Literature Evaluation Table Comprehensive Nursing Paper Example
Summary of Clinical Issue (200-250 words):
Falls entail the involuntary and unexpected event that make an individual to come on the ground, floor or a lower level. Fall can be anticipated, accidental or unanticipated. Elderly populations in care or community settings are at higher risk for falls than younger individuals (Fhon et al., 2018). In elderly adults, the risks of falls increase with age and frailty. Falls results to injuries that are associated with high mortality, morbidity, limited functional capacity, and lengthy hospital stays. In this case, limited financial ability associated with aging and high prevalence of chronic conditions, calls a need for nurses and health care providers to adopt evidence based-practices/interventions to prevent the risk of falls in long-term of elderly.(Literature Evaluation Table Comprehensive Nursing Paper Example)
Furthermore, patients aged 65years and above are prone to risks of falls from decreased bone structure and other factors such as dementia and orthostatic hypotension (King et al., 2018). The mentioned comorbidities increase unsteadiness and dizziness resulting to falls. However, interventions like bed alarms, and nightlights helps to prevent falls. Equally, educating and familiarizing the patient with the new environment helps to prevent the rusks of falls. The screening and assessment of risk of falls play a vital role in reducing falls. In this case, screening in the risks of fall aids to initiate preventative measures to reduce falls.(Literature Evaluation Table Comprehensive Nursing Paper Example)
PICOT Question: In elderly patients (65 years or more) (Population) how will fall risks assessments (Intervention) compared to modification of the environment (Comparison) aid to reduce falls incidences (Outcome) in four weeks (Time).
| Criteria | Article 1 | Article 2 | Article 3 |
| APA-Formatted Article Citation with Permalink | King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340. Permalink: https://doi.org/10.1093/geront/gnw156 | Ehn, M., Eriksson, L. C., Åkerberg, N., & Johansson, A. C. (2018). Activity monitors as support for older persons’ physical activity in daily life: qualitative study of the users’ experiences. JMIR mHealth and uHealth, 6(2), e8345. Permalink: https://mhealth.jmir.org/2018/2/e34/ | Gerards, M. H., Sieben, J., Marcellis, R., de Bie, R. A., Meijer, K., & Lenssen, A. F. (2022). Acceptability of a perturbation-based balance training programme for falls prevention in older adults: a qualitative study. BMJ Open, 12(2), e056623. Permalink: http://bmjopen.bmj.com/ |
| How Does the Article Relate to the PICOT Question? | The article features impacts of falls preventions in nursing and risks associated with patients’ falls. The article is as a result of gerontology work dealing with individuals aged 65 years and above.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The article outlines the use activity monitors to support eight community-dwelling older adults to prevent the risks of falls. | The study on the inclusion of balance training programs to prevent the risks of falls among the elderly. |
| Quantitative, Qualitative (How do you know?) | The qualitative study was conducted to determine about nurses experiences in prevention of falls and how those experiences affect their work. | The qualitative study interviewed eight community-dwelling older adults about their experience with the use of physical activity monitors to reduce falls. | The research was a qualitative study where semi-structured interviews were conducted on 16 older adults. |
| Purpose Statement | The primary purpose is to provide nursing care experiences and affects in care to prevent falls in elderly population.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The aim of this article was to establish how use of activity monitors improves physical activity among the elderly with a goal to prevent the risks of falls.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The aim of this study was to determine the how balance training contribute to reduction of risks of fall in the elderly populations.(Literature Evaluation Table Comprehensive Nursing Paper Example) |
| Research Question | How does nursing care in prevention of falls affect their quality of care? | How does physical activity affect the risks of falls among the elderly? | How does perturbation-based balance training program me prevent falls among the elderly? |
| Outcome | Intense encouragement and messaging form hospital management reduced risks of falls since nurses wanted to stop these instant messages and to meet organizational goals. | Individual with activity monitors had improved levels of physical activity and reduced risks of falls.(Literature Evaluation Table Comprehensive Nursing Paper Example) | Older individual that engaged in the balance training program had reduced incidences of falls. |
| Setting (Where did the study take place?) | The data was collected in two hospitals in Wisconsin. | The study took place in a community setting. | The study took place in a university medical center in Netherlands. |
| Sample | The sample comprised of 27 registered nurses and certified nurses employed in surgical and medical wards in care of geriatric patients.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The sample comprised of 8 community-dwelling individuals (median age of 83 years). | The study comprised of 16 (14 males, 2 females) older adults (Median age of 73.6+/-6.0). |
| Method | “GDA, a variant of Grounded Theory was used to explore acute care nurses’ experiences with fall prevention and how those experiences influenced care of older adult fall risk patients” (King et al., 2018). | The study used descriptive study design to gain an insight of older person’s experiences of measuring levels of physical activity in terms of steps per day. | The study utilized purposive sampling strategies.(Literature Evaluation Table Comprehensive Nursing Paper Example) |
