NRS 433V: Rough Draft Qualitative Research Critique and Ethical Considerations

Among adult patients in the acute care settings(P) would the implementation of patient-centered interventions be more effective compared(I) to the usual fall prevention interventions (C) in reducing incidence of falls one month after implementation(T)?

PICOT Question and Literature Search: Literature Evaluation Table

Literature Evaluation Table

Student Name: Dominique Baca

Nursing Practice Problem (200-250 words): Even though the majority of hospitals have fall-prevention programs, they view the high number of patient falls as a persistent concern (Montejano-Lozoya, et al. 2020). It is extremely vital to have data regarding the practice of preventing falls in acute care settings before taking any action. Fall prevention is essential, especially for older adults, because they have a higher risk for falls with possible chronic complications (Ojo, & Thiamwong, 2022).

 

PICOT Question: Among adult patients in the acute care settings(P) would the implementation of patient-centered interventions be more effective compared(I) to the usual fall prevention interventions (C) in reducing incidence of falls one month after implementation(T)?

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Criteria Article 1 Article 2 Article 3
APA-formatted article citation with permalink Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., Ruíz-Hontangas, A., & Ortí-Lucas, R. (2020). Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients. International journal of environmental research and public health, 17(17), 6048. https://doi.org/10.3390/ijerph17176048 Gliner, M., Dorris, J., Aiyelawo, K., Morris, E., Hurdle-Rabb, D., & Frazier, C. (2022). Patient Falls, Nurse Communication, and Nurse Hourly Rounding in Acute Care: Linking Patient Experience and Outcomes. Journal of public health management and practice : JPHMP, 28(2), E467–E470. https://doi.org/10.1097/PHH.0000000000001387 Ojo, E. O., & Thiamwong, L. (2022). Effects of Nurse-Led Fall Prevention Programs for Older Adults: A Systematic Review. Pacific Rim international journal of nursing research, 26(3), 417–431.
How does the article relate to the PICOT question? In professional practice, the implications of research include a reduction in the number of patient falls as a result of protocolizing an advanced assessment that includes specific evaluation of the risk of falls in hospitalized patients (such as having some type of catheter), as well as optimizing the plan of care to be more adapted to these detected risks. This study adds to the body of knowledge by statistically quantifying and providing linkages between nurse rounding frequency This systematic review aimed to gain insight into the effects of nurse-led fall prevention programs for older adults. The Preferred Reporting Items for Systemic Reviews and Meta-Analysis was used as a guideline in reporting this literature search conducted through CINAHL, MEDLINE, Eric, Science Direct, and Google Scholar databases.

 

Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

This article Qualitative research as evaluation of Numeric variables resulted in measurable data This article is Qualitative research as evaluation of Numeric variables resulted in measurable data The Johns Hopkins Nursing Evidence-Based Practice was used to determine the level of evidence and quality rating of the articles, while data extraction was done by a matrix review method
Purpose statement The objective was to assess the effect of an educational intervention aimed at hospital nurses (systematic assessment of the risk of falls) in reducing the incidence of falls This is study adds to the body of knowledge by statistically quantifying and providing linkages between nurse rounding frequency and patient fall rates using data This systematic review aimed to gain insight into the effects of nurse-led fall prevention programs for older adults.
Research question(s) The study focused on improving the assessment process of nurses, thus improving the detection of patients at risk. Does hourly rounding improve patient outcomes including reducing falls The purpose of this systematic review was to obtain insight into the impact of nurse-led fall prevention programs for older adults and identify gaps in knowledge relevant to nurse-led fall treatments for those individuals.
Outcome(s) The overall incidence of falls was 1.2% (0.3% in the intervention group and 2.2% in the control group). According to the findings of the Poisson regression analysis, hourly nurse rounding was associated with a reduction of more than 21% in fall rates (incidence rate ratio = 0.79, P .01) in comparison to infrequent nurse rounding. On the other hand, poorly rated nurse communication was associated with an 8.6-fold increase in patient fall rates in comparison to highly rated nurse communication. Fall incidence, fall rates, and the rate of post-falls-related complications reduced to 45% (n = 5) of the intervention group in the studies

 

Setting

(Where did the study take place?)

