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Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this assignment according to the APA guidelines found in the APA Style Guide,
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin.
ResearchCritique Guidelines
To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment.
Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.
Qualitative Study
Background of Study:
· Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
· How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
· Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
· List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
· Were the purpose and research questions related to the problem?
Method of Study:
· Were qualitative methods appropriate to answer the research questions?
· Did the author identify a specific perspective from which the study was developed? If so, what was it?
· Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
· Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
· Did the author evaluate or indicate the weaknesses of the available studies?
· Did the literature review include adequate information to build a logical argument?
· When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?
Results of Study
· What were the study findings?
· What are the implications to nursing?
· Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?
Ethical Considerations
· Was the study approved by an Institutional Review Board?
· Was patient privacy protected?
· Were there ethical considerations regarding the treatment or lack of?
Conclusion
· Emphasize the importance and congruity of the thesis statement.
· Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
· Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
· Integrate a summary of the knowledge learned.
Quantitative Study
Background of Study:
· Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
· How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
· Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
· List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
· Were the purpose and research questions related to the problem?
Methods of Study
· Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
· Was informed consent obtained from the subjects or participants?
· Did it seem that the subjects participated voluntarily in the study?
· Was institutional review board approval obtained from the agency in which the study was conducted?
· Are the major variables (independent and dependent variables) identified and defined? What were these variables?
· How were data collected in this study?
· What rationale did the author provide for using this data collection method?
· Identify the time period for data collection of the study.
· Describe the sequence of data collection events for a participant.
· Describe the data management and analysis methods used in the study.
· Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?
· What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?
Results of Study
· What is the researcher’s interpretation of findings?
· Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
· What limitations of the study were identified by researchers?
· Was there a coherent logic to the presentation of findings?
· What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?
· What suggestions are made for further studies?
Ethical Considerations
· Was the study approved by an Institutional Review Board?
· Was patient privacy protected?
· Were there ethical considerations regarding the treatment or lack of?
Conclusion
· Emphasize the importance and congruity of the thesis statement.
· Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
· Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
· Integrate a summary of the knowledge learned.
Reference
Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier.
© 2016. Grand Canyon University. All Rights Reserved.
4
Rubric for week 5.
A nursing practice problem is not clearly described and/or a PICOT statement is not included.
PICOT statement describes a nursing practice problem but lacks reliable sources.
PICOT statement describes a nursing practice problem and includes a few reliable sources.
PICOT statement articulates a nursing practice problem using supporting information from reliable sources.
PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
5.0 %Background of Study
Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.
Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.
5.0 %Method of Study
Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.
Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.
5.0 %Results of Study
Discussion of study results including findings and implications for nursing practice is incomplete.
Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.
5.0 %Ethical Considerations
Discussion of ethical considerations associated with the conduct of nursing research is incomplete.
Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.
5.0 %Conclusion
Conclusion does not summarize a critical appraisal and applicability of findings.
Conclusion is vague and does not discuss importance to nursing.
Conclusion summarizes utility of the research and importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.
10.0 %Evidence of Revision
Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.
Incorporation of research critique feedback or evidence of revision is incomplete.
Incorporation of research critique feedback and evidence of revision are present.
Evidence of incorporation of research critique feedback and revision is clearly provided.
Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
10.0 %PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.
10.0 %Proposed Evidence-Based Practice Change (C. 3.2)
The proposed evidence-based practice change is not included.
The proposed evidence-based practice change is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details.
The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.
The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.
30.0 %Organization and Effectiveness
10.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
10.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Running Head: QUALITATIVE RESEARCH CRITIQUE
1
QUALITATIVE RESEARCH CRITIQUE
6
Qualitative Research Critique and
Ethical Considerations
Name
School
Course
Tutor
01/29/18
Qualitative Research Critique and Ethical Considerations
Emergent trends indicate that offering efficient care to the old and frail adults has become an important aspect of healthcare reforms. For instance, fall-prevention technology is being appreciated as one way of improving outcomes, especially when the clients are to remain in nursing homes (Burns & Grove, 2011). Numerous studies have been undertaken to determine the number and scope of emergency room visits and readmission among the older people using fall-prevention technology technologies versus those enjoying the usual care (Vandenberg, van Beijnum, Overdevest, Capezuti, & Johnson, 2017).
