Discussion: Geriatric Patient Falls Nursing Research

Discussion: Geriatric Patient Falls Nursing Research ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Geriatric Patient Falls Nursing Research In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Discussion: Geriatric Patient Falls Nursing Research Students will develop a 1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Bowie State NUR3165 Geriatric Patient Falls Nursing Research Background Problem statement Purpose of the change proposal PICOT Literature search strategy employed Evaluation of the literature Applicable change or nursing theory utilized Proposed implementation plan with outcome measures Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Appendix section, if tables, graphs, surveys, educational materials, etc. are created Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide. attachment_1 attachment_2 attachment_3 Literature Review Student Name Institution 9/22/19 Title of Your Paper Fall among the geriatric patients is a severe condition in the nursing facilities and hospitals will lead to a risk of injuries, death, decrease functional abilities, or prolonged stay in the hospitals. Geriatric patients have weak bones and muscles with poor coordination and balance, attending to personal self-care activities like bathing and attending the toilets needs is difficult (the Chu, 2017). Frequent monitoring by the nurses and the use of technology like the alarms are effective interventions to reduce the geriatric falls. The PICOT compares these interventions into having no interventions within the facility. If the nurses have a program developed over time that includes regular monitoring of the geriatric patients and then alarms are installed in the beds to respond to any form the number and severity of the falls will reduce. This part of the project is a literature review on various studies completed to demonstrate the effectiveness of these interventions. The review is based on four articles published within the last three years. A comparison of research questions -incorrect first level headingPlease see: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/apa_headings_and_seriation.html The research study by Burns, Haddad, and Parker, (2018) explores the fall prevention techniques which are used by various primary care providers. This study considers that there are different primary care providers like family practitioners, internists, and nurse practitioners treating the old patients. The PCPs are potentially using different approaches toward prevention of fall. The Chu, (2017), on the other hand, aims to find out what evidence-based interventions are useful in fall prevention by nurses. The research question is based on the fact that nurse education and fall prevention program is very crucial in fall prevention. While the study by Burns et al., (2018) is based on fall prevention role by all PCPs Chu, (2017) consider nurse role as central to fall prevention. Nurses can thus play a significant role in promoting evidence-based interventions to prevent fall and intervene when fall occurs to prevent severity. There are other research studies which specifically explore the effectiveness of the use of alarms and increased monitoring of the patients as interventions to reduce fall. Khalifa (2019) explores a set of strategies for the prevention of falls. The study analysis the strategies based on cost-effectiveness, considering that fall leads to increased complications, long stays, and increased costs in caring for the injured patients. The effectiveness in the use of information technology which includes monitor, alarms, real-time feedback on falls is part of the research question. Other interventions explored in the study include patient and staff education, patient exercises, and enhancing the environment. This study thus gives a comprehensive analysis of all the possible intervention strategies which can be used to prevent fall evaluating the use of alarms as one of the interventions. Radecki, Reynolds, and Kara (2018) respond to the patient perspective on fall prevention. Understanding fall prevention from the perspective of the patient is essential, and none of the other studies make this consideration. This will help in exploring the effectiveness of the use of alarms based on how patients would respond to them. This study considers that most of the fall prevention programs are clinicians centric. The research question is, thus, how various fall prevention strategies can be understood from the patient perspective, who is the key beneficiary. A comparison of sample populations The studies included in this literature review have unique and diverse study populations. Burns et al. (2018), study population is the primary care practitioners (PCP) who had participated in a 2014 DocStyles. The population size analyzed in the study was 1210 US PCPs which constituted of family practitioners, internists, and nurse practitioners. The study population was distributed as 537FPs, 461 internists, and 212 NPs. The Chu (2017), sample population are the nurses. The study is a literature review discussion of various findings related to fall and fall prevention role by nurses. In other words, this is not an empirical study but a literature review discussion about the problem. In one of the studies referenced in the review, the sample population is 160 patients sharing their experiences with fall and the role nurses play in prevention. Khalifa (2019), study sample populations are 381 studies which were published within 10- years and reporting fall for patients above 65 years. For Radecki et al., (2018), the sample population, on the other hand, are patient at an academic healthcare center, and 12 were selected to complete the semi-structured interviews. A Comparison of the Limitations of the Study The research studies included in the literature reviews has several limitations. Burns et al., (2018), primary limitation in the research is broad. The study is limited in its purpose and can only be use4d for general assessment. The research evaluates the fall prevention strategies from the perspective of all primary care practitioners. This leaves a significant gap into proposing specific cause of action. Further analysis should include a guideline that advocates for the most effective strategies and plans to implement them. The Chu (2017), on the other hand, includes abroad analysis of literature that relates to both the effects of falls and the various implementations for prevention. Khalifa (2019), study, on the other hand, is limited to an analysis of renowned interventions for reducing falls among older patients. The research does not include review new ways of reducing falls among older adults. This would be reinforced to exploring the reasons for falls and the criteria and circumstances which lead to the fall. Radecki et al. (2018), study primary limitation is on the choice is that results obtained on academic healthcare center may not be duplicated in other primary care settings handling chronic conditions among older adults. The greatest proportion of fall victims is older adults with chronic illness. Most of the research studies are thus limited to how well they explore the problem from the perspective of geriatric patients. A conclusion section, incorporating recommendations for further research This literature review shows that the problem of fall in the hospital is explored in recent research. These studies were published within the last three years and are thus are relevant to the healthcare institutions. The studies illustrate that there are various fall prevention strategies with nurse practitioners and registered nurses playing a significant role. The studies also illustrate the need for IT systems which include monitoring patients and the use of alarms. The recommendation for further research is to have a quantitative analysis that demonstrates a correlation between the use of each strategy and fall prevention. For instance, some of the short time response of alarms is frightening the patient and may trigger fall by another. This analysis is important to prove the effectiveness of this strategy. References Burns, E. R., Haddad, Y. K., & Parker, E. M. (2018). Primary care providers’ discussion of fall prevention approaches with their older adult patients-DocStyles, 2014. Preventive medicine reports , 9 , 149–152. doi: 10.1016/j.pmedr.2018.01.016 Chu, R. Z. (2017). Preventing in-patient falls: The nurse’s pivotal role. Nursing2019 , 47 (3), 24- 30. Khalifa, M. (2019). Improving Patient Safety by Reducing Falls in Hospitals Among the Elderly: A Review of Successful Strategies. Studies in health technology and informatics , 262 , 340-343. Radecki, B., Reynolds, S., & Kara, A. (2018). Inpatient fall prevention from the patient’s perspective: A qualitative study. Applied Nursing Research , 43 , 114-119. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10