Third level hospital (Comunitat Valenciana, Spain 31 military treatment facilities comprehensively over a period from fiscal year (FY) 2017 through FY2019. Aged care facilities, Patients’ homes, University laboratory in the community, Nursing home, Primary care settings in the community, Hospital, Mobile community clinic: three studies from the United States, and two from Spain. One study was conducted in Brazil, one in Australia, one in Portugal one in Netherland, one from Thailand, and one from Turkey.
SampleA total of 581 patients were studied (50.6% male, 49.4% female), with an average age of 68.3 (DT = 9) years. The sample selection was carried out prospectively and consecutively after the training activity, covering patients who met the inclusion criteria to reach the assigned number.
This review examined research studies relevant to older adults ≥65 years old living in the community or any facility.
MethodThis was a quasi-experimental study with a non-randomized control group.
The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA), consisting of a 27-item checklist and a four-phase flow diagram, was used to report this systematic review. This review focused on the nurse-led fall prevention interventions, especially those with an education component and nursing roles.
Key findings of the study and implications for nursing practicethe systematic assessment of the risk of a patient falling during hospital processes is an effective intervention to reduce the incidence of falls.
The findings suggested that nursing personnel had a tendency to increase both the quality of nursing care and the outcomes for their patients. The effects of fall prevention programs could be maximized by using a mix of the findings from this review, which include rates of falls, injuries sustained from falls, and changes in behavior.
Recommendations of the researcher Patient outcomes are improved when nurses receive advanced training in the prevention of falls. In the course of our research, we found that patients who were given the intervention had a lower risk of falling, irrespective of their age or duration of stay. relative to infrequent rounding, and poorly rated nurse communication was associated with an 8.6-fold increase in patient fall rates relative to highly rated nurse communication (incidence rate ratio = 8.6, P < .01). According to the findings of the literature review and synthesis, fall prevention programs for older individuals that include an educational component have the potential to be helpful.

 

 

 

Criteria Article 4 Article 5 Article 6
APA-formatted article citation with permalinkMcEwan, H., Baker, R., Armstrong, N., & Banerjee, J. (2018, July 18). A qualitative study of the determinants of adherence to NICE falls guideline in managing older fallers attending an emergency department – International Journal of Emergency Medicine. BioMed Central. https://doi.org/10.1186/s12245-018-0192-9

How does the article relate to the PICOT question?

 

 

Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

A qualitative analysis is used in this studies framework approach

Purpose statement

Research question(s)

Outcome(s)

 

 

Setting

(Where did the study take place?)

The study involved two EDs. We undertook 27 episodes of observation of healthcare professional interactions with patients aged 65 or over presenting with a fall in a busy UK city hospital ED (A) with that in a less busy town hospital ED (B).

Sample30 professionals (20 doctors, 10 nursing staff) deliver 27 episodes of care. Of the 27 patients, 19 were male and 8 female, ranging in age from 67 to 98.

MethodSemi-structured interviews were conducted after the observation phase of data collection was completed. A range of professionals were recruited, including both doctors (20) and nursing staff (10). Sampling was opportunistic and professionals who had been observed delivering care could also be interviewed (3) were both observed and interviewed. Professionals were interviewed once, and interviews were conducted until data saturation was reached, that is, when there was repetition of interview responses.

Key findings of the study and implications for nursing practiceAt both emergency departments (EDs), adherence was affected by a number of different obstacles and facilitators (also known as determinants of practice), such as the following: support from senior staff; education; cross-boundary care; definition of falls; communication; organizational variables; and staffing.

Recommendations of the researcherthere is no “quick fix” answer to the problem of overcoming barriers to the adherence of the Falls guideline inside the ED; nevertheless, a structured strategy to enhancing adherence has the potential to be successful if it involves consensus and leadership from the seniors, and is backed by education for the staff.

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Rough Draft Qualitative Research Critique and Ethical Considerations – Rubric
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Rubric Criteria
Total 190 points

Criterion

 

1. Unsatisfactory

 

2. Insufficient

 

3. Approaching

 

4. Acceptable

 

5. Target

 

 

 

Qualitative Studies

Qualitative Studies

 

0 points

Only one article is presented. Neither of the articles presented use qualitative research.

