RIC NUR 1010 Fall Prevention Practices for Older Adults Research

RIC NUR 1010 Fall Prevention Practices for Older Adults Research ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON RIC NUR 1010 Fall Prevention Practices for Older Adults Research Hello, The paper is already written, I just need it proof read and corrected, APA format, tenses, grammatical error. Feel feel to add anything if necessary. Rubric is attached. Thank you. RIC NUR 1010 Fall Prevention Practices for Older Adults Research attachment_1 attachment_2 Evidence Based Practice Project: Critique of Research Article NUR 1010 The purpose of this project is to start introducing students to the concept of Evidenced-Based Practice (EBP). EBP is a problem solving method in which a question or concern regarding patient care is identified and a systematic scientific review is performed. This process mirrors the Nursing Process and often begins with bedside nurses questioning if the current practice/guideline is the “best way” to care for their patient. Research is conducted, either through a literature review of current scientific studies on the issue, or through the proposal of new research. The questioner then uses the evidence gathered to: propose change in practice, implement the change, and then evaluate the outcome. This process includes not only current research but nursing expertise and patient wishes/ values. Sometimes, this question is posed/formulated based on what expert nurses have learned after many years of practice. For example, a very large, nationally funded study on delayed cord clamping is underway at Women and Infants’ Hospital. This research began as anecdotal evidence from Nurse Midwives and Obstetrical Nurses, who personally saw positive benefits (better infant outcomes) from delaying umbilical cord clamping after delivery. There were no studies pertaining to this phenomenon, even though past experience from expert clinicians suggested this was a “better” way to care for patients. The team decided to perform of a study to ascertain if this practice could be backed up with scientific evidence. As a nursing student, your first step to utilizing research is to understand how to be a better “consumer” of nursing literature. Is the study you’re reading based on sound scientific principles? Is the study large enough to really answer the question? There are many factors that contribute to a good study. Not all studies have the same scientific merit; there is a hierarchy of evidence (Yoost p. 180) that you should consider when performing research that may potentially impact how you perform nursing care. As a novice, you need to learn how to read and critique nursing/medical literature. Please start off by reading Chapter 13 in your Yoost textbook; it contains a very good introduction to EBP and how to read nursing research. How to complete the EBP project: • Select a topic of interest to your clinical practice. This can include current practices on the unit where you have your clinical rotations, your own place of employment, or an area of personal interest as long as it pertains to current nursing practice. Start by formulating your own question. Examples from past projects include: “Does washing your scrubs at home kill dangerous bacteria?” and “What is the best way to disinfect your stethoscope?” • Perform a literature search (you may ask for assistance from the Librarian) and select ONE peer-reviewed article that details research conducted on your topic. • Submit your full-length article to your clinical instructor for approval. Once approved you may write the critique. o Articles must be published nursing research (preferably from a nursing journal), with an RN as the primary author, published within the last 5 years. RIC NUR 1010 Fall Prevention Practices for Older Adults Research • Following the attached rubric, write a critique by answering the following questions: o What is the title of the article? Who are the authors? What is the title of the journal this study was published in? What year was the article published? (Use articles published no longer than 5 years ago) o What are the problem and the purpose of the study (i.e. what question were the authors asking)? o What was the research method utilized? o How was sampling performed? o What is the summary of the results? o What were the conclusions of the study? o Did the conclusions relate to the original purpose of the study? o What were the recommendations of the study? o What were the implications of the findings? o How has this study influenced your views or changed your practice? COMMUNITY COLLEGE OF RHODE ISLAND NURSING PROGRAM NURS 1010 NAME: __________________________________________________ RUBRIC FOR ARTICLE CRITIQUE o DATE:____________ Your critique should be written in APA format. See the example of an APA style paper on BlackBoard. The Purdue Owl website is also an excellent reference: https://owl.english.purdue.edu/owl/section/2/10 COMMUNITY COLLEGE OF RHODE ISLAND NURSING PROGRAM NURS 1010 NAME: __________________________________________________ RUBRIC FOR ARTICLE CRITIQUE DATE:____________ COMMUNITY COLLEGE OF RHODE ISLAND NURSING PROGRAM NURS 1010 NAME: __________________________________________________ RUBRIC FOR ARTICLE CRITIQUE DATE:____________ Criteria 0 4 7 10 Journal and Article identified Student selects a research article from a peer reviewed nursing journal and identifies the article title, author and Journal. Article is not a peer reviewed article from a nursing journal. Title and author of the article is not identified. Journal is not identified. Article is not a peer reviewed article from a nursing journal. Title & author of the article is identified. Journal is identified. Article is not clearly identified as a peer reviewed article from a nursing journal. Title & author of the article is clearly identified. Journal clearly identified. Article is clearly identified as a peer reviewed article from a nursing journal. Title & author of the article is clearly identified. Journal clearly identified. Problem and Purpose of the Study Student identifies the problem and the purpose of the study. Study problem and purpose are not identified. Vague description of the problem and purpose are identified. Overlooks some main points. Partial description of the study problem and the purpose of the study are identified. Detailed and thorough description of the study problem and the purpose of the study are identified Research Type/Method Identified Student identifies and describes the research method utilized (i.e. quantitative vs qualitative). Research method is not identified. Research method is identified but not described. Research method is identified and partially described. Research method is clearly identified and fully described Sample Size Student describes the sample size, who participated and how they were selected. Target population, sample size, and how the sample was selected are not identified. Analysis of Findings Student summarizes the results of the study. Nursing Implications Student determines the implications of the research findings and identifies how the findings are applicable to nursing practice today. Incomplete description of the target population, sample size, and how the sample was selected is identified.RIC NUR 1010 Fall Prevention Practices for Older Adults Research Description of the target population, sample size, and how the sample