According to Vandenberg et al. (2017), the use of fall-prevention technology technologies gives the patients a sense of security and their confidence is boosted even as they choose to remain in nursing homes. There is also the analysis how this kind of technology impact on the workflow. This paper is a critical analysis of Vandenberg et al. (2017), and it aims at bringing out the issues which motivated them into conducting this research, their choice of the methodology, results of their study, as well as ethical considerations.
Background of the Study
The Vandenberg et al. (2017) study was motivated by the need to understand if extended alarm services which utilized fall detectors as well as bed occupancy sensors ended-up streamlining the workflow. The target population is the members of the older generation in community dwellings, and these are people who have had recurrent falls. If the pieces of technology did streamline the workflow, the researcher hoped to recommend their use among this type of clients.
The researcher feels that such an understanding is paramount since it could avail significant and immediate gains in the social lives of those involved as well as their relatives and friends. Above all, the use could mean that the chances of ultimate recovery are exceptionally increased. Even though these devices are costly and some of the participants felt that they would not normally use them as it is an additional expense, they do appreciate that they are beneficial particularly in cases where individuals happen to fall badly. This is a scenario where people could really want to embrace the use of an emergent technology, but they keep on postponing the idea to delay the cost and hope that they may never have to incur it (Vandenberg et al., 2017).
In case it is determined that these devices are valuable, the researcher hopes to make a persuasive recommendation towards encouraging their use. This is a worthy course, and the goal is to answer the questions:
i. Is fall-prevention technology effective?
ii. What circumstances make fall-prevention technology intervention effective?
iii. Which patients stand to benefit the most from the interventions?
iv. When and for how long should they be utilized?
The first question determines the degree to which this emergent technology could be successful and produce the desired results. Of course, not in every scenario they could be thought of as coming in handy. Consequently, the second question is about those instances when they ought to be encouraged, that is, if they are indeed valuable. There is a host of patients needing assistance, and the third question is to determine who exactly need this. Some of the participants argue that they feel as if the technology invades their privacy, and hence the need to determine (through the inclusion of the fourth question) when and how the technology ought to be exploited
.
The Methodology of the Study
The qualitative methods are appropriate since the idea is to know people’s experiences. There is also the need to understand how the other stakeholders have felt about it. When responding to some of the questions posted to them, the respondents aired their feelings as well as the views that other people
have had about the idea of using fall-prevention technology. This study was clearly developed from the perspective of the client. It is all about the client since this is the center of focus (Vandenberg et al.,exam 2017).
The author worked hard to cite both qualitative and quantitative studies. Most of them were within the 5-year limit. At least this availed the understanding about the current trends, and the researcher had the basis for understanding the present as well as predicting the immediate future. In pinpointing the research gap, the researcher based their view on a host of past studies and although several did indicate the value of fall-prevention technology, just a handful touched on the aspect of confidence building. In fact, this
one still did not go far enough. It is based on this observation that Vandenberg et al. (2017) is anchored.
The Results of the Study
The findings have the capacity to make a positive contribution towards achieving rehabilitation
. This is especially in regard to those making recovery from fall experiences. One of the main challenges if using fall-prevention technology according to Vandenberg et al. (2017) is that the patients do not like the feeling of being controlled. They prefer controlling the tool instead. On the overall, nonetheless, this is a plus as explained by the researcher. It should be embraced in the timeliest manner possible (Vandenberg et al., 2017).
Even though the study has concluded that fall-prevention technology is really needed, professionals ought to ensure that an appropriate environment is created and facilitated to make this kind of monitoring helpful to all those involved. Fall-prevention technology would impact positively on nursing as a practice and, consequently, the various schools of nursing would need to start teaching it and also trying to improve on its administration. Every aspect of nursing stands to gain in the process, and Vandenberg et al. (2017) is a commendable contribution towards this effort
.
Ethical Considerations
This study was conducted with the approval of the Institutional Review Board, and the welfare of the human subjects of the activity was protected as much as possible. For instance, the guiding principles included the respect for the respondents, ensuring beneficence
, facilitation of justice during interviews, respect for the members of the targeted population and the community in general, as well as contextual caring. There was a collaborative model where researcher-participant relationship was established and natured. The respondents felt supported, and this was rewarding in the sense that they did open-up and made their views and concerns heard (Vandenberg et al., 2017).