 

7.13 points

Two articles are presented. Of the articles presented, only one article is based on qualitative research.

 

7.51 points

N/A

 

8.46 points

N/A

 

9.5 points

Two articles are presented. Both articles are based on qualitative research.

 

 

 

Introduction of Nursing Practice Problem, Purpose, and PICOT Question

Introduction of Nursing Practice Problem, Purpose, and PICOT Question

 

0 points

Introduction of the nursing practice problem, purpose of the essay, or PICOT question is not included.

 

7.13 points

Introduction does not include a clear description of the nursing practice problem and purpose of the essay. The PICOT question is not clearly written and is missing some of the necessary elements.

 

7.51 points

Introduction includes a basic description of the nursing practice problem and purpose of the essay. The PICOT question is present.

 

8.46 points

Introduction includes the nursing practice problem and purpose of the essay in a clear manner. The PICOT question is clear and includes all elements.

 

9.5 points

Introduction includes the nursing practice problem and purpose of the essay in a comprehensive manner. The PICOT question is concise, accurately written, and includes all elements.

 

 

 

Background of Studies

Background of Studies

 

0 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not included.

 

7.13 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not clearly written and lacks information.

 

7.51 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation.

 

8.46 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details.

 

9.5 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and an extensive explanation.

 

 

 

Articles Support of Nursing Practice Problem

Articles Support of Nursing Practice Problem

 

0 points

A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is not included.

 

18.53 points

A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is unclear or lacking information.

 

19.51 points

A discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. The interventions and comparison groups in the articles generally compare to those identified in the PICOT question.

 

21.98 points

A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question.

 

24.7 points

A thorough discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question.

 

 

 

Method of Studies

Method of Studies

 

0 points

A discussion on the method of study for each article is not included.

 

19.95 points

A partial discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies.

 

21.01 points

A general discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are included but the description is general.

 

23.67 points

A detailed discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are presented.

 

26.6 points

A thorough discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods.

 

 

 

Results of Studies

Results of Studies

 

0 points

A discussion of the results of each study, including key findings and implications for nursing practice, is not included.

 

19.95 points

A discussion of the results of each study, including key findings and implications for nursing practice, is unclear and incomplete.

 

21.01 points

A general discussion of the results of each study, including key findings and implications for nursing practice, is included.

 

23.67 points

A discussion of the results of each study, including key findings and implications for nursing practice is complete and includes relevant details and supporting explanation.

 

26.6 points

A discussion of the results of each study, including key findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation.

 

 

 

Ethical Considerations

Ethical Considerations

 

0 points

Ethical considerations when conducting nursing research is not included. Discussion of how the researchers accounted for ethical considerations is not included.

 

19.95 points

Ethical considerations when conducting nursing research unclear. Discussion of how the researchers accounted for ethical considerations is incomplete.

 

21.01 points

Ethical considerations when conducting nursing research is discussed in basic manner. Discussion of how the researchers accounted for ethical considerations is included.

 

23.67 points

Ethical considerations when conducting nursing research is clearly discussed. Discussion of how the researchers accounted for ethical considerations is through.

 

26.6 points

Ethical considerations when conducting nursing research is comprehensively discussed. Discussion of how the researchers accounted for ethical considerations is thorough with substantial relevant details and extensive explanation.

 

 

 

Thesis, Position, or Purpose

Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience.

 

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

 

9.98 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

 

10.51 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

 

11.84 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

 

13.3 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

 

 

 

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

 

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

 

9.98 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

 

10.51 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

 

11.84 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

 

13.3 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

 

 

 

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

 

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

 

8.55 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

 

9.01 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

 

10.15 points

Relevant evidence that includes other perspectives is used.

 

11.4 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

 

 

 

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

 

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

 

8.55 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

 

9.01 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

 

10.15 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

 

11.4 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

 

 

 

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

 

0 points

Appropriate format is not used. No documentation of sources is provided.

 

5.7 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

 

6 points

Appropriate format and documentation are used, although there are some obvious errors.

 

6.76 points

Appropriate format and documentation are used with only minor errors.

