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Literature Evaluation Table
Student Name: Vanessa Noa
Change Topic (2-3 sentences): Patient safety is one of the
pertinent issues in nursing home health care. The literature
evaluation table summarizes the strength and relevance of eight
peer-reviewed articles on the role of nurse education on fall
prevention.
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Author: Howard Katrina
Journal: MEDSURG Nursing
https://www.thefreelibrary.com/Improving+Fall+Rates+Using+
Bedside+Debriefings+and+Reflective+Emails%3A...-
a0568974192
Authors: Jang and Lee
Journal: Educational Gerontology
Link: https://doi.org/10.1080/03601277.2015.1033219
Authors: Kuhlenschmidt et al.
Journal: Clinical Journal of Oncology Nursing
Link: https://doi.org/10.1188/16.CJON.84-89
Authors: Minnier et al.
Journal: Creative Nursing
Link: https://doi.org/10.1891/1078-4535.25.2.169
Article Title and Year Published
Title: Improving Fall Rates Using Bedside Debriefings and
Reflective Emails: One Unit’s Success Story
Year: 2018
Title: The Effects of an Education Program on Home
Renovation for Fall Prevention of Korean Older People
Year: 2015
Title: Tailoring Education to Perceived Fall Risk in
Hospitalized Patients With Cancer: A Randomized, Controlled
Trial
Year: 2016
Title: Four Smart Steps: Fall Prevention for Community-
Dwelling Older Adults
Year: 2019
Research Questions (Qualitative)/Hypothesis (Quantitative), and
Purposes/Aim of Study
RQs: Why falls remain a challenging and complex problem
What innovative measures can reduce patient falls
Quantitative research
Aim/purpose: To discuss a project that seeks to implement
innovative measures that help decrease patient falls
RQs: Does an education program on home renovation reduce
falls among older people?
Quantitative study
Hypothesis: Appropriate education is crucial for fall prevention
Aim/Purpose: To verify the impacts of an education program on
home renovation for preventing falls among older adults
RQs: Are there evidence-based interventions tailored to the
perception of falls risk
Quantitative study
Aim/Purpose: To determine the effects of tailored, nurse-
delivered interventions
RQs: Do guides for fall prevention enhance older adults’
knowledge and awareness of fall risks.
Quality improvement project
Aim/Purpose: To implement a simple, author-designed guide for
fall prevention among older adults dwelling in the community
Design (Type of Quantitative, or Type of Qualitative)
Survey
Quasi-experimental
Randomized, controlled design
Narrative model
Setting/Sample
A team of clinical staff and leaders
51 participants
91 patient participants
Senior center
Methods: Intervention/Instruments
Open discussions to enable clinical staff to discuss concerns and
provide feedback
In-depth interviews and survey
A two-group, controlled design. This design helped to test
interventions in the bone marrow plantation unit
The prevention program dubbed Four Smart Steps targeted
community-dwelling older adults
Analysis
Inadequate engagement of staff in fall prevention as well as
post-fall processes is the greatest concern for the healthcare
team
The education program had a far-reaching effect on fall efficacy
The differences between the two groups were examined using a
paired McNemar’s test.
Registered nurses implemented the project. The four steps of
the program includes exercise, primary care, eye exams, and
home safety
Key Findings
A team effort would help curb patient falls
Provision of appropriate education is an important intervention
for preventing falls
One-third of the patients were at a lower risk of falls.
Statistically important difference in the proportion of at-risk
patients
Community-dwelling older people with enhanced education on
fall prevention were able to live more independently
Recommendations
Open discussions among team members on fall prevention
strategies
Education programs can be used to boost confidence as well as
encourage preventive behaviors
Tailoring education in keeping with the perceived risk of falls
among patients
Increasing community-dwelling older adults’ knowledge and
awareness of safety.
Explanation of How the Article Supports EBP/Capstone Project
The article supports the EBP project
The arguments shows the article supports the EBP project
The findings reveal that the article supports the EBP project
The article clearly supports the EBP project
Criteria
Article 5
Article 6
Article 7
Article 8
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Author: Murray Elizabeth
Journal: Pediatric Nursing
Link: https://www.ncbi.nlm.nih.gov/pubmed/29406648
Authors: Sullivan et al.
Journal: Journal of Interprofessional Care
Link: https://doi.org/10.3109/13561820.2014.969834
Authors: Uymaz and Nahcivan
Journal: Educational Gerontology
Link: https://doi.org/10.1080/03601277.2015.1109403
Authors: Zhao et al.
