NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

Sample Answer for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies Included After Question

NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

Use this document to complete Part 1 of the Module 2 Assessment, Evidence-Based Project, Part 1: Identifying Research Methodologies

Matrix Worksheet Template

Use this document to complete Part 2 of the Module 2 Assessment, Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

Full citation of selected article	Article #1	Article #2	Article #3	Article #4
	Stanley, J., Harris, R., Cormack, D., Waa, A., & Edwards, R. (2019). The impact of racism on the future health of adults: protocol for a prospective cohort study. BMC public health, 19(1), 346.	Williams, D. R., Lawrence, J. A., & Davis, B. A. (2019). Racism and health: evidence and needed research. Annual review of public health, 40, 105-125.	Benjamins, M. R., & Middleton, M. (2019). Perceived discrimination in medical settings and perceived quality of care: A population-based study in Chicago. PloS one, 14(4).	Ben, J., Cormack, D., Harris, R., & Paradies, Y. (2017). Racism and health service utilization: a systematic review and meta-analysis. PLoS One, 12(12).
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)	This article was chosen since it focuses on how various social determinants lead to health inequalities. This article relates to the concept of racial discrimination in the healthcare sector since it discusses the negative impact of racism on physical and mental health outcomes.Racial discrimination in the healthcare sector relates to the principles of research ethics of minimizing the risk of harm. This principle aims at protecting the participants from any form of harm.	This article was preferred since it focuses on the relationship between racism and health.It relates to the concept of racial discrimination in the healthcare since covers the adverse effects of racism on health.Racial discrimination in the healthcare sector relates to the principles of research ethics of informed consent. Healthcare practitioners fail to obtain informed consent from ethnic minorities when handling them in the healthcare facilities.	This article was chosen since it evaluates the impact of discrimination on healthcare facilities.It relates to the concept of racial discrimination in the healthcare since it illustrates how racial discrimination affects the perceived quality of care.Racial discrimination in the healthcare sector relates to the principles of research ethics of minimizing the risk of harm.	NURS 6052 Wk 3 Assignment: Evidence-Based Project – Matrix Worksheet TemplateThis article was preferred since it focuses on the impact of racism and utilization of healthcare services.It relates to the concept of racial discrimination in the healthcare since it indicates the correlation between racism and healthcare services.
Brief description of the aims of the research of each peer-reviewed article	The researchers aimed at evaluating the effect of racism on the health of adults in the future.	The researchers of this article primarily aimed at evaluating the relationship between racism and adverse health outcomes for racial minorities.	The researcher was interested in evaluating the connection between perceived racial discrimination and the perceived quality of care.	The researcher aimed at analyzing the relationship between racism and the utilization of healthcare services.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.	The researchers utilized qualitative research method. Questionnaires were handled to the target sample size of 1680 participants aged 15 years and above.	The researchers utilized qualitative research method to collect the required data.	The researchers utilized quantitative research method. The target population was engaged in a face-to-face interview.NURS 6052 Wk 3 Assignment: Evidence-Based Project – Matrix Worksheet Template	The researchers utilized quantitative research methodology in this article.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.	This method provides more detailed information to elaborate complex issues. Additionally, this method of data collection is cost effective. This method is valid and reliable since data was gathered from 1680 targeted participants through questionnaires.	This data collection methodology enables the researchers to gather detailed information about the topic of interest. This method is valid and reliable since data was gathered from various peer-reviewed articles on the topic of study.	Quantitative research methodology enables the researcher to analyze the collected data using statistical methods. This method is valid and reliable since piloting study was conducted on the targeted population to test its validity and reliability.	Quantitative research methodology enables the researcher to analyze the collected data using statistical methods. Data is reliable and valid since it was collected from study reports associated with racism and healthcare service utilization.
General Notes/Comments	The article is well written and gives a clear illustration of the relationship between racism and healthcare outcomes.	This article discusses the clearly indicates the relationship between racism and its impact on health.NURS 6052 Wk 3 Assignment: Evidence-Based Project – Matrix Worksheet Template	The article has illustrated how ethnic minorities, including the blacks are affected by the perceived ethnic discrimination in the healthcare sector.	This article has focused on the effect of negative patient experiences due to racial discrimination.

