Quantitative Research Article Critical Appraisal. Overview.

The guideline selected for review is published in the National Guideline Clearing House by Johnson VB, Chalmers J., University of Iowa College of Nursing, John A. Hartford Foundation Center of Geriatric Nursing Excellence. There are three main parts to the guideline: risk factors, assessment, and prevention. The focus of this evaluation is on identifying risk factors, assessment and interventions, and prevention. In brief, the guideline is outlined as follows, and can be read in its entirety on the National Guideline Clearing House website:

Falls can be reduced by screening residents for fall risk and developing a falls prevention plan.

Problem: Are fall prevention programs effective in reducing the number of falls in nursing home elderly and community dwelling elderly?

Current literature has exposed many risk factors for falls. There are both intrinsic risk factors and extrinsic risk factors. Intrinsic risk factors include changes that come with age, such as gait issues, urinary incontinence, and fear of falling. Extrinsic risk factors include those that are related to the physical environment such as improper use of assistive devices and poor floor surfaces. No matter the type of risk factor, it is crucial to conduct a risk assessment when trying to prevent falls from occurring. Pearson and Coburn (2011) found that identifying risk factor for falls will help identify appropriate prevention strategies. Fall risk assessments help determine Talk about

Falls among any individual can cause significant trauma, often leading to an increase in mortality. According to the Centers for Disease Control and Prevention (2012), one in every three adults over the age of 65 falls each year. Long-term care facilities account for many of these falls, with an average of 1.5 falls occurring per nursing home bed annually (Vu, Weintraub, & Rubenstein, 2004). In 2001, the American Geriatric Society, British Geriatric Society, and the American Academy of Orthopaedic Surgeons Panel on Falls Prevention published specific guidelines to prevent falls in long-term

Nurses help to ensure patient safety, which includes preventing falls and fall-related injuries (Quigley, Neily, Watson, Wright, & Strobel, 2017). The general population is at risk for falls and fall-related injuries, more specifically the elderly, 65 and over (Quigley, Neily, Watson, Wright, & Strobel, 2017). Patient falls are one of the top events for hospitals and long-term care facilities due to loss of physical function or cognition (Quigley, Neily, Watson, Wright, & Strobel, 2017). Fall-related injuries are a serious health issue for the elderly population (Quigley, Neily, Watson, Wright, & Strobel, 2017). Nurses make a major contribution to patient safety by assessing fall risk and designing patient-specific fall prevention

At Brigham and Woman Hospital, this fall prevention program has been instituted throughout the facility. The protocol requires all patients to be screened for fall risk factors upon their admission to the hospital. Upon admission, nurses must conduct a throughout medical assessment, and use the Morse Fall Scale to assess patients mobility, muscle strength, gait, vision of patients because those conditions can put patients at increase risk for falls. At the end of each assessment, a number is provided to each patient determining the degree of fall and documented in the patient chart. For example, a patient might be a low risk for fall while another might at high risk for fall. In addition, the nurse must create a plan of care and

In searching for resources for this assignment, most of the articles written have at least one thing in common. The baby boomers are getting older, as a result, they will represent 20% of the total population from now until 2030. The number of persons who are 65 years and older is 12% of the population, the life expectancy of 77.9 years has caused this increase. The older people over age 85 is at about 40%, and the number of centenarians is on the rise (Center for Disease Control and Prevention, 2015). Longer life expectancies will intensify the demand for competent geriatric nursing care to reduce the years in which function and health are impaired. It is exciting to see that quality geriatric nursing education

The central question is clearly stated in the article. This is a research-based article on systematic review and meta-analysis of data. Yes, there are goals and objective stated and there are “the systematic reviews cited above examined the effectiveness of interventions in specific groups of elderly people or clinical settings. To guide new preventive and anticipatory care efforts, we intended to answer the question of the effectiveness of all community-based complex interventions used to preserve physical function and independence in elderly people” (Beswick, Rees, Dieppe, Ayis, Gooberman-Hill, Horwood, & Ebrahim,

The following research question was addressed: What is the effect of falls in the older adults while hospitalized? CINAHL Complete and Google scholar databases were used to search for relevant quantitative research articles. CINAHL Complete was searched using words like “falls in older adults while inpatient”, “impact of falls in older adults while hospitalized”, falls in older adults”, “and falls in the hospital amongst older adults“, ” fall impact in older adults while hospitalized”. Google scholar databases was searched using keywords such as “impact of falls in hospitalized older adults”, “Fall in the older adults during hospitalization”, “effects of fall on older adults while hospitalized”. Quantitative research article published in English, where any author is a nurse, and adult subjects were analyzed; dates of publications for all articles were limited to the years between 2011–2016. The University of Texas at Arlington’s library site titled finding quantitative and qualitative research was used to evaluate the qualities of the research article to ensure quantitative articles were utilized. Research articles that were utilized were those that involve interventions focused on effects of falls in the older adults population while hospitalized. Multifactorial fall prevention programs, environmental, educational

Problem Statement: Are registered nurses utilizing evidence-based fall-preventative strategies to reduce and prevent falls and injuries in the elderly population?

Problem statement: According to Quality Improvement Organization Health Services Advisory Group, Alabama’s state average for falls without injury is 41.9% with the National average being slightly higher at 45%, falls with injury in Alabama is 3.2% with the National average being 3.4%. Research done by the Alzheimer’s Association (2016) has revealed that “People with dementia are at risk of falls because of their neurological impairments.” Another study completed by Esstmann discusses “The etiology of orthostatic hypotension should be investigated for older adults with known orthostatic

According to the Joint Commission Resources-JCR (2005), there is no universally accepted definition of a fall. Thus several definitions have been floated over time in an attempt to define the same. One such definition of a fall is "an untoward event that results in the patient or resident coming to rest unintentionally on the ground or another lower surface" (Joint Commission Resources, 2005). Falls are regarded common causes of injury at every age. However, it is important to note that for seniors, falls can have serious consequences. This is more so the case given that a fall can bring about pain, trauma, or even death. With that in mind, the primary purpose of this program remains the reduction of falls and hence the aversion of related injuries amongst the concerned patients. Of key importance remains the identification of patients who appear to be at high risk of falling. This way, appropriate strategies can be developed to reduce the injuries related to inpatient falls.

Fall risk assessments tools, which help to identify those patients at risk of falling, play a vital role in reducing the number of falls. The basis for this assessment is that if patients at high fall risk can be

The initiative that I have chosen for this discussion is the Skilled Nursing Facility Quality Reporting Program (IMPACT ACT 2014). This Act has been developed to implement a quality measures using a standardized assessment data, as well as, the reporting of resources used, hospitalization and discharge. The Skilled Nursing Facility Quality Reporting Program assessment based quality measures are reporting if residents that, have experienced one or more falls that ended in a major injury and residents with a pressure ulcers that have developed in their care or has continued to get worse. I believe that, this Act for health care quality would ensure that residents of long term care facilities would receive better care (Centers for Medicare & Medicaid