was selected is identified. Detailed and thorough description of the target population, sample size, and how the sample was selected is identified. Summary of the study results/findings is not identified. Summary of the study results/findings is incomplete. Summary of the study results/findings is identified. Detailed and thorough analysis of the study results/finding is identified The implication of the research findings and how the findings are applicable to nursing practice today is omitted. The implications of the research findings are partially identified. How the findings are applicable to nursing practice today is omitted. The implications of the research findings are identified. How the findings are applicable to nursing practice today is partially described. The implications of the research findings are clearly and thoroughly identified. How the findings are applicable to nursing practice today is clearly and thoroughly identified. Conclusions The conclusions of the study Student recaps the conclusions and the relationship of the of the article and relates the conclusions to the original conclusion to the original purpose of the study are purpose of the study. omitted. The conclusions of the study and the relationship of the conclusions to the original purpose of the study are incomplete. The conclusions of the article are stated. The relationship of the conclusions to the purpose of the study is partially described. The conclusions of the article are clearly & thoroughly stated. The relationship of the conclusions to the purpose of the study is clearly and thoroughly stated. Recommendations Student identifies the recommendations of the study. The recommendations of the study are not identified. The recommendations of the study are identified but are vague and incomplete. The recommendations of the study are identified. The recommendations of the study are clearly and thoroughly identified. Student View Student states how study influenced their views. The view of the student is omitted. The view of the student is identified and no demonstration of thought process is evident. The view of the student is identified and the demonstration of thought process is incomplete. The view of the student demonstrates in depth thought and is clearly and thoroughly identified. Spelling/Grammar/ Organization Critique is well organized using APA format with scholarly spelling and grammar. Critique is poorly organized with major errors in spelling and grammar. Student does not use APA format. Critique is organized with major errors in spelling, APA format and grammar. Critique is organized with minor errors in spelling, APA format and grammar. Critique is well organized with scholarly spelling, APA format and grammar. Score COMMUNITY COLLEGE OF RHODE ISLAND NURSING PROGRAM NURS 1010 NAME: __________________________________________________ RUBRIC FOR ARTICLE CRITIQUE DATE:____________ Total Score= FALL PREVENTION PRACTICES IN PRIMARY CARE FOR OLDER ADULTS Adoption of Evidence – Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls Elizabeth A. Phelan, Sally Aerts, David Dowler, Elizabeth Eckstrom, and Colleen M. Casey US National Library of Medicine, National Institute of Health (Frontiers in Public Health) Published 2016, September 8 1 FALL PREVENTION PRACTICES IN PRIMARY CARE FOR OLDER ADULTS 2 Adoption of Evidence Based Fall Prevention Practices in Primary Care for Older Adults According to the (CDC) Center of Disease Control (2015), “Falls are the leading cause of unintentional injury-related deaths and non-fatal injuries in people aged 65 years and older” (p. 1). Majority of older adults are afraid of falling which can lead to them try to avoid things that could result to falls like walking, exercises, and other social activities; especially with adults with history of falls. This study was conducted in an outpatient primary care clinic of a large academic medical center in the Pacific Northwest United States. RIC NUR 1010 Fall Prevention Practices for Older Adults Research The research method was a quantitative method. The study subject were outpatients of the clinic, aged 65-95 years, with a documented fall requiring medical treatments within a 12 months period. “We focused on those who had already fallen because we hypnotized that this would be the group that would be most likely to receive…. fall risk assessment and management, consistent with national clinical practice guidelines” (J Am Geriatr Soc. (2011 Jan;)). There were variables factors that was counted as fall risk factor, which are vision, feet/footwear, gait/balance, lower extremity strength, and Vitamin D. Based on information from the Frontiers in Public health, “A fall risk assessment score was created for each patient…… Scores ranged from 0 to 8, with higher scores representing more risk factors assessed”. There was a total of 256 patients who has fallen during the study period. Although, 140 were ineligible because: 99 patients didn’t have a post clinic visit, 4 were non-ambulatory, and 37 had dementia. While the other 116 patients met the criteria and was included in the study. According to the reports, during the 12 months abstraction period, 249 falls were recorded; 186 FALL PREVENTION PRACTICES IN PRIMARY CARE FOR OLDER ADULTS 2 (75%) were reported during a primary care office visit, 45 (18%) resulted in Emergency Department (ED) care, and 18 (7%) required hospitalization. 80% of the patients had 1 or 2 falls, 16% had 3 to 6 falls, and 4% had more than 10 falls. In conclusion, this study indicates that they can be continuous opportunities to enhance primary care of older adults with a history of falls. This can be done with modifying fall-risk factors, including medications and home safety. The conclusion relates to the original purpose of the study which was based on finding the rates of older adults that are at risk for falls who previously had history of falls as well. And also try to come up with things to look at in order to prevent falls in older adults. There were some recommendations on the study, like Academic health centers train health care providers and should model and teach evidence-based practices, structured note arrangements and available public health resources can help practices restructure and optimize their approach to delivering preventive care for patients at risk for falls, home safety evaluations, Increase attention to high-risk medications, Use of STEADI Materials. STEADI is a comprehensive set of materials that provides a foundation to systematically evaluate and address fall risk. This study has its implications/limitations. First, some data were received using medical records due to lack of documentations of actions taken. “Secondly, data on fall-risk factor assessment was received after but not prior to, the index fall. Thirdly, 116 patients were used instead of the 256 patients due to a selection process that may have missed falls that did not receive medical attention” (Chang JT, Ganz DA, 2007 Oct). FALL PREVENTION PRACTICES IN PRIMARY CARE FOR OLDER ADULTS This study has not influenced my views or changed my practice because I know fall risk is an important factor in older adults especially when they have histories of falls, and there should be ways to educate and prevent more falls in the future. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014854/#B10 2 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10