Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper

Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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: 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper rubric_print_format.xlsx literature_review_doc_2.docx picot__doc_3.docx Course Code NRS-490 Class Code NRS-490-O500 Criteria Content Percentage 60.0% Background 5.0% Problem Statement 5.0% Change Proposal Purpose 5.0% PICOT 5.0% Literature Search Strategy 5.0% Literature Evaluation 5.0% Utilization of Change or Nursing Theory (2.2) 5.0% Proposed Implementation Plan with Outcome Measures (3.2) 5.0% Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3) 5.0% Appendices Inclusive of Practice Immersion Clinical Documentation (1.2) 5.0% Evidence of Revision 10.0% Organization and Effectiveness 30.0% Thesis Development and Purpose 10.0% Argument Logic and Construction 10.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0% Format 10.0% Paper Format (use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Benchmark – Capstone Project Change Proposal Unsatisfactory 0-71% (0.00%) Background section is not present. Problem statement is not present. Purpose of change proposal is not present. PICOT is not present. Literature search strategy is not present. Literature evaluation is not present. Theory utilization is not present. Implementation plan is not present. Identification of potential barriers to plan implementation and /or discussion component is not present. Appendices are not present. Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately, or documentation format is rarely followed correctly. Sources are not documented. Total Points 300.0 Less Than Satisfactory 72-75% (75.00%) Background section is present, but incomplete or otherwise lacking in required detail. Problem statement is present, but incomplete or otherwise lacking in required detail. Purpose of change proposal is present, but incomplete or otherwise lacking in required detail. PICOT is present, but incomplete or otherwise lacking in required detail. Literature search strategy is present, but incomplete or otherwise lacking in required detail. Literature evaluation is present, but incomplete or otherwise lacking in required detail. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper Theory utilization content is present, but incomplete or otherwise lacking in required detail. Implementation plan is present, but incomplete or otherwise lacking in required detail. Identification of potential barriers to plan implementation with a discussion component is present, but is incomplete or otherwise lacking in required detail. Appendices are present, but incomplete or otherwise lacking in required detail. Incorporation of research critique feedback or evidence of revision is incomplete. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory 76-79% (79.00%) Background section is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Problem statement is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Purpose of change proposal is present. Some minor details or elements are missing but the omission(s) do not impede understanding. PICOT is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature search strategy is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature evaluation is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Theory utilization content is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Implementation plan is present. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper Some minor details or elements are missing but the omission(s) do not impede understanding. Identification of potential barriers to plan implementation with a discussion component is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Appendices are present with minor elements missing that do not impede understanding. Incorporation of research critique feedback and evidence of revision are present. Thesis is apparent and appropriate to purpose. 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. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Appropriate template is used. Formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good 80-89% (89.00%) Background section is present and complete. The submission provides the basic information required. Problem statement is present and complete. The submission provides the basic information required. Purpose of change proposal is present and complete. The submission provides the basic information required. PICOT is present and complete. The submission provides the basic information required. Literature search strategy is present and complete. The submission provides the basic information required. Literature evaluation is present and complete. The submission provides the basic information required. Theory utilization content is present and complete. The submission provides the basic information required. Implementation plan is present and complete. The submission provides the basic information required. Identification of potential barriers to plan implementation with a discussion component is present and complete. The submission provides the basic information required. Appendices are present and complete. The submission provides the basic information required. Evidence of incorporation of research critique feedback and revision is clearly provided. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progression. Techniques of argumentation are evident. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Appropriate template is fully used. There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent 90-100% (100.00%) Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Comments Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned Running head: LITERATURE REVIEW 1 Literature Review Student Name Institution 9/22/19 2 LITERATURE REVIEW 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_h eadings_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 3 LITERATURE REVIEW 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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 LITERATURE REVIEW 4 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. LITERATURE REVIEW 5 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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. 6 LITERATURE REVIEW 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), 2430. 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. LITERATURE REVIEW 7 Running head: PICOT STATEMENT 1 Title? Studdent name Bowie state university NRS 490 9/22/19 Evidence-Based Solutions for Preventing Geriatric Patient Fall-is this your title? If so it should not be bolded, and it should match your running head. According to Chu (2017), there has been a rise in the number of fall cases in the geriatric patient population. Geriatric patient falls refer to situations whereby the elderly patients experience falls, which may cause injury or death to them. Falls are a leading cause of death PICOT STATEMENT 2 through injury for geriatric patients. They also result in various comorbidities. In the facility, there are always more than two cases reported daily. Moreover, the falls also increase the length of stay of the patient and costs as well (Shier, Trieu, & Ganz, 2016). However, there are several interventions which may be adopted to solve this clinical problem. According to evidence-based research, falls in geriatric patients, (P), doing frequent rounds,and using bed alarms (I) compared to no intervention, (C), reduces the number of fall cases within a facility (O) over time? This is an incomplete PICOT. The Nursing Intervention Geriatric patients usually are weak and are unable to move normally. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper They have weak muscles and bones and often have poor coordination and balance (Chan, Sherrington, Naganathan, Xu, Chen, Ko, & Cumming, 2018). Therefore, they cannot even perform personal self-care activities such as bathing and attending to toilet needs. In the PICOT, the nursing intervention proposed to deal with this clinical problem is doing frequent nursing rounds in the facility. Nursing rounds entails the nurses regularly checking on the geriatric patients. The nurses’ rounds may be conducted in intervals of one or two hours. An ideal nursing round program will increase the monitor … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper

Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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: 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper rubric_print_format.xlsx literature_review_doc_2.docx picot__doc_3.docx Course Code NRS-490 Class Code NRS-490-O500 Criteria Content Percentage 60.0% Background 5.0% Problem Statement 5.0% Change Proposal Purpose 5.0% PICOT 5.0% Literature Search Strategy 5.0% Literature Evaluation 5.0% Utilization of Change or Nursing Theory (2.2) 5.0% Proposed Implementation Plan with Outcome Measures (3.2) 5.0% Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3) 5.0% Appendices Inclusive of Practice Immersion Clinical Documentation (1.2) 5.0% Evidence of Revision 10.0% Organization and Effectiveness 30.0% Thesis Development and Purpose 10.0% Argument Logic and Construction 10.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0% Format 10.0% Paper Format (use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Benchmark – Capstone Project Change Proposal Unsatisfactory 0-71% (0.00%) Background section is not present. Problem statement is not present. Purpose of change proposal is not present. PICOT is not present. Literature search strategy is not present. Literature evaluation is not present. Theory utilization is not present. Implementation plan is not present. Identification of potential barriers to plan implementation and /or discussion component is not present. Appendices are not present. Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately, or documentation format is rarely followed correctly. Sources are not documented. Total Points 300.0 Less Than Satisfactory 72-75% (75.00%) Background section is present, but incomplete or otherwise lacking in required detail. Problem statement is present, but incomplete or otherwise lacking in required detail. Purpose of change proposal is present, but incomplete or otherwise lacking in required detail. PICOT is present, but incomplete or otherwise lacking in required detail. Literature search strategy is present, but incomplete or otherwise lacking in required detail. Literature evaluation is present, but incomplete or otherwise lacking in required detail. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper Theory utilization content is present, but incomplete or otherwise lacking in required detail. Implementation plan is present, but incomplete or otherwise lacking in required detail. Identification of potential barriers to plan implementation with a discussion component is present, but is incomplete or otherwise lacking in required detail. Appendices are present, but incomplete or otherwise lacking in required detail. Incorporation of research critique feedback or evidence of revision is incomplete. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory 76-79% (79.00%) Background section is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Problem statement is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Purpose of change proposal is present. Some minor details or elements are missing but the omission(s) do not impede understanding. PICOT is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature search strategy is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature evaluation is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Theory utilization content is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Implementation plan is present. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper Some minor details or elements are missing but the omission(s) do not impede understanding. Identification of potential barriers to plan implementation with a discussion component is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Appendices are present with minor elements missing that do not impede understanding. Incorporation of research critique feedback and evidence of revision are present. Thesis is apparent and appropriate to purpose. 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. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Appropriate template is used. Formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good 80-89% (89.00%) Background section is present and complete. The submission provides the basic information required. Problem statement is present and complete. The submission provides the basic information required. Purpose of change proposal is present and complete. The submission provides the basic information required. PICOT is present and complete. The submission provides the basic information required. Literature search strategy is present and complete. The submission provides the basic information required. Literature evaluation is present and complete. The submission provides the basic information required. Theory utilization content is present and complete. The submission provides the basic information required. Implementation plan is present and complete. The submission provides the basic information required. Identification of potential barriers to plan implementation with a discussion component is present and complete. The submission provides the basic information required. Appendices are present and complete. The submission provides the basic information required. Evidence of incorporation of research critique feedback and revision is clearly provided. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progression. Techniques of argumentation are evident. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Appropriate template is fully used. There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent 90-100% (100.00%) Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Comments Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned Running head: LITERATURE REVIEW 1 Literature Review Student Name Institution 9/22/19 2 LITERATURE REVIEW 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_h eadings_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 3 LITERATURE REVIEW 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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 LITERATURE REVIEW 4 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. LITERATURE REVIEW 5 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. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper 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. 6 LITERATURE REVIEW 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), 2430. 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. LITERATURE REVIEW 7 Running head: PICOT STATEMENT 1 Title? Studdent name Bowie state university NRS 490 9/22/19 Evidence-Based Solutions for Preventing Geriatric Patient Fall-is this your title? If so it should not be bolded, and it should match your running head. According to Chu (2017), there has been a rise in the number of fall cases in the geriatric patient population. Geriatric patient falls refer to situations whereby the elderly patients experience falls, which may cause injury or death to them. Falls are a leading cause of death PICOT STATEMENT 2 through injury for geriatric patients. They also result in various comorbidities. In the facility, there are always more than two cases reported daily. Moreover, the falls also increase the length of stay of the patient and costs as well (Shier, Trieu, & Ganz, 2016). However, there are several interventions which may be adopted to solve this clinical problem. According to evidence-based research, falls in geriatric patients, (P), doing frequent rounds,and using bed alarms (I) compared to no intervention, (C), reduces the number of fall cases within a facility (O) over time? This is an incomplete PICOT. The Nursing Intervention Geriatric patients usually are weak and are unable to move normally. Bowie State NUR3165 Geriatric Patient Falls Nursing Research Paper They have weak muscles and bones and often have poor coordination and balance (Chan, Sherrington, Naganathan, Xu, Chen, Ko, & Cumming, 2018). Therefore, they cannot even perform personal self-care activities such as bathing and attending to toilet needs. In the PICOT, the nursing intervention proposed to deal with this clinical problem is doing frequent nursing rounds in the facility. Nursing rounds entails the nurses regularly checking on the geriatric patients. The nurses’ rounds may be conducted in intervals of one or two hours. An ideal nursing round program will increase the monitor … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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