Conclusion
Fall-prevention technology refers to the application of information as well as communication technologies in monitoring and transmitting data associated with the health statuses of the patients. They come in handy when the practitioner must observe and evaluate the physical conditions of individuals who happen to be geographically separated. The use of these electronic devices and associated software means that a practitioner does not have to embark on a journey to see the client uncritically. Such visits and resources
are allocated in accordance to the need (Vandenberg et al., 2017). Therefore, it is evident that this study did achieve remarkable success in regard to suggesting the kinds of improvements which could be made as a result of using fall-prevention technology.
Reference
Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier
Vandenberg, A.E., van Beijnum, B.J., Overdevest, V.G.P., Capezuti, E., & Johnson, T.M. (2017, July-Aug.). US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: A qualitative study. Geriatr Nurs, 38(4), 276-282. DOI: 10.1016/j.gerinurse.2016.11.005
�Nice job explaining the report but there shouldalso be an evaluaton of what was reported
�Examples of what was said?
�This paragraph is not clear
These questions should be answered
Did the author evaluate or indicate the weaknesses of the available studies?
Did the literature review include adequate information to build a logical argument?
�Why is this true?
�How does nursing gain?
�The elderly are a vulnerable population with regard to research
�It would be good to have a summary of what was learned.
Were there any weaknesses to this study or limitations?
Were there suggestions for further research?
Overall nice work Adeduntan
Please review the comments and see if you can add this information as corrections for week 5
Running Head: QUANTITATIVE RESEARCH CRITIQUE
1
QUANTITATIVE RESEARCH CRITIQUE
2
Quantitative Research Critique
Name
Institution
Course
Instructor’s Name
Date
Background of Study
Mehrolhasani et al. (2017) indicate that nurses get an average of about 30% of any hospital’s wage-bill. This is because they are a major part of the human resource. Considering that the human resources are allocated between 50 and 80% of the entire expenditure per financial year, it is apparent that the financial resources the nurses end-up getting is substantial. Without nurses, a hospital would find it hard to achieve its objectives.
According to Mehrolhasani et al. (2017), the success of nursing depends on how efficient these important stakeholders are. For instance, some of the clients who visit the emergency rooms are in dire conditions; and delays and/or mistakes would mean that their fate would worsen. The authors also indicate that over 28% of the clients who are seen at the emergency department end-up being hospitalized based on the seriousness of their cases. It follows that there is the need to improve on communication, bed planning, the ‘discharge by noon’ programs, the internal staffing pool, incentives, and also special assignments for patient transition units.
Considering that nursing is such a critical mission, Mehrolhasani et al. (2017) conducted the study with the intention to understand how their numbers and services could be optimized, particularly at the Emergency Department (or ED). The stated main objective is to assess the impact that optimal allocation of the members of staff has on the efficiency of service provision. The researchers used the Linear Programming Model which seeks to arrive at the optimal outcome with respect to planning and management of resources.
Even though the study does not list the research questions explicitly, it is evident that the researchers hoped to answer the following:
i. What potential gaps exist in facilitating quality improvement at the ED?
ii. How can the creative power of the ED be harnessed to optimize service delivery?
iii. How does the number of nurses at the ED help improve efficiency?
iv. Does the use of the linear programming (LP) technique help mitigate discrepancies at the ED?
Quality improvement in this case refers to the continuous and systematic actions which ultimately lead to the perfection of the care related services availed to the targeted group.
Method of Study
The study was conducted through the use of the Linear Programming (LP) model. A census was used to determine the study population, and this included every nurse in the ED as well as the clients visiting them. For the nurses, n=84 and n=3342 for the patients. Hospital information systems as well as the human resource database were utilized in obtaining these statistics. The optimum count of nurses in every shift was determined using the LP model (Mehrolhasani et al., 2017).
Literature review came in handy in determining the research gaps, and the researchers did also seek the relevant expert advice. The execution of the LP model was via the WinQSB software, and the WinQSB software was selected since it is one of the accurate and yet simplest to use in regards to solving problems of this nature. It is designed to facilitate the ease of data entry, and has several solution methods to pick from. Once every parameter has been analyzed, a comprehensible output is generated (Mehrolhasani et al., 2017).
The conceptual framework is not clear; but based on the objectives that the researchers had, the independent variables most likely included the potential gaps, creative power, the number of nurses, and the influence that the use of LP has. The researchers hoped to understand how each of these as well as how they together influence the optimization of service delivery. This is a resource-based view since it is about ascertaining the managerial framework which could be utilized to determine how strategic resources can be allocated and exploited towards gaining and maintaining the competitive advantage.