Journal of Nursing Administration
Link: https://doi.org/10.1097/NNA.0000000000000715
Article Title and Year Published
Title: Quality Improvement. Implementing a Pediatric Fall
Prevention Policy and Program
Year: 2016
Title: Interprofessional education with a community fall
prevention event
Year: 2015
Title: Evaluation of a nurse-led fall prevention education
program in Turkish nursing home residents
Year: 2016
Title: Evidence on Fall and Injurious Fall Prevention
Interventions in Acute Care Hospitals
Year: 2019
Research Questions (Qualitative)/Hypothesis (Quantitative), and
Purposes/Aim of Study
RQs: Do cognitive and physical abilities influence the risk of
falls?
Quantitative study
Aim/Purpose: To determine how quality improvement initiatives
reduce patient falls
RQs: Do all healthcare professionals exhibit positive attitudes
toward interprofessional teamwork
Qualitative study
Aim/Purpose: To describe the development of interprofessional
education opportunity and assessment of the changes on
student’s attitudes
RQs: Do nurse-led education programs on fall prevention reduce
the risk of falls?
Qualitative study
Aim/Purpose: To examine the impact of nurse-led education
programs in Turkey
RQs: What factors are associated with patient falls in acute care
hospitals?
Qualitative study
Aim/Purpose: To highlight clinical implications of falls among
adult inpatients
Design (Type of Quantitative, or Type of Qualitative)
Correlational
Observations
Interviews
Systematic review
Setting/Sample
Pediatric settings
Students drawn from 4 health science programs
46 older adults
Acute care hospitals
Methods: Intervention/Instruments
Humpty Dumpty Fall Scale
Interprofessional community service
An interview form was used to collect data. Other instruments
include Fall Behavioral Scale, Morse Fall Scale, and medication
checklist
Reviewing factors associated with injurious falls in acute care
facilities
Analysis
The Humpty Dumpty Fall Scale was used to assess the risk for
falls
The health programs include pharmacy, physical therapy,
nursing, and physician assisted studies
The elderly adults used in this study were 60 years and older.
They could act independently in their day-to-day activities
The article discussed the clinical implications of inpatient falls
as well as analyzed factors contributing to injurious falls.
Key Findings
The project played a pivotal part in preventing pediatric falls
Interprofessional community service events offer an important
approach to incorporate IPE.
A nurse-led education program impacts the need to increase
knowledge about development of protective fall behavior
Current practices used to prevent falls have facilitated attempts
to prevent injurious falls
Recommendations
Pediatric staff involvement would influence success of the
program.
Positive attitude is vital to achieving the goals of
interprofessional teamwork events.
Increasing patient knowledge about medications will also help
reduce the risk of falls
Effective prevention of injurious falls will help ease financial
burdens on patients and their families
Explanation of How the Article Supports EBP/Capstone
Murray’s article partly supports the EBP project. It largely
focuses on fall prevention among pediatric patients.
The results show that the article fully supports the EBP project
The article definitely supports the EBP project since it
emphasizes awareness creation
The article supports the EBP project thanks to its fall
prevention practices
References
Howard, K. (2018). Improving Fall Rates Using Bedside
Debriefings and Reflective Emails: One Unit’s Success
Story. MEDSURG Nursing, 27(6), 388–391.
Jang, M., & Lee, Y. (2015). The Effects of an Education
Program on Home Renovation for Fall Prevention of Korean
Older People. Educational Gerontology, 41(9), 653–669.
https://doi.org/10.1080/03601277.2015.1033219
Kuhlenschmidt, M. L., Reeber, C., Wallace, C., Yanwen Chen,
Barnholtz-Sloan, J., & Mazanec, S. R. (2016). Tailoring
Education to Perceived Fall Risk in Hospitalized Patients With
Cancer: A Randomized, Controlled Trial. Clinical Journal of
Oncology Nursing, 20(1), 84–89.
https://doi.org/10.1188/16.CJON.84-89
Minnier, W., Leggett, M., Persaud, I., & Breda, K. (2019). Four
Smart Steps: Fall Prevention for Community-Dwelling Older
Adults. Creative Nursing, 25(2), 169–175.
https://doi.org/10.1891/1078-4535.25.2.169
Murray, E. (2016). Quality Improvement. Implementing a
Pediatric Fall Prevention Policy and Program. Pediatric
Nursing, 42(5), 256–259.
Sullivan, K., Charrette, A., Massey, C., Bartlett, D., Walker, C.,
Bond, I., … Fong, J. J. (2015). Interprofessional education with
a community fall prevention event. Journal of Interprofessional
Care, 29(4), 374–376.
https://doi.org/10.3109/13561820.2014.969834
Uymaz, P. E., & Nahcivan, N. O. (2016). Evaluation of a nurse-
led fall prevention education program in Turkish nursing home
residents. Educational Gerontology, 42(5), 299–309.
https://doi.org/10.1080/03601277.2015.1109403
Zhao, Y. (Lucy), Bott, M., He, J., Kim, H., Park, S. H., &
Dunton, N. (2019). Evidence on Fall and Injurious Fall
Prevention Interventions in Acute Care Hospitals. Journal of
Nursing Administration, 49(2), 86–92.
https://doi.org/10.1097/NNA.0000000000000715
© 2015. Grand Canyon University. All Rights Reserved.
