Research Critiques and PICOT Statement Final Draft Assignment NRS 433

Research Critiques and PICOT Statement Final Draft Assignment NRS 433

How the Article Support the Nurse Practice Issue Chosen

The four articles will be used to answer the PICOT question by providing evidence on the effectiveness of fall prevention strategies among older adults. Qualitative article 1 details falls as one of the leading causes of fatal and nonfatal injuries among older adults. On the other hand, Article 2 propose the adoption of a patient-tailored fall prevention initiative. Article 5, (Duckworth et al., 2019) shows that the Fall TIPS framework is effective in reducing and preventing falls among diverse patients, even in their homes. On the other hand, Article 4 (Guo et al., 2023) illustrates the effectiveness of using a fall prevention approach tailored to patient needs.

The four articles provide evidence on the efficacy of patient-centered fall prevention strategies, which is relevant to the PICOT question. The interventions and outcomes in the articles can be compared to those in the PICOT question to determine the most effective approach to fall prevention in nursing homes and residences. The interventions in the articles are similar to the TIPS framework identified in the PICOT question. The comparison groups in the articles are also similar to the normal safety measures identified in the PICOT question. In the four articles, the interventions were compared to usual care or standard safety measures. The outcomes in the articles, such as reduced falls and improved patient safety, are also similar to the outcomes identified in the PICOT question. However, the samples in the articles are different from the PICOT question, as the articles focused on hospitals and healthcare settings, while the PICOT question focuses on nursing homes and residences.

Methods of Study

The four articles use different methods of study to attain their results. From Article 1, Vincenzo et al. (2022) applies informed grounded theory and focus groups to demonstrate the effects of barriers and facilitators of falls; especially reasons for non-engagement. On their part, from Article 2, Carter et al. (2020) use interviews as well as focus groups to get information about the implementation of Fall TIPS. The Article 4 used a longitudinal quasi-experimental quantitative design to assess the effectiveness of fall prevention interventions while Article 5 used three modalities approach that included laminated Fall TIPS poster, electronic Fall TIPS poster and paperless patient safety displays at the bed side.

One benefit of the longitudinal quasi-experimental quantitative design used in the first article is that it allows for the assessment of the effectiveness of an intervention over time. However, a limitation is that it may be difficult to control for all confounding variables. On the other hand, one benefit of a modalities approach that includes laminated Fall TIPS posters, electronic Fall TIPS posters, and paperless patient safety displays at the bedside is that it can effectively reinforce fall prevention strategies and educate both healthcare providers and patients. One limitation of this approach, however, is that it may not be accessible to all patients, particularly those who are not literate or have visual impairments.

Focus groups are essential as they assist researchers to discover new aspects and information about their investigation since participants own and contribute together on diverse perspectives about the chosen topic away from the imagination of the research team. However, focus groups are costly compared to other methods and are susceptible to moderator bias. The other method used in the articles is interview. A core advantage of interviews is that they help researchers exercise flexibility when formulating questions and give room to respondents to answer well. However, they can have significant levels of bias from the researcher or the respondent. These biases like racial class and physical appearance can affect the overall validity and credibility of the outcomes.

Results of Study

The two qualitative articles 1 and 2 make critical findings that demonstrate the effectiveness of using the Fall TIPS model to reduce and prevent the occurrence of falls in older patients. Article 1 found that older adults do not engage in fall prevention because of reasons related to self-perceived severity of their condition, susceptibility to falls and lack of limited self-efficacy. They also do not get sufficient information on fall prevention from their medical and healthcare providers. The article asserts that facilitating fall prevention strategies requires ensuring that older adults have knowledge, get engaged, and socialize with the providers. The researchers also emphasize the need to engage families, friends and other healthcare professionals to deliver cues to action and materials. Article 2 found that Fall TIPS is essential to reducing falls among the targeted patient population. The article asserts that Fall TIPS improves nurses’ overall motivation, enhances patients’ understanding of their roles and the overall integration of the model in the workflow process for the organization.

Article 4 found that a fall prevention strategy tailored to patient needs was effective in reducing falls among older patients in healthcare settings (Guo et al., 2023). The study emphasizes the importance of patient engagement in fall prevention interventions. On the other hand, study from Article 5 found that that engaging patients and their families in a three-step fall prevention process using the Fall TIPS framework is effective in reducing and preventing falls among diverse patients, even in their homes. The study also highlights the need to implement patient-centered strategies to improve overall patient safety.

The four studies have serious implications for nursing practice. Firstly, they indicate that nurses must engage their patients concerning the type of fall prevention strategy that they want to implement in their practice so that they attain a buy-in for better implementation. Secondly, they should provide information for patients and their families to make informed choices and decisions. Thirdly, the articles are categorical that Fall TIPS and its implementation requires the involvement of all stakeholders for better outcomes.

Ethical Considerations

Two ethical considerations in conducting research are informed consent and protection of participants’ confidentiality. Informed consent involves ensuring that participants understand the purpose of the study, the procedures involved, and any potential risks or benefits (Farrugia, 2019). Protection of participants’ confidentiality involves ensuring that participants’ personal information is kept confidential and not disclosed to unauthorized individuals (Farrugia, 2019).

