An Orientation Tour along with Fall Prevention Education - Coursework Example

Project Milestone PICOT& Literature Review Worksheet PICOT Worksheet Your Purpose: To identify a problem or concern that nursing can change and select key words for a literature search. Directions:Use the form below to complete the PICOT assignment in Milestone #1. This includes filling in the table with information about your research question and your PICO(T) elements, as well as answering the Search Technique questions. Step 1: Identify the Problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Determine the focus of the research question – Assessment, Diagnosis, Etiology, Prevention, Prognosis, or Therapy. Step 2: Identify a potential solution. Do you have an idea of what could be done to solve the problem? Step 3:Create your research question. State your full question. For example: For new students entering an online program would a mandatory orientation course improve retention by increasing computer literacy and professional writing proficiency? Step 4:Select the key PICOT terms for searching the evidence.Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? In the above example the PICOT search terms would be: P = students entering online program I = mandatory orientation C= elective orientation or none O = increased retention T = second semester Your research question: Does an orientation tour along with fall prevention education for family members and patients on admission day lower the rate of falls of patients in long term care? Focus of the question: Strategies of lowering the rate of the elderly patient fall. Your PICO(T) Elements P = Patients(s) or problem Patient, patient population or presenting issue New admissions of elderly patients to long term care. I = Intervention underConsideration Orientation pre admission while patient is in the hospital before discharged, tour and fall prevention education provided on admission day for patients and family members. C = Comparison What is the current practice you are comparing to “I”? (This elementmay be implied or missing)  I will compare the rate of fall to tour with the family members alone to the unit prior to the admission without patient aware of the facility he/she is going to orientation tour with both patient and family members. O = Outcome What is the effect of the “I” on “P?” What is desired outcome? Lower the rates of patient falls. T = Time Is there a need to limit the timeframe for the intervention? This will be complete in 6 months. Search Techniques:Please answer the following questions below. 1. What three database(s) in the CCN library best address your research question (CINAHL, Cochrane, Medline, ERIC, (others; i.e. what subject heading would you use to perform your search)? The three data bases that properly address my research questions are CINAHL, Medline and Cochrane because of their relevance to the research question. 2. How can you focus or expand the search if initial search results are not satisfactory? One of the strategies I will use to expand the search would be refining the search statement, choosing the appropriate data base, using more focused key words, opting for advanced search as well as Boolean search. In addition, controlling the language and vocabulary can also be used in expanding my search. 3. Describe ways you might refine your general search to reduce the number of results from your search. Can you use the EBSCO subject headings? What about the advanced search option using Boolean limiters such as AND. Once you have a reasonable number of relevant search results (10-30) what final limiters will, you set to reduce the search results further (i.e., English language limiter, age limiters, publication year limiters, peer-reviewedjournallimiter, and/or human subject limiter)? The use of advanced search or the Boolean search is effective ways of refining the general research. The EBSCO database presents an opportunity for the use of headings of the intended subject which I can successfully use to define my subject. Moreover, using the option of AND, OR and NOT which are the Boolean limiters can serve as a strategy of refining my research. The limiter AND is used to narrow down the research while OR is used when broadening the search and usually synonyms are used. On the other hand, NOT is used to narrow down the search. After obtaining about 10-30 results, I will rely on other limiters which will include the option of English language and age limit of patients above 70 years old, a publication year limiter, and opting for journal articles that are not ten years old. My research will consider both peer reviewed articles and others that have not been peer reviewed. Literature Review Worksheet Your Name: Date: Your Instructor’s Name: Purpose: To find evidence to support an intervention that will change the outcomes. Directions: Type your search question below. Find AT LEAST SIX (6) studies to support the need for change and the potential intervention you have selected to solve the problem. Using the table below, insert and describe your six chosen research articles. Search Question: Does an orientation tour along with fall prevention education for family members and patients on admission day lower the rate of falls of patients in long term care?  APA Reference for Article Give the APA-formatted reference for the article. Check your APA manual (Chapter 7) for correct reference format. Built in APA formats and library citations may not be in the correct format. Peer Reviewed Identify whether it is peer reviewed or not Brief Description of Research Address the question regarding how the information in the article applies to the project problem or proposed intervention. Summarize in your own words. Type of Research Indicate if the article describes qualitative research, quantitative research, a systematic review, a meta-analysis, or expert opinion. Discuss why this type of research is significant to the project. Study Outcomes/ Recommendations Describe if the study sample is large and global enough so that conclusions can be generalized to other populations. Can you take the study recommendations and use them as a guide? Is there a research tool you can use? 1 Poloni, L., Ghisla, M., Loda, C., Baroni, F., Firetto, S., Agostini, C., & ... Facchi, E. (2012). How to intervene to prevent and reduce the risk of falls in geriatric patients admitted to a rehabilitation unit. Giornale Di Gerontologia, 60(2), 82-87. The article has not been peer reviewed. The article is relevant as it offers a discussion of the strategies that are used to prevent falls in admitted elderly patients. The paper is a systematic review which considers the findings in other primary researches. Since it is a systematic review, it proves reliable and can be used in making generalizations. The recommendations in the article can be used in practice. 2 Swann, J. I. (2013). How to...prevent and manage falls in the care home. Nursing & Residential Care, 15(7), 488. The article has been double blind peer reviewed. The article addresses the research question because it discusses how falls of elderly people in a care home can be prevented. The article is a systematic review which makes it significant because it offers findings from a range of primary researches. The recommendations of the study can be applied in practice and the findings can be generalized to a large population. 3 Wu, L., Li, Y., Hu, X., & Liao, Z. (2012). [Prevention of falls of hospitalized elderly patients using clinical pathway]. Sichuan Da Xue Xue Bao. Yi Xue Ban = Journal Of Sichuan University. Medical Science Edition, 43(2), 222-225. The article has not been peer reviewed. The article is relevant to the current project because it sought to establish the effective strategies that could be used to lower the risk of falls in hospitalized elderly patients. This was a quantitative research which was significant because it offered statistics of the rate of falls and the efficiency level of the strategies of preventing falls. A large sample of patients was used making the study applicable to larger populations. Moreover, the recommendations presented in the article can be used as a guide in practice. 4 Healey, F., & Darowski, A. (2012). Older patients and falls in hospital. Clinical Risk, 18(5), 170-176. doi:10.1258/cr.2012.012020. The article has been expert peer reviewed. The article describes the numerous factors of assessment and the strategies of intervention in a bid to reduce the falls of elderly patients. The authors carried out a systematic review of previous research trials and brought together findings from all the trials. Since the research conducted was a systematic review from multiple research trials, it can be applied to a large population and the recommendations a relevant to practice. 5 Gregory, K. L. (2013). Preventing Falls of the Elderly Patient. AARC Times, 37(10), 16-21. The article has not been peer reviewed. The article discusses how to prevent falls in hospitalized elderly patients. This article falls under the category of expert opinion as the author has experience in related issues. Since the author is an expert, the recommendations can be used as a guiding practice. 6 Jeske, L., Kolmer, V., Muth, M., Cerns, S., Moldenhaur, S., & Hook, M. (2006). Partnering with patients and families in designing visual cues to prevent falls in hospitalized elders. Journal Of Nursing Care Quality, 21(3), 236-241. The article has been peer reviewed. This article is related to the project because it discusses on how the design of visual cues can serve to reduce falls in elderly patients. The article is a systematic review of previous researches concerning the prevention of falls in elderly patients. Being a systematic review, the findings can be applied to large populations and the recommendations are relevant to the practice. Read More