© 2017. Grand Canyon University. All Rights Reserved.

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Literature Evaluation TableStudent Name Vanessa NoaChange.docx

  • 1. Literature Evaluation Table Student Name: Vanessa Noa Change Topic (2-3 sentences): Patient safety is one of the pertinent issues in nursing home health care. The literature evaluation table summarizes the strength and relevance of eight peer-reviewed articles on the role of nurse education on fall prevention. Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Author: Howard Katrina Journal: MEDSURG Nursing https://www.thefreelibrary.com/Improving+Fall+Rates+Using+ Bedside+Debriefings+and+Reflective+Emails%3A...- a0568974192 Authors: Jang and Lee Journal: Educational Gerontology Link: https://doi.org/10.1080/03601277.2015.1033219 Authors: Kuhlenschmidt et al. Journal: Clinical Journal of Oncology Nursing Link: https://doi.org/10.1188/16.CJON.84-89 Authors: Minnier et al. Journal: Creative Nursing
  • 2. Link: https://doi.org/10.1891/1078-4535.25.2.169 Article Title and Year Published Title: Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story Year: 2018 Title: The Effects of an Education Program on Home Renovation for Fall Prevention of Korean Older People Year: 2015 Title: Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial Year: 2016 Title: Four Smart Steps: Fall Prevention for Community- Dwelling Older Adults Year: 2019 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study RQs: Why falls remain a challenging and complex problem What innovative measures can reduce patient falls Quantitative research Aim/purpose: To discuss a project that seeks to implement innovative measures that help decrease patient falls RQs: Does an education program on home renovation reduce falls among older people? Quantitative study Hypothesis: Appropriate education is crucial for fall prevention Aim/Purpose: To verify the impacts of an education program on home renovation for preventing falls among older adults RQs: Are there evidence-based interventions tailored to the perception of falls risk
  • 3. Quantitative study Aim/Purpose: To determine the effects of tailored, nurse- delivered interventions RQs: Do guides for fall prevention enhance older adults’ knowledge and awareness of fall risks. Quality improvement project Aim/Purpose: To implement a simple, author-designed guide for fall prevention among older adults dwelling in the community Design (Type of Quantitative, or Type of Qualitative) Survey Quasi-experimental Randomized, controlled design Narrative model Setting/Sample A team of clinical staff and leaders 51 participants 91 patient participants Senior center Methods: Intervention/Instruments Open discussions to enable clinical staff to discuss concerns and provide feedback In-depth interviews and survey A two-group, controlled design. This design helped to test interventions in the bone marrow plantation unit The prevention program dubbed Four Smart Steps targeted community-dwelling older adults Analysis Inadequate engagement of staff in fall prevention as well as
  • 4. post-fall processes is the greatest concern for the healthcare team The education program had a far-reaching effect on fall efficacy The differences between the two groups were examined using a paired McNemar’s test. Registered nurses implemented the project. The four steps of the program includes exercise, primary care, eye exams, and home safety Key Findings A team effort would help curb patient falls Provision of appropriate education is an important intervention for preventing falls One-third of the patients were at a lower risk of falls. Statistically important difference in the proportion of at-risk patients Community-dwelling older people with enhanced education on fall prevention were able to live more independently Recommendations Open discussions among team members on fall prevention strategies Education programs can be used to boost confidence as well as encourage preventive behaviors Tailoring education in keeping with the perceived risk of falls among patients Increasing community-dwelling older adults’ knowledge and awareness of safety. Explanation of How the Article Supports EBP/Capstone Project The article supports the EBP project The arguments shows the article supports the EBP project The findings reveal that the article supports the EBP project
  • 5. The article clearly supports the EBP project Criteria Article 5 Article 6 Article 7 Article 8 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Author: Murray Elizabeth Journal: Pediatric Nursing Link: https://www.ncbi.nlm.nih.gov/pubmed/29406648 Authors: Sullivan et al. Journal: Journal of Interprofessional Care Link: https://doi.org/10.3109/13561820.2014.969834 Authors: Uymaz and Nahcivan Journal: Educational Gerontology Link: https://doi.org/10.1080/03601277.2015.1109403 Authors: Zhao et al. Journal of Nursing Administration Link: https://doi.org/10.1097/NNA.0000000000000715 Article Title and Year Published Title: Quality Improvement. Implementing a Pediatric Fall Prevention Policy and Program Year: 2016 Title: Interprofessional education with a community fall prevention event Year: 2015 Title: Evaluation of a nurse-led fall prevention education program in Turkish nursing home residents Year: 2016
