In an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 and 2 of this ass

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In an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 and 2 of this assignment (completed in modules 2 and 4) – you can keep the same cover page, correcting any errors noted on your previous feedback. Please correct your reference page as noted from your previous submission feedback and update it with your new material). In addition, although you are submitting your entire project to date (with revisions), your actual grade will be based only on the current section, as addressed below:

Locate two different quantitative studies related to your topic of interest.

For help locating the right types of quantitative research articles review these excellent tutorials:

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How to find quantitative research articles

Research versus evidence-based practice

For each study, answer these questions:

What is the study type?

What threats to internal and external validity were noted? Are there others you think might be present that the author(s) didn’t describe?

Do you think this study will be applicable to your population? Why or why not?

In an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 and 2 of this ass
Pico Assignment Qualitative Studies Study One There is plenty of research regarding bed alarm and their lack effectiveness at fall prevention; there are also studies that show how other interventions are more effective than alarms. One study called the “Got-A-Minute Campaign to Reduce Patient Falls with Injury in an Acute Care Setting” was conducted to determine the effectiveness of a non-alarm based fall intervention. The study is a qualitative phenomenology study that described the lived experiences of patients in an acute care hospital to gain an understanding of the experience of patient involvement in fall prevention (Schmidt & Brown, 2015). The study was conducted over a three-year time span at a medical-surgical unit that had an average daily census of 35 patients (Spicer, Delmo, & Agdipa, 2017). The quality indicator during this study was falls with injury per 1,000 patient days. At the beginning of the study, a team was created called the “Stumble Stoppers” which included a nurse, pharmacy personnel, and a physical therapist who investigated every fall that occurred. The team then individualized every fall by interviewing nursing personal, such as the floor nurse and certified nursing assistants, as well as the patient and the patient’s family to gain knowledge of how the patient lives their day to develop the most effective fall intervention. The nursing personnel, patient, and the patient’s family would offer their perceptions of the event and offer suggestions as to what could have been done differently and based off the suggestions a collective decision would be made, and intervention would be implemented (Spicer, Delmo, & Agdipa, 2017). After the intervention was implemented, a debriefing would be posted on the whiteboard in the patient room to remind every in the room, including the patient, family, and other staff, as to the measure being taken to prevent more falls. Also on the whiteboard, weekly statistics about the patient’s falls would comply and a statement was posted as to how all caring members of this patient played roles to prevent the patient from falling. The results of the study were tremendous as very little bed alarms were used and more appropriate interventions were implemented due to the cause analysis of these falls. In the first year of the campaign, there was an average of 1.21 falls per 1,000 patient days, after the third year that number was down to 0.15 falls per 1,000 patient days (Spicer, Delmo, & Agdipa, 2017). During the study, the authors developed trustworthiness by having solid results from their study that was meaningful and believable. The author’s credibility was established as the results of the study showed that with individualized fall interventions the fall rate reduced significantly by more than eight times. The fall reductions were expected with this study because the study conducted root cause analysis for the falls which is effective because it prevents the main cause of the fall. The author’s confirmability of this study is also intact as the statistics were compiled by the “Stumble Stoppers” who individually assessed each fall and the data was transcribed by them and interpreted by the study’s authors. The author’s dependability is also a source of their trustworthiness as the study’s results were found over a three-time span and the findings were reflective of the data collected. The authors also established trustworthiness because the transferability of the study is acceptable as the findings point to individualized care being the most effective type of care provided which can be transferred to many other areas of care. This study applies to the population of the PICO question of whether bed alarms or trained staff are more effective in fall prevention because it argues against the bed alarms and supports the idea that trained staff who are looking at fall closely to determine root causes are very effective at implementing more appropriate fall interventions.
In an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 and 2 of this ass
Running head: TITLE 0 PICOT Overview of Topic Population Intervention Comparison Outcome Conclusion PICOT Question This should include the complete PICO(T) question written in a grammatically correct, clear, succinct sentence. References Ethical Considerations Principle of Respect Assurance of Autonomy Beneficence Justice References Quantitative Study One – Overview Study design experimental, quasi-experimental, or non-experimental Internal and External Validity Applicability Quantitative Study Two Overview Study Design experimental, quasi-experimental, or non-experimental Internal and External Validity Applicability References Qualitative Study One Type of Study Credibility, Confirmability, Dependability, and Transferability Applicability Qualitative Study Two Type of Study Credibility, Confirmability, Dependability, and Transferability Applicability References Ranking the Evidence Description of rank for quantitative study #1 within the evidence hierarchy including discussion of rationale for placement Description of rank for quantitative study #2 within the evidence hierarchy including discussion of rationale for placement Description of rank for qualitative study #1 within the evidence hierarchy including discussion of rationale for placement Description of rank for qualitative study #2 within the evidence hierarchy including discussion of rationale for placement Discussion of overall strength of evidence, supported by GRADE criteria References Practice Recommendations Practice Recommendation 1 Strength of Recommendation Practice Recommendation 2 Strength of Recommendations References Key Stakeholders Engagement Strategies Resistance Strategies Evaluation References Final Project References Appendix A
In an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 and 2 of this ass
Running head: FALLING IN THE HOSPITAL Falling in the hospitals Student’s name Institutional affiliation Falling in the Hospital PICO Question: Can the use of alarm sensors reduce accidental falls in hospitalized patients over the age of 65 years? PICO Overview of Topic The Elderly require close attention that is necessary for managing falling risks at their age. Their increasing population poses a great falling risk on the available resources in health care in the provision of quality medical facilities. A Growing number of older patients need more education and emotional support in order to manage their falling risks (Liu et al., 2016). Falling leads to limitations on a person’s daily activities. Furthermore, this can lead to hospitalization or being transferred to a nursing home resulting in a poor quality of life. However, falling risks emanate from several factors including having a history of falls, impaired mobility or cognition. Besides, some of these falling conditions are manageable in medical institutions. The hospitals have resources such as bed alarm that can help the older population to counter this issue of falling. Aging population requires a variety of resources to help them control falling disorders. They need appropriate guidance and support in the management of their critical falling conditions. Family members, as well as hospital employees such as nurses, must ensure for the