| Key Findings of the Study | More intense messaging, ensured the nurses altered and improved their care to prevent patient falls.(Literature Evaluation Table Comprehensive Nursing Paper Example) | Individual with high physical activity had reduced risks of falling compared to those with reduced physical activity levels. | Balance training helps to reduces anxiety while it boosts confidence thus reducing the risks of falls. |
| Recommendations of the Researcher | Falls among elderly patients should be a public health concern for the health care sector. | Older people should be educated on the importance of remaining physically active towards reducing the risks of falls.(Literature Evaluation Table Comprehensive Nursing Paper Example) | Balance training included to remedy falls among the elderly populations. |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA-Formatted Article Citation with Permalink | Santos, P. H. F. D., Stival, M. M., Lima, L. R. D., Santos, W. S., Volpe, C. R. G., Rehem, T. C. M. S. B., & Funghetto, S. S. (2020). Nursing diagnosis Risk for Falls in the elderly in primary health care. Revista Brasileira de Enfermagem, 73. Permalink: https://www.scielo.br/j/reben/a/Jnxr5TkZsxDTp7PjpBrT8mQ/ | Fhon, J. R. S., Rodrigues, R. A. P., Santos, J. L. F., Diniz, M. A., Santos, E. B. D., Almeida, V. C., & Giacomini, S. B. L. (2018). Factors associated with frailty in older adults: a longitudinal study. Revista de saude publica, 52. Permalink: https://www.scielo.br/j/rsp/a/bmbq45Lb6fZvgyHSRSZyXFd/?lang=en | Ziegl, A., Hayn, D., Kastner, P., Löffler, K., Weidinger, L., Brix, B., … & Schreier, G. (2020). Quantitative falls risk assessment in elderly people: results from a clinical study with distance-based up-and-go test recordings: physiological measurement, 41(11), 115006. Permalink: https://iopscience.iop.org/article/10.1088/1361-6579/abc352/pdf |
| How Does the Article Relate to the PICOT Question? | The article describes nursing diagnosis and assessments of risks of falls in the elderly population in the primary healthcare.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The article discuses factor associated with frailty among the elderly leading to increased risks of falls. | The article outlines the quantitative falls risks assessment among the elderly. |
| Quantitative, Qualitative (How do you know?) | The quantitative study utilized measurable values such as sugar and pressure levels among the sample subjects. The study also used tables and charts to represent data.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The study is quantitative and used statistical data and tables to represent the obtained information | The quantitative study entailed collection of measurable data such as Timed UP-and-Go tests that were recorded after every three weeks and recorded. Data was also interpreted using graphs and tables. |
| Purpose Statement | The study aimed to assess falls risk factors like chronic conditions such as diabetes and hypertension. | The study aimed to establish factor contributing to frailty at old age( 65 years and above).(Literature Evaluation Table Comprehensive Nursing Paper Example) | This study focused on using the risk assessment tools such as Timed Up-and-Go tests to determine the time an individual takes to stand up, walk for three meters, back to the chair and sit down among the elderly individuals. |
| Research Question | Do chronic conditions such as diabetes and hypertension increase the risks of falls?(Literature Evaluation Table Comprehensive Nursing Paper Example) | What are the factors contributing to frailty? | What are the various falls risk assessment tools used to determine risk of falls among the elderly? |
| Outcome | The article proved there is an immense problem of falls among older populations in the primary health care. | The study established that frailty is a significant contributor to falls among the elderly. | The study compared the risks of falls from Time Up-and-Go time and the state-of-the-art risk scores. |
| Setting (Where did the study take place?) | The study took place in two primary health care units in the administrative region of the Federal District. | The study took place in community setting involving older persons (aged 65 years and above) in their homes in Brazil. | Individuals aged 65 years and above from four different nursing homes were enrolled in the study. |
| Sample | The sample comprised 156 elderly people ages 60 years and above with diabetes and hypertension. | The study enrolled 515 participants aged 65 years and above. | The sample size comprised of 46 participants. |
| Method | The study used a descriptive cross-sectional study design to obtain the data.(Literature Evaluation Table Comprehensive Nursing Paper Example) | The study used a longitudinal study design while descriptive statistics were used to for the quantitative data. | Demographic research methods were used and data collect from TUG measurements recorded after every three weeks. |
| Key Findings of the Study | 71.2% of elderly had incidences of falls with females with a high prevalence (83.5%) than men. | Individuals age 80 years and above, females, those with lower level of education and did not have partners predominant compared to the others. | Twenty-three participants fell at least once within the screening period. Frailty and fall are primary causes of comorbidity among older people. |
| Recommendations of the Researcher | Elderly patients with chronic conditions should be assessed and monitored frequently to prevent risks of falls.(Literature Evaluation Table Comprehensive Nursing Paper Example) | Chronic conditions such as diabetes and hypertension should be managed to prevent frailty among the old that leads to increased risk of falls.(Literature Evaluation Table Comprehensive Nursing Paper Example) | Healthcare providers should aim to improve and maintain functional activity among elderly persons to minimize the risks of falls and its complications. |
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