  • 6. Title: Evidence on Fall and Injurious Fall Prevention Interventions in Acute Care Hospitals Year: 2019 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study RQs: Do cognitive and physical abilities influence the risk of falls? Quantitative study Aim/Purpose: To determine how quality improvement initiatives reduce patient falls RQs: Do all healthcare professionals exhibit positive attitudes toward interprofessional teamwork Qualitative study Aim/Purpose: To describe the development of interprofessional education opportunity and assessment of the changes on student’s attitudes RQs: Do nurse-led education programs on fall prevention reduce the risk of falls? Qualitative study Aim/Purpose: To examine the impact of nurse-led education programs in Turkey RQs: What factors are associated with patient falls in acute care hospitals? Qualitative study Aim/Purpose: To highlight clinical implications of falls among adult inpatients Design (Type of Quantitative, or Type of Qualitative) Correlational Observations Interviews Systematic review
  • 7. Setting/Sample Pediatric settings Students drawn from 4 health science programs 46 older adults Acute care hospitals Methods: Intervention/Instruments Humpty Dumpty Fall Scale Interprofessional community service An interview form was used to collect data. Other instruments include Fall Behavioral Scale, Morse Fall Scale, and medication checklist Reviewing factors associated with injurious falls in acute care facilities Analysis The Humpty Dumpty Fall Scale was used to assess the risk for falls The health programs include pharmacy, physical therapy, nursing, and physician assisted studies The elderly adults used in this study were 60 years and older. They could act independently in their day-to-day activities The article discussed the clinical implications of inpatient falls as well as analyzed factors contributing to injurious falls. Key Findings The project played a pivotal part in preventing pediatric falls Interprofessional community service events offer an important approach to incorporate IPE. A nurse-led education program impacts the need to increase
  • 8. knowledge about development of protective fall behavior Current practices used to prevent falls have facilitated attempts to prevent injurious falls Recommendations Pediatric staff involvement would influence success of the program. Positive attitude is vital to achieving the goals of interprofessional teamwork events. Increasing patient knowledge about medications will also help reduce the risk of falls Effective prevention of injurious falls will help ease financial burdens on patients and their families Explanation of How the Article Supports EBP/Capstone Murray’s article partly supports the EBP project. It largely focuses on fall prevention among pediatric patients. The results show that the article fully supports the EBP project The article definitely supports the EBP project since it emphasizes awareness creation The article supports the EBP project thanks to its fall prevention practices References Howard, K. (2018). Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story. MEDSURG Nursing, 27(6), 388–391. Jang, M., & Lee, Y. (2015). The Effects of an Education Program on Home Renovation for Fall Prevention of Korean Older People. Educational Gerontology, 41(9), 653–669. https://doi.org/10.1080/03601277.2015.1033219 Kuhlenschmidt, M. L., Reeber, C., Wallace, C., Yanwen Chen, Barnholtz-Sloan, J., & Mazanec, S. R. (2016). Tailoring
  • 9. Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial. Clinical Journal of Oncology Nursing, 20(1), 84–89. https://doi.org/10.1188/16.CJON.84-89 Minnier, W., Leggett, M., Persaud, I., & Breda, K. (2019). Four Smart Steps: Fall Prevention for Community-Dwelling Older Adults. Creative Nursing, 25(2), 169–175. https://doi.org/10.1891/1078-4535.25.2.169 Murray, E. (2016). Quality Improvement. Implementing a Pediatric Fall Prevention Policy and Program. Pediatric Nursing, 42(5), 256–259. Sullivan, K., Charrette, A., Massey, C., Bartlett, D., Walker, C., Bond, I., … Fong, J. J. (2015). Interprofessional education with a community fall prevention event. Journal of Interprofessional Care, 29(4), 374–376. https://doi.org/10.3109/13561820.2014.969834 Uymaz, P. E., & Nahcivan, N. O. (2016). Evaluation of a nurse- led fall prevention education program in Turkish nursing home residents. Educational Gerontology, 42(5), 299–309. https://doi.org/10.1080/03601277.2015.1109403 Zhao, Y. (Lucy), Bott, M., He, J., Kim, H., Park, S. H., & Dunton, N. (2019). Evidence on Fall and Injurious Fall Prevention Interventions in Acute Care Hospitals. Journal of Nursing Administration, 49(2), 86–92. https://doi.org/10.1097/NNA.0000000000000715 © 2015. Grand Canyon University. All Rights Reserved. © 2017. Grand Canyon University. All Rights Reserved.