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. NURS 6052 Wk 3 Assignment: Evidence-Based Project – Matrix Worksheet Template

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. NURS 6052 Wk 3 Assignment: Evidence-Based Project – Matrix Worksheet Template

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• NURS 6052 Wk 3 Assignment: Evidence-Based Project – Matrix Worksheet Template
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

A Sample Answer For the Assignment: NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

Title: NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

A central line bloodstream infection (CLABSI) is a laboratory-confirmed bloodstream infection not connected to an infection at another site that occurs within 48 hours of a central line placement. It is associated with poor health outcomes, high morbidity and mortality rates, and high healthcare costs for patients and the healthcare system. Most CLABSI cases are preventable with appropriate aseptic techniques, surveillance, and management strategies. The purpose of this assignment is to analyze peer-reviewed articles related to CLABSI. 

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Full citation of selected article	Article #1	Article #2	Article #3	Article #4
	Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation science : IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4	Acharya, R., Bedanta Mishra, S., Ipsita, S., & Azim, A. (2019). Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(7), 316–319. https://doi.org/10.5005/jp-journals-10071-23205	Mohapatra, S., Kapil, A., Suri, A., Pandia, M. P., Bhatia, R., Borkar, S., Dube, S. K., Jagdevan, A., George, S., Varghese, B., & Dabral, J. (2020). Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(6), 414–417. https://doi.org/10.5005/jp-journals-10071-23455	Goldman, J., Rotteau, L., Shojania, K. G., Baker, G. R., Rowland, P., Christianson, M. K., Vogus, T. J., Cameron, C., & Coffey, M. (2021). Implementation of a central-line bundle: a qualitative study of three clinical units. Implementation science communications, 2(1), 105. https://doi.org/10.1186/s43058-021-00204-y
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)	The article was selected because it is concerned with identifying approaches that can prevent CLABSI and the adoption of these interventions among nurses.It relates to the clinical issue because it provides evidence-based data on interventions that can be employed to lower CLABSI rates in hospitals.The study was reviewed by the Duke University and WakeMed’s Institutional Review Boards and established to be exempt.	The article was selected because it assesses the effectiveness of educational program for nurses and how educating nurses can reduce CLABSI rates. It relates to the clinical issue because it adds to literature on interventions that can be employed to lower CLABSI rates in hospitals.All participants gave their informed consent.	The article was selected because it identifies education as an important aspect of the hospital infection control that improves infection-control practices.The study supports that continuous education interventions on hand hygiene with and training on the catheter hub care are the two most crucial preventive measures in reducing CLABSI incidence.Ethical permission for the study was not needed since it was part of routine continuing surveillance activity.	I selected this article because it gives insight on the impact of socio-cultural factors in CLABSI bundle implementation.This relates to the clinical issue since socio-cultural factors could be causing high CLABSI rates or hindering the implementation of preventive strategies. The research was approved by the Research Ethics Boards at the hospital where the research was conducted.
Brief description of the aims of the research of each peer-reviewed article	The aim of the study was to examine the effect of a tailored, multifaceted implementation program on nursing staff’s compliance with the chlorhexidine gluconate (CHG) bathing process and EHR documentation in critically ill patients. It also sought to assess the intervention’s impact on nursing staff’s knowledge and perceptions of CHG bathing, and the effect of the intervention on CLABSI rates.	The study carried out an education based program on hand hygiene with a pre- and post evaluation to evaluate the effect of the educational intervention in promoting performance improvement among the nurses.	The aim of the study was to assess the impact of continuous teaching and training on strict adherence of the bundle care, particularly the compliance of hand hygiene and the care of central-line catheter hub for the prevention of CLABSI among patients in neurocritical ICUs.	The aim of the study was to assess how socio-cultural factors influencing bundle implementation and practices in three clinical units in a pediatric hospital were identified and addressed by leaders of the safety program.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.	The researchers utilized a stepped wedged cluster-randomized design. Quantitative methods were used to evaluate assess the effect of utilizing a tailored implementation strategies program on nursing staff compliance with daily CHG bathing processes.	The study employed a quantitative quasi-experimental study with respect to education of nursing staff to decrease the incidence of CLABSI.A pretest and post test design was employed to measure nurses’ knowledge on the infection prevention and control practices of central catheter care.	The study applied a quantitative prospective observational study in the NICU over two years from January 2017 to December 2018.	The researchers conducted a qualitative study of the implementation of a hospital-wide safety program
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.	The strength of a randomized control trial lies in its excellent internal validity.The study’s methodology is reliable since it produced results consistent with other studies that have established daily CHG bathing as effective in reducing patients’ risk of infections.The methodology is valid since it adequately evaluated the impact of the implementation program on nursing staff compliance and CLABSI rates.	The methodology is reliable since it produced consistent results with previous studies that show that educating nurses on hand hygiene lower the rates of CLABSI. The methodology passed the validity criterion since it measures what it was supposed to, that is, the impact of a nurses’ educational intervention in reducing CLABSI.	The research methodology is reliable since it the results are consistent with other studies that have established that hand hygiene and catheter hub care reduce CLASI rate.The methodology’s validity is apparent since it actually evaluates if a quality improvement initiative on hand hygiene reduces CLABSI rate.	The methodology is reliable since it produced results consistent with previous studies that socio-cultural factors play a major role in CLABSI bundle implementation.Its validity is evident since it sufficiently identified socio-cultural factors related to bundle compliance in CLABSI prevention.
General Notes/Comments	Adoption of evidence-based CHG bathing practices can be used to lower the cases of CLABSI in healthcare facilities.Education programs for nurses and providing feedback on implementation is an effective way of promoting adoption and compliance of this practices.	CLABSI rates can be alleviated by enhancing compliance with the basic steps of hand hygiene. Although educating and implementing hand hygiene is easy, sustaining it over time is a challenge and requires regular training and motivation for healthcare providers.	Adherence of healthcare providers to hand hygiene practices and catheter hub care alongside continuous teaching, training, and supervision is highly effective in reducing the CLABSI rate.	Difficult to change socio-cultural factors can hinder the sustainability of interventions to reduce CLABSI and are a barrier to further improvements.