Results of Study
Prior to the implementation of the model, the researchers determined the numbers of nurses working in the night shift, morning shift, and the evening shift as 34, 26, and 24 respectively. Those who worked at the facility upon the running of the model numbered 62. This included 28 for the night shift, and 17 each for both morning and evening shifts. The number still reduced further following the completion of the sensitivity analysis (Mehrolhasani et al., 2017).
The argument is that whenever the current shifts at a hospital are changed and the nurses are allowed to commence working in various shifts, then their numbers can as well be lowered since there are reduced constraints. In essence, the hospitals suffer the cost of maintaining nurses whose presence is only needed until 11pm yet they register as working until 8 am. If the nurses started working in the middle of their current shifts, then the resolution of the LP model means that their presence and hence numbers can be optimized as much as possible (Mehrolhasani et al., 2017).
For this to happen, nonetheless, hospitals are required to avail complete and accurate pieces of data in order to ensure that assumptions are created in accordance to the kind of demands the hospital is having. Since the demand tends to fluctuate, there ought to be flexibility in determining the right number to be engaged. One thing that came-out when using the model is that it is inflexible and it can ruin groups’ decision making efforts; and this is due to its single-objective nature. Other ideal programming methods may need to be sought.
Ethical Considerations
The researchers appreciated that conflicting values, ambiguity, and other ethical issues do emerge while making decisions. This causes the lack of clarity in regards to composing and maintaining standards. The, therefore, sought to ensure that they have developed the moral principles which ought to be followed in regards to completing studies of this nature. The idea is to make it possible to respect the rights and welfare of the groups, individuals, and the community in general. The researchers were keen on averting any source of harm as a result of their experimental intervention.
Participants were safeguarded from any form of exploitation. The risk-benefits ratio was established for the subjects, and incase the risks were deemed to be significant, the researchers were willing to abandon the exercise. Above all, they did maintain respect, privacy, dignity, and nondisclosure promises to their fullest; and there was also fairness in the kind of treatment that the study subjects received. Finally, written consents were sought every time the need arose. In most of these cases, such consent was formally sought from the departmental offices.
Conclusion
Mehrolhasani et al. (2017) is about the optimization of the emergency department’s nursing at an educational hospital. The essence of the study is to understand the role that the human resources play at health facilities. This is revealed, analyzed, and discussed by taking a sample of trained and specialized nurses who are, indeed, the nucleus of every health system. Incidentally, those working at the emergency department are tasked with ensuring life and survival of their clients and hence a quantitative study of their success rate is important. The researchers managed to estimate that the number of nurses who used the LP was lesser than those who were permanently stationed at the ED. The discrepancy can be reduced if there is the scientific apprehension of the issues which influence the optimal allocation of nurses in flexible organizations.
References
Mehrolhasani, M.H., Mouseli, A., Vali, L., & Mastaneh, Z. (2017, Feb.). Quantitative optimization of emergency department’s nurses of an educational hospital: A case study. Electronic Physician, 9(2), 3803-3809. DOI: http://dx.doi.org/10.19082/3803
P I C O T ASSIGNMENT
QUESTION: What Is the effectiveness of restraints in reducing the occurrence of falls in patients 65 and over in nursing homes.
P – Patients 65 and over
I – Restraints
C – Besides safety alarm/rails
O – Decreased falls.
T – 1 year ( if needed)
PEER REVIEW ARTICLES – Qualitative
Research
1.
Vandenberg, Ann E.
Johnson, Theodore M., II
van Beijnum, Bert-Jan
Overdevest, Vera G. P.
Capezuti, Elizabeth
Source:
GERIATRIC NURSING
; JUL-AUG 2017, 38 4, p276-p282, 7p.
Publisher Copyright:
MOSBY-ELSEVIER
ISSN:
01974572
Document Type:
Journal
Author Keywords:
Fall prevention
Long-term care
Monitoring technology
Position monitors
Bed exit alarms
Pressure sensor mats
Alarm fatigue
KeyWords Plus:
LONG-TERM-CARE
OF-THE-ART
INTERVENTION
ADULTS
Abstract:
Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses’ environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning exchange with a Dutch nursing home. We constructed two case reports from interview and observational data and compared the magnitude of falls, safety cultures, and technology characteristics and effectiveness. Falls were a high-magnitude problem at the US site, with a collectively vigilant safety culture attending to non-directional audible alarms; falls were a low-magnitude problem at the NL site which employed customizable, infrared sensors that directed text alerts to assigned staff members’ mobile devices in patient-centered care culture. Across cases, 1) a coordinated communication system was essential in facilitating effective fall prevention alert response, and 2) nursing home safety culture is tightly associated with the chosen technological system. (C) 2016 Elsevier Inc. All rights reserved.
