o Prepare:

• Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

My Clinical Issues (PICO(T)) Q is:

• A PICOT on fall prevention is developed as follows:
• P(population)- Inpatient adults 40 years and above
• I(intervention) –A rigorous assessment and early ambulation
• C(Comparison)- Bed alarms and fall education
• O(Outcome)- Fall reduction in the Telemetry and Medical-Surgical floors
• T(Time)- During the hospital stay

Please look over rubric. APA format. This is the four articles to be appraise:

• Cuevas-Trisan, R. (2019). Balance problems and fall risks in the elderly. Clinics in Geriatric Medicine, 35(2), 173-183. https://doi.org/10.1016/j.cger.2019.01.008
• Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a comprehensive bundled intervention for ED fall prevention. Journal of Emergency Nursing, 46(2), 225-232.e3. https://doi.org/10.1016/j.jen.2019.11.010
• Wilson, D. S., Montie, M., Conlon, P., Reynolds, M., Ripley, R., & Titler, M. G. (2016). Nurses’ perceptions of implementing fall prevention interventions to mitigate patient-specific fall risk factors. Western Journal of Nursing Research, 38(8), 1012-1034. https://doi.org/10.1177/0193945916644995 McCarty, C. A., Woehrle, T. A., Waring, S. C., Taran, A. M., & Kitch, L. A. (2018). Implementation of the MEDFRAT to promote quality care and decrease falls in community hospital emergency rooms. Journal of Emergency Nursing, 44(3), 280-284. https://doi.org/10.1016/j.jen.2017.10.007
• Yeh, T., Chang, Y., Hsu, Y., Huang, L., Yang, C. (2020).Causes of nursing staff burnout: Exploring the effects of emotional exhaustion, work–family conflict, and supervisor support. Journal of Nursing Science https://doi.org/10.1111/jjns.12392

Answer  preview

The conceptual framework is not mentioned in the article. The article does not outline the theoretical basis within which the fall TIPS are established. (Ideally, a Maslow hierarchy of needs defining that the interventions would depend on the severity of the fall risk factors would have been relevant).

The theoretical basis for the study is multifactorial intervention (Pop et al., 2020). –This considers that an individual receiving an assessment for fall risks requires an intervention that matches their risk profile.

The conceptual framework for the results of the study is not mentioned. However, this study is based on the Lowa model of Evidence-based practice. Developed in the University of Lowa Hospital and Clinics to guide research findings in the 1990s on improving patient care, it is an important model.

A theoretical framework for this study is the significance of the nurse role in the translational research model (TRM) is explained as an important element of the study.

 

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