 

7.6 points

No errors in formatting or documentation are present.

 

Rough Draft Qualitative Research Critique and Ethical Considerations

Among adult patients in the acute care settings(P) would the implementation of patient-centered interventions be more effective compared(I) to the usual fall prevention interventions (C) in reducing incidence of falls one month after implementation(T)? 

PICOT Question and Literature Search: Literature Evaluation Table

 Literature Evaluation Table

Student Name: Dominique Baca

Nursing Practice Problem (200-250 words): Even though the majority of hospitals have fall-prevention programs, they view the high number of patient falls as a persistent concern (Montejano-Lozoya, et al. 2020). It is extremely vital to have data regarding the practice of preventing falls in acute care settings before taking any action. Fall prevention is essential, especially for older adults, because they have a higher risk for falls with possible chronic complications (Ojo, & Thiamwong, 2022).

 

PICOT Question: Among adult patients in the acute care settings(P) would the implementation of patient-centered interventions be more effective compared(I) to the usual fall prevention interventions (C) in reducing incidence of falls one month after implementation(T)?

ORDER A CUSTOM-WRITTEN PAPER HERE

Criteria	Article 1	Article 2	Article 3
APA-formatted article citation with permalink	Montejano-Lozoya, R., Miguel-Montoya, I., Gea-Caballero, V., Mármol-López, M. I., Ruíz-Hontangas, A., & Ortí-Lucas, R. (2020). Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients. International journal of environmental research and public health, 17(17), 6048. https://doi.org/10.3390/ijerph17176048	Gliner, M., Dorris, J., Aiyelawo, K., Morris, E., Hurdle-Rabb, D., & Frazier, C. (2022). Patient Falls, Nurse Communication, and Nurse Hourly Rounding in Acute Care: Linking Patient Experience and Outcomes. Journal of public health management and practice : JPHMP, 28(2), E467–E470. https://doi.org/10.1097/PHH.0000000000001387	Ojo, E. O., & Thiamwong, L. (2022). Effects of Nurse-Led Fall Prevention Programs for Older Adults: A Systematic Review. Pacific Rim international journal of nursing research, 26(3), 417–431.
How does the article relate to the PICOT question?	In professional practice, the implications of research include a reduction in the number of patient falls as a result of protocolizing an advanced assessment that includes specific evaluation of the risk of falls in hospitalized patients (such as having some type of catheter), as well as optimizing the plan of care to be more adapted to these detected risks.	This study adds to the body of knowledge by statistically quantifying and providing linkages between nurse rounding frequency	This systematic review aimed to gain insight into the effects of nurse-led fall prevention programs for older adults. The Preferred Reporting Items for Systemic Reviews and Meta-Analysis was used as a guideline in reporting this literature search conducted through CINAHL, MEDLINE, Eric, Science Direct, and Google Scholar databases.
Is the article qualitative, quantitative, or mixed methods? Justify your selection.	This article Qualitative research as evaluation of Numeric variables resulted in measurable data	This article is Qualitative research as evaluation of Numeric variables resulted in measurable data	The Johns Hopkins Nursing Evidence-Based Practice was used to determine the level of evidence and quality rating of the articles, while data extraction was done by a matrix review method
Purpose statement	The objective was to assess the effect of an educational intervention aimed at hospital nurses (systematic assessment of the risk of falls) in reducing the incidence of falls	This is study adds to the body of knowledge by statistically quantifying and providing linkages between nurse rounding frequency and patient fall rates using data	This systematic review aimed to gain insight into the effects of nurse-led fall prevention programs for older adults.
Research question(s)	The study focused on improving the assessment process of nurses, thus improving the detection of patients at risk.	Does hourly rounding improve patient outcomes including reducing falls	The purpose of this systematic review was to obtain insight into the impact of nurse-led fall prevention programs for older adults and identify gaps in knowledge relevant to nurse-led fall treatments for those individuals.
Outcome(s)	The overall incidence of falls was 1.2% (0.3% in the intervention group and 2.2% in the control group).	According to the findings of the Poisson regression analysis, hourly nurse rounding was associated with a reduction of more than 21% in fall rates (incidence rate ratio = 0.79, P .01) in comparison to infrequent nurse rounding. On the other hand, poorly rated nurse communication was associated with an 8.6-fold increase in patient fall rates in comparison to highly rated nurse communication.	Fall incidence, fall rates, and the rate of post-falls-related complications reduced to 45% (n = 5) of the intervention group in the studies
Setting (Where did the study take place?)	Third level hospital (Comunitat Valenciana, Spain	31 military treatment facilities comprehensively over a period from fiscal year (FY) 2017 through FY2019.	Aged care facilities, Patients’ homes, University laboratory in the community, Nursing home, Primary care settings in the community, Hospital, Mobile community clinic: three studies from the United States, and two from Spain. One study was conducted in Brazil, one in Australia, one in Portugal one in Netherland, one from Thailand, and one from Turkey.
Sample	A total of 581 patients were studied (50.6% male, 49.4% female), with an average age of 68.3 (DT = 9) years. The sample selection was carried out prospectively and consecutively after the training activity, covering patients who met the inclusion criteria to reach the assigned number.		This review examined research studies relevant to older adults ≥65 years old living in the community or any facility.
Method	This was a quasi-experimental study with a non-randomized control group.		The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA), consisting of a 27-item checklist and a four-phase flow diagram, was used to report this systematic review. This review focused on the nurse-led fall prevention interventions, especially those with an education component and nursing roles.
Key findings of the study and implications for nursing practice	the systematic assessment of the risk of a patient falling during hospital processes is an effective intervention to reduce the incidence of falls.		The findings suggested that nursing personnel had a tendency to increase both the quality of nursing care and the outcomes for their patients. The effects of fall prevention programs could be maximized by using a mix of the findings from this review, which include rates of falls, injuries sustained from falls, and changes in behavior.
Recommendations of the researcher	Patient outcomes are improved when nurses receive advanced training in the prevention of falls. In the course of our research, we found that patients who were given the intervention had a lower risk of falling, irrespective of their age or duration of stay.	relative to infrequent rounding, and poorly rated nurse communication was associated with an 8.6-fold increase in patient fall rates relative to highly rated nurse communication (incidence rate ratio = 8.6, P < .01).	According to the findings of the literature review and synthesis, fall prevention programs for older individuals that include an educational component have the potential to be helpful.

 

Criteria	Article 4	Article 5	Article 6
APA-formatted article citation with permalink	McEwan, H., Baker, R., Armstrong, N., & Banerjee, J. (2018, July 18). A qualitative study of the determinants of adherence to NICE falls guideline in managing older fallers attending an emergency department – International Journal of Emergency Medicine. BioMed Central. https://doi.org/10.1186/s12245-018-0192-9
How does the article relate to the PICOT question?
Is the article qualitative, quantitative, or mixed methods? Justify your selection.	A qualitative analysis is used in this studies framework approach
Purpose statement
Research question(s)
Outcome(s)
Setting (Where did the study take place?)	The study involved two EDs. We undertook 27 episodes of observation of healthcare professional interactions with patients aged 65 or over presenting with a fall in a busy UK city hospital ED (A) with that in a less busy town hospital ED (B).
Sample	30 professionals (20 doctors, 10 nursing staff) deliver 27 episodes of care. Of the 27 patients, 19 were male and 8 female, ranging in age from 67 to 98.
Method	Semi-structured interviews were conducted after the observation phase of data collection was completed. A range of professionals were recruited, including both doctors (20) and nursing staff (10). Sampling was opportunistic and professionals who had been observed delivering care could also be interviewed (3) were both observed and interviewed. Professionals were interviewed once, and interviews were conducted until data saturation was reached, that is, when there was repetition of interview responses.
Key findings of the study and implications for nursing practice	At both emergency departments (EDs), adherence was affected by a number of different obstacles and facilitators (also known as determinants of practice), such as the following: support from senior staff; education; cross-boundary care; definition of falls; communication; organizational variables; and staffing.
Recommendations of the researcher	there is no “quick fix” answer to the problem of overcoming barriers to the adherence of the Falls guideline inside the ED; nevertheless, a structured strategy to enhancing adherence has the potential to be successful if it involves consensus and leadership from the seniors, and is backed by education for the staff.