Language:
English
Accession Number:
000408180800002
Database:
Social Sciences Citation Index
Retrieved from
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000408180800002&site=eds-live&scope=site
2.
Horton K
Affiliation:
Centre for Research in
Nursing
and Midwifery Education, Division of Health and Social Care, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7TE United Kingdom. K.Horton@surrey.ac.uk
Source:
Journal of Rehabilitation Research & Development
(J REHABIL RES DEV), 2008; 45(8): 1183-119
4.
(12p)
Publication Type:
Journal Article – research, tables/charts
Language:
English
Major Subjects:
Accidental Falls
—
Prevention and Control
—
In Old Age
Accidents, Home
— Prevention and Control — In Old Age
Rehabilitation, Geriatric
Security Measures, Electronic
Telehealth
Minor Subjects:
Aged
;
Aged, 80 and Over
;
Community Living
;
Control (Psychology)
;
Descriptive Statistics
;
England
;
Fear
;
Female
;
Geriatric Assessment
;
Interviews
;
Male
;
Patient Compliance
;
Qualitative Studies
;
Thematic Analysis
;
Whites
;
Human
Abstract:
This
article
reports the qualitative element of an observational study that examined whether an extended alarm service using fall detectors and bed occupancy sensors could reduce fear of falling among community-dwelling older people who had recurrent falls. The 17 participants in the intervention group used the extended alarm service while the 18 in the control group used a standard pendant alarm. Individual interviews were tape-recorded and transcribed. The participants’ fall history and whether they were afraid of falling were also explored. Interview questions were grounded in theories relating to falls and queried participants in the intervention group about their expectations of and experiences with the use of telemonitoring devices; those in the control group were asked whether they would consider using such devices in the future. Key themes from the analysis were expectations, feelings of security, call center support, barriers to using assistive devices, and adherence and likelihood of using telemonitoring devices. Older people found that the use of telemonitoring gave them ‘a greater sense of security’ and enabled them to remain in their home. However, some found the devices ‘intrusive’ and did not feel they were in control of alerting the call center, which played a key role in their adherence to using the devices.
Journal Subset:
Allied Health; Blind Peer Reviewed; Peer Reviewed; USA
Special Interest:
Gerontologic Care
ISSN:
0748-7711
MEDLINE Info:
PMID: 19235119 NLM UID: 8410047
Entry Date:
20090626
Revision Date:
20151015
Accession Number:
105511991
Database:
CINAHL Complete
Retrieved from
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3.
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
; 2008, 45 8, p1183-p1194, 12p.
Publisher Copyright:
JOURNAL REHAB RES & DEV
ISSN:
07487711
Document Type:
Journal
Author Keywords:
assistive devices
bed occupancy sensor
community setting
fall detector
falls
fear of falling
observational study
older people
rehabilitation
telemonitoring
KeyWords Plus:
FEAR
EFFICACY
HOME
TELECARE
BALANCE
HEALTH
IMPACT
STATE
Abstract:
This article reports the qualitative element of an observational Study that examined whether an extended alarm service using fall detectors and bed occupancy sensors could reduce fear of falling among community-dwelling older people who had recurrent falls. The 17 participants in the intervention group used the extended alarm service while the 18 in the control group used a standard pendant alarm. Individual interviews were tape-recorded and transcribed. The participants’ fall history and whether they were afraid of falling were also explored. Interview questions were grounded in theories relating to falls and queried participants in the intervention group about their expectations of and experiences with the use of telemonitoring devices; those in the control group were asked whether they would consider using such devices in the future. Key themes from the analysis were expectations, feelings of security, call center support, barriers to using assistive devices, and adherence and likelihood Of using telemonitoring devices. Older people found that the use of telemonitoring gave them “a greater sense of security” and enabled them to remain in their home. However, some found the devices “intrusive” and did not feel they were in control of alerting the call center, which played a key role in their adherence to using the devices.
Language:
English
Accession Number:
000262456800008
Database:
Social Sciences Citation Index
Images:
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Table 1
Table 2
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Quantitative Research- Peer review
1.
Butcher M
Source:
Nursing &
Residential Care
(NURS RESIDENTIAL CARE), Feb2010; 12(2): 77-79. (3p)
Publication Type:
Journal Article – pictorial
Language:
English
Major Subjects:
Accidental Falls
— Prevention and Control
Beds and Mattresses
Liability, Legal
Organizational Compliance
Minor Subjects:
Patient Safety
; Residential Care;
Risk Assessment
Abstract:
This article looks at the background behind bed-rail regulation development and warns care home owners and managers that they have a legal requirement to implement systems to ensure.
Journal Subset:
Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland
ISSN:
1465-9301
MEDLINE Info:
NLM UID: 100897386
Entry Date:
20100402
Revision Date:
20150820
Accession Number:
105122268
Database:
CINAHL Complete
Retrieved from :
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2.
Hignett, Sue
Fray, Mike
Hignett, Sue
Sands, Gina
Fray, Mike
Xanthopoulou, Penny
Healey, Frances
Source:
AGE AND AGEING
; JUL 2013, 42 4, p531-p535, 5p.
Publisher Copyright:
OXFORD UNIV PRESS
ISSN:
00020729
Document Type:
Journal
Author Keywords:
bed rails
side rails
restraint
prevalence
rationale
older people
KeyWords Plus:
PHYSICAL RESTRAINTS
BEDRAILS
FALLS
CARE
HOSPITALS
DATABASE
SAFETY
RISK
Abstract:
Background: the design and use of bed rails has been contentious since the 1950s with benefits including safety, mobility support and access to bed controls and disadvantages associated with entrapment and restraint. Objective: to explore which bed designs and patient characteristics (mobility, cognitive status and age) influence the likelihood of rails being used on UK medical wards. Method: the use of rails was surveyed overnight at 18 hospitals between July 2010 and February 2011. Results: data were collected on 2,219 beds with 1,799 included (occupied). Eighty-six percent had rails attached; 52% had raised rails (42% had all raised). Adjusted logistic regression results suggest a significantly increased likelihood of rail use for (i) electric profiling beds and ultra low beds; (ii) > 80 years; (iii) described as having any level of confusion or mobility impairment. These variables together explained similar to 55% of the variance in rail use. The most frequently mentioned reason for raising rails was ‘to prevent falls from the bed’ (61%) especially for patients described as confused (75%). Conclusion: there were indications that rails were being used inappropriately (as a restraint) for both confused patients and those needing assistance to mobilise.
Language:
English
Accession Number:
000320855700021
Database:
Social Sciences Citation Index
Images:
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Retrieved from :
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3.
Melissa de Freitas Luzia
Miriam de Abreu Almeida
Amália de Fátima Lucena
Source:
Revista da Escola de Enfermagem da USP, Vol 48, Iss 4, Pp 632-640 (
2014
)
Publisher Information:
Universidade de São Paulo, 2014.
Publication Year:
2014
Collection:
LCC:Nursing
LCC:
Medicine
Subject Terms:
Diagnóstico de enfermería
Cuidados de enfermería
Accidentes por caídas
Pacientes internos
Hospitalización
Nursing
Medicine
Description:
Objective: Identifying the prescribed nursing care for hospitalized patients at risk of falls and comparing them with the interventions of the Nursing Interventions Classifications (NIC). Method: A cross-sectional study carried out in a university hospital in southern Brazil. It was a retrospective data collection in the nursing records system. The sample consisted of 174 adult patients admitted to medical and surgical units with the Nursing Diagnosis of Risk for falls. The prescribed care were compared with the NIC interventions by the cross-mapping method. Results: The most prevalent care were the following: keeping the bed rails, guiding patients/family regarding the risks and prevention of falls, keeping the bell within reach of patients, and maintaining patients’ belongings nearby, mapped in the interventions Environmental Management: safety and Fall Prevention. Conclusion: The treatment prescribed in clinical practice was corroborated by the NIC reference.
Document Type:
article
File Description:
electronic resource
Language:
English
Portuguese
Spanish; Castilian
ISSN:
1980-220X
0080-6234
Relation:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000400632&lng=en&tlng=en; https://doaj.org/toc/1980-220X
DOI:
10.1590/S0080-623420140000400009
Access URL:
https://doaj.org/article/c5e84bcf606f45bbba54b5aab2da3780
Rights:
Journal Licence: CC BY
Accession Number:
edsdoj.5e84bcf606f45bbba54b5aab2da3780
Database:
Directory of Open Access Journals
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4.
