract/2661578

Vlaeyen, Stas, Leysens, Van der Elst, Janssens, Dejaeger, & Milisen, International journal of nursing studies: https://www.sciencedirect.com/science/article/abs/pii/S0020748917300305

Cameron, Dyer, Panagoda, Murray, Hill, Cumming & Kerse. Cochrane database of systematic reviews. Link: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005465.pub4/abstract

Robalino, S., Nyakang’o, S. B., Beyer, F. R., Fox, C., & Allan, L. M. (2018) Systematic reviews Link: https://link.springer.com/article/10.1186/s13643-018-0697-6

Article Title and Year Published

Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. (2017)

Implementation of fall prevention in residential care facilities: A systematic review of barriers and facilitators. (2017)

Interventions for preventing falls in older people in care facilities and hospitals. (2018)

Effectiveness of interventions aimed at improving physical and psychological outcomes of fall-related injuries in people with dementia: a narrative systematic review (2018)

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

Assessing the potential effectiveness of the interventions used in reducing falls. What types of fall-prevention programs may be effective for reducing injurious falls in older people?

To identify the facilitators and barriers to fall prevention interventions in residential care facilities

To conduct an assessment of the interventions designed to reduce fall incidences among older people in hospitals and care facilities.

Assessing the effectiveness of interventions for improving the psychological and physical wellbeing of people suffering from dementia and who have sustained an injury due to falling

Design (Type of Quantitative, or Type of Qualitative)

A systematic review, meta-analysis

Quantitative Systematic review

Quantitative Systematic review

Systematic review

Setting/Sample

54 publications and 41596

Five databases (MEDLINE, EMBASE, CINAHL, PsycINFO, and Web of Science

Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017. Recorded 95 trials (138,164 participants),

 MEDLINE, CENTRAL, Health Management Information Consortium, EMBASE, CINAHL, Web of Science, Allied and Complementary Medicine Database, and Physiotherapy Evidence Database (PEDro).

Hospital wards

Methods: Intervention/Instruments

Literature review. Randomized clinical trials

Two independent reviewers. Mixed-Method Appraisal Tool for quality appraisal.

Literature review, Randomized clinical trials

Bespoke excel use in data extraction. Independent literature review. Cochrane risk of bias tool

Analysis

Network meta-analysis, pair-meta analysis and independent review

Thematic and descriptive analysis

Thematic and descriptive analysis, GRADE used to assess the quality of data

Narrative synthesis, Thematic analysis.

Key Findings

Increasing awareness, clinical quality-level improvement and exercise result in reduced falls.

Improved communication, physical infrastructure, awareness and adequate training facilitate EBP while staff shortage, huge workloads, skill deficiency and stress act as barriers.

There is inadequate support to show that vitamin D supplementation, exercises and multifactorial interventions had any impact on reducing falls

There was a high variability bin the outcomes of the studies due to focus on specific areas leading to a huge heterogeneity

Recommendations

The values of caregivers and patients influence the choice and preference for intervention. There is a need for additional research on the same.

Need to consider organizational and local factors such as the social factors that influence the behaviour of individuals within a community when designing an EBP project

There is a need to develop strategies that address both the risk of falling and provide interventions to reduce the number of people who fall.

Need for studies that allow for a meta-analysis by ensuring reduced heterogeneity of the selected studies.

Explanation of How the Article Supports EBP/Capstone

Provides evidence regarding the potential for EBP projects to succeed based on a detailed review.

The study provides a wide list of the potential facilitators and barriers to the EBP project

The study analyses the evidence-based strategies that have been used in the past and their effectiveness in reducing falls.

The article provides evidence regarding the performance of intervention programs which is crucial to the EBP study.