The researchers in the four articles considered informed consent and confidentiality in their studies. In Article 1 and 2 researchers sought approval from the IRBs to ensure that they will follow all the protocols. Secondly, they do not reveal any names of the participants and make an ethical declaration in their works. These imply that they adhered to the expected ethical considerations and need for reliable outcomes. In Article 4, the researchers obtained informed consent from participants and ensured that their personal information was kept confidential (Guo et al., 2023). They also obtained approval from the institutional review board (IRB) before conducting the study. In Article 5, the researchers obtained informed consent from participants and ensured that their personal information was kept confidential. They also obtained approval from the IRB before conducting the study. Both studies followed ethical guidelines to protect the rights and welfare of participants.

Outcomes Comparison

   The anticipated outcome of an assessment using this PICOT question is that the implementation of the TIPS framework within nursing homes and residences could result in reduced falls for older adults. The goal is to see a reduction in falls and associated effects by 60 % within six months. The TIPS framework includes elements like peer accountability which has been identified as effective at increasing patient safety amongst vulnerable populations. Should the assessment prove successful, the implications are promising for use within similar environments worldwide when it comes to helping reduce falls and injuries to elderly patients. From the four articles, fall prevention process using the Fall TIPS framework is effective in reducing and preventing falls among diverse patients, even in their homes, this outcome is consistent with the anticipated outcome from the PICOT question.

Conclusion

The fall prevention process that utilizes the Fall TIPS framework has been proven to be an effective intervention for reducing and preventing falls among diverse patient groups. This model combines the implementation of evidence-based strategies with attentive monitoring and peer accountability for maximum impact. Educational protocols are delivered to encourage implementation of best practices, strategies are employed to address hazards, progress is monitored by multidisciplinary teams, individuals are empowered by tailored interventions, and peers hold each other accountable for following recommendations. Studies have demonstrated that through this methodology patients experience fewer falls and increase quality of life.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

ORDER NOW FOR AN ORIGINAL PAPER Research Critiques and PICOT Statement Final Draft Assignment NRS 433

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Research Critiques and PICOT Question Guidelines – Final Draft

Quantitative and Quantitative Studies

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the articles you are comparing and describe how they are different.
2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each of the studies into a comprehensive summary.
2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.
2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?
2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

Course Code Class Code Assignment Title Total Points
NRS-433V NRS-433V-OL191 Research Critiques and PICOT Statement Final Draft 300.0

Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (75.00%) 3: Satisfactory (83.00%) 4: Good (94.00%) 5: Excellent (100.00%)
Content 60.0%
Evidence of Revision 10.0% Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques. Incorporation of research critique feedback or evidence of revision is incomplete. Incorporation of research critique feedback and evidence of revision are present. Evidence of incorporation of research critique feedback and revision is clearly provided. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed. Research Critiques and PICOT Statement Final Draft Assignment NRS 433

Nursing Practice Problem and PICOT Question 5.0% A nursing practice problem is not clearly described or a PICOT question is not included. PICOT question describes a nursing practice problem but lacks reliable sources. PICOT question describes a nursing practice problem and includes a few reliable sources. PICOT question articulates a nursing practice problem using supporting information from reliable sources. PICOT question clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.

Background of Studies 5.0% Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is incomplete. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is included but lacks relevant details and explanation. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details and explanation. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation. Research Critiques and PICOT Statement Final Draft Assignment NRS 433

Method of Studies 5.0% Discussion of method of studies, including discussion of conceptual/theoretical framework, is incomplete. Discussion of method of studies, including discussion of conceptual/theoretical framework, is included but lacks relevant details and explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is partially complete and includes some relevant details and explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is complete and includes relevant details and explanation. Discussion of method of studies, including discussion of conceptual/theoretical framework, is thorough with substantial relevant details and extensive explanation.

Results of Studies 5.0% Discussion of studies results, including findings and implications for nursing practice, is incomplete. Discussion of studies results, including findings and implications for nursing practice, is included but lacks relevant details and explanation. Discussion of studies results, including findings and implications for nursing practice, is partially complete and includes some relevant details and explanation. Discussion of studies results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. Discussion of studies results, including findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation.

Research Critiques and PICOT Statement Final Draft Assignment NRS 433 Ethical Considerations 5.0% Discussion of ethical considerations associated with the conduct of nursing research is incomplete. Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.

Conclusion 5.0% Conclusion does not summarize a critical appraisal and applicability of findings. Conclusion is vague and does not discuss importance to nursing. Conclusion summarizes utility of the research and importance to nursing practice. Conclusion summarizes utility of the research from the critical appraisal and the importance of the findings to nursing practice. Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.

PICOT Question, Research Articles, and Nursing Practice Problem Relationship 10.0% Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is not included. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is incomplete or incorrect. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation. Discussion of the relationship between the PICOT question, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.

Proposed Evidence-Based Practice Change 10.0% The proposed evidence-based practice change is not included. The proposed evidence-based practice change is incomplete or incorrect. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details. The proposed evidence-based practice change is complete and includes supporting explanation and relevant details. The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.

Organization and Effectiveness 30.0%
Thesis Development and Purpose 10.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction 10.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.

Format 10.0%
Paper Format (use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.