Conclusion

The above articles examined the impact of interventions aimed at preventing CLABSI like hand hygiene and catheter hub care. The impact of nurses’ education programs on implementing the hand hygiene and catheter hub care was also examined. The study findings show that these interventions are highly effective in lowering CLABSI rates. However, one of the articles demonstrates that socio-cultural factors can hinder their implementation. The articles highlight evidence-based interventions that can be applied in a quality improvement initiative on reducing CLABSI rates in a healthcare facility.

References

Acharya, R., Bedanta Mishra, S., Ipsita, S., & Azim, A. (2019). Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(7), 316–319. https://doi.org/10.5005/jp-journals-10071-23205

Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation science : IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4

Goldman, J., Rotteau, L., Shojania, K. G., Baker, G. R., Rowland, P., Christianson, M. K., Vogus, T. J., Cameron, C., & Coffey, M. (2021). Implementation of a central-line bundle: a qualitative study of three clinical units. Implementation science communications, 2(1), 105. https://doi.org/10.1186/s43058-021-00204-y

Mohapatra, S., Kapil, A., Suri, A., Pandia, M. P., Bhatia, R., Borkar, S., Dube, S. K., Jagdevan, A., George, S., Varghese, B., & Dabral, J. (2020). Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(6), 414–417. https://doi.org/10.5005/jp-journals-10071-23455

A Sample Answer For the Assignment: NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

Title: NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies

Clinical issues have profound impacts on health care providers and patients, given that they pose a significant risk to the quality of care, patient safety, and nursing staff’s wellbeing. Workplace incivility, characterized by discourteous and disrespectful actions, is typical in the nursing practice. It is among the issues that adversely affect nurses’ confidence and interprofessional collaboration. Anxiety is also high in workplaces where nursing incivility is not effectively controlled, fueling burnout and turnover (Shi et al., 2018). Effective control of nursing incivility is vital to optimizing care quality and patient safety. Since interventions should be evidence-based, it is crucial to search for evidence from credible research as summarized in the matrix worksheet.

Full citation of selected article	Article #1	Article #2	Article #3	Article #4
	Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709	Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966	Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106	Shi, Y., Guo, H., Zhang, S., Xie, F., Wang, J., Sun, Z., … & Fan, L. (2018). Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China. BMJ Open, 8(4), e020461. doi:10.1136/ bmjopen-2017-020461
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)	It is a comprehensive article exploring the importance of enhanced awareness through educational programs in reducing nurse-to-nurse incivility. The article explains how cognitive rehearsal techniques can help nurses to cope with incivility. Al-Ghabeesh and Qattom (2018) also supported the role of cognitive rehearsal in helping nurses to cope with workplace problems since it prepares them mentally to cope with stressing situations. Regarding ethics, participation was voluntary and participants’ information treated anonymously.	The article depicts workplace incivility as a disturbing phenomenon, detrimental to clinicians’ health and care delivered. Due to incivility’s psychological and somatic effects, the article investigates how it can be managed from a nurse’s perspective. Concerning research ethics, informed consent was observed to ensure that nurses participated willingly. Nurses were also allowed to withdraw willingly without getting penalized in any way.	The article was chosen since it shows the severity of workplace incivility among nurses and proposes evidence-based interventions. According to Armstrong (2018), incivility has a destructive effect as a cause of emotional upset among nurses, to the extent of risking patient care. This observation coincides with Alshehry et al. (2021) finding that workplace incivility increases the occurrence of unsafe medication administration practices. On ethics, Armstrong (2018) avoided search biases by summarizing data from different databases.	The article is an in-depth exploration of the implications of workplace incivility in health practice. It describes how workplace incivility is correlated with anxiety and job burn-out among nurses, necessitating evidence-based interventions. Regarding ethics of research, consent and anonymity are critical. Participants consented to participate in the survey and information provided was treated anonymously.
Brief description of the aims of the research of each peer-reviewed article	The aim of the research was to help nurses to recognize incivility and reduce its impacts by confronting it through cognitive rehearsal techniques. The ability to confront incivility would improve job satisfaction.	Abdollahzadeh et al. (2017) suggested that many articles have investigated the effects of workplace incivility without proposing practical interventions. In response, the article’s primary aim is to determine how workplace incivility can be prevented in health care settings from a nurses’ perspective.	Guided by the premise that workplace incivility should be effectively controlled, the study critiques and summarized evidence that can help nursing staff to manage workplace incivility. It focused on the practical interventions that can be applied universally as nurses overcome this chronic problem.	The article’s primary aim was to investigate the impacts of workplace incivility on new nursing staff. It further examined the role that resilience plays in moderating incivility-job burn-out connection.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.	Kile et al. (2019) conducted a mixed method, pilot study. Data before and after nurses received cognitive rehearsal training were obtained via surveys for comparative analysis.	Data was collected via interviews. Researchers used the qualitative descriptive study design. Thus, the article is qualitative research.	The study is a systematic review of current and relevant evidence on workplace incivility. Ten studies were reviewed, implying that it is a quantitative study.	The study was a cross-sectional online survey. Participants (903 registered nurses) completed online questionnaires in May of 2016 in China. Hence, it was a quantitative research.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.	The key strength of a mixed method approach to research is enhancing the understanding of quantitative and qualitative results’ contradictions. Regarding validity and reliability, researchers use various methods to gather information in mixed methods studies (Schoonenboom & Johnson, 2017). These methods supplement each other making the data more valid and reliable.	Generally, qualitative research allows issues to be examined in-depth. Interviews also allow researchers to ask specific questions that can be redirected as situations oblige (Thorsteinson, 2018). Regarding reliability and validity, interviews allowed one-on-one correspondence and the interview questions were designed in a way that all the participants answered the same questions despite difference locations.	A key strength of systematic reviews is getting a quick answer about a particular clinical issue from previous studies. In this case, information is readily available. Systematic reviews are highly reliable and valid too. Their conclusion about a clinical issue is derived from multiple studies that the researcher(s) assess for relevance and quality.	As a common data collection method, questionnaires have various strengths. It is possible to test many people quickly. Data (quantitative) can be generated and analyzed easily. On reliability, questionnaires facilitate the collection of large volume of data (Oden, 2019). It was the same case in the article. The results were also consistent by showing a positive correlation between workplace incivility, anxiety, and burnout.
General Notes/Comments	The article expands the PICOT by explaining how an educational intervention (cognitive rehearsal) can advance workplace civility. It illustrates how a positive workplace can be promoted to ensure that patients receive safe and efficient care.	The article is a reliable resource that expands knowledge on workplace incivility prevention from a nurses’ perspective. It explains how improving nurses’ skills and communication ability and supporting nurses can be integral in reducing workplace incivility in health care organizations.	The article is highly informative on the implications of workplace incivility in health care settings. It further proposes interventions necessary to manage incivility including educational training on incivility to enhance awareness and communication skills. Overall, it is a useful resource to develop the PICOT.	As nurses continue solving clinical issues, application of evidence-based research is vital. The article expands research on the effects of workplace incivility, which shows the need for policy interventions and other practical solutions.

Conclusion

The research articles in the worksheet evaluate workplace incivility among nurses from multiple dimensions. Causes of nursing incivility have been studied besides impacts of the clinical problem and possible prevention measures. Interventions such as resilience training and cognitive rehearsal techniques have been proposed. The articles will be further critiqued to get the best evidence to be used as the basis for change implementation in nursing practice to reduce incivility.

References

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966

Al-Ghabeesh, S. H., & Qattom, H. (2019). Workplace bullying and its preventive measures and productivity among emergency department nurses. Israel Journal of Health Policy research, 8(1), 1-9. https://doi.org/10.1186/s12913-019-4268-x

Alshehry, A. S., Alquwez, N., Almazan, J., Namis, I. M., & Cruz, J. P. (2019). Influence of workplace incivility on the quality of nursing care. Journal of Clinical Nursing, 28(23-24), 4582-4594. DOI: 10.1111/jocn.15051

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106

Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709

Oden, C. (2019). Validity and reliability of questionnaires: how to check. ProjectTopics. https://www.projecttopics.org/validity-and-reliability-of-questionnaires-how-to-check.html

Shi, Y., Guo, H., Zhang, S., Xie, F., Wang, J., Sun, Z., … & Fan, L. (2018). Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China. BMJ Open, 8(4), e020461. doi:10.1136/ bmjopen-2017-020461

Schoonenboom, J., & Johnson, R. B. (2017). How to construct a mixed methods research design. KZfSS Kölner Zeitschrift für Soziologie und Sozialpsychologie, 69(2), 107-131. doi: 10.1007/s11577-017-0454-1

Thorsteinson, T. J. (2018). A meta‐analysis of interview length on reliability and validity. Journal of Occupational and Organizational Psychology, 91(1), 1-32. https://doi.org/10.1111/joop.12186

University of Maryland Medical Center is a notable healthcare organization that places emphasis on the use of EBP and improvement of patient outcomes in their standards of practices.  UMMS states that discovery and innovation is a value for the HCO. UMMS consistently incorporates the use of new and approved medical findings in their medical treatments. For example UMMC is a NCI-designated comprehensive cancer center and was the first facility in the US to use the GammaPod a new radiation treatment with positive outcomes for patients.

EBP involves using “problem-solving approach to clinical decision making based on the most accurate and reliable evidence and clinical expertise to improve conditions and outcomes for systems” and this is what is exhibited at UMMS.  (Melnyk & Fineout-Overholt, 2018) University of Maryland also enacts frequent policy updates for staff based on  the latest healthcare data in the US to  ensure safety  for staff and best practice for patients. 

UMMS, (n.d.) retrieved https://www.umms.org/ummc/-/media/files/umms/about-us/member-hospitals/

Links to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

According to the Quigley and White (2013), anywhere from 3%-20% of patients admitted in the impatient setting with suffer from a fall at least once throughout their stay. Within the facility that I work in, patient falls have continued to rise throughout the past year alone. Unfortunately, not all falls result in just soreness that works it’s way out in a few days. Some of the injuries patients receive in result from a fall are more serious issues, such as fractures, uncontrolled bleeding, or brain bleeds that could result in death.

According to the CDC (2021), more than 95% oh hip fractures are caused by falling and 1 out 5 falls cause serious health injuries. Although effectiveness of each of the interventions determine on the patient population being targeted in the study and the statistics being used depend on the sample size, the beginning of my focus is on the order of effectiveness of interventions to help derive a protocol. 

To begin my search at Walden University Library (n.d), I searched “falls that occur in the inpatient setting”  which yielded 3,481 results. I then placed a filter so the results only included peer reviewed articles which provided 3,065 results. To narrow the results even more, I placed the search to only show articles within the years of 2018-2022. This yielded 990 articles. When looking through the articles, they included all kinds of inpatient places (ex: psychiatric, pediatric, tertiary care, etc). I then made my search more specific and searched “elderly falls in an inpatient setting and received 13 results. By starting out the search broad and narrowing if down, it allows for more precise articles to be reported for better quality of information. Clear and concise searches are the method I am going to use to have the most recent research available so I can implement the best fall prevention strategies for my patients. I also plan to further my research and use other reliable databases. 

According to Davies (2011), evidence based practice is used to answer a variety of questions. PICO(T) was made to help break down the parts of a questions to help find research easily. My PICO(T) question is: Are elderly patients who are admitted into the inpatient setting less likely to have a fall with the use of a bed alarm or other mechanical device compared to those who just have a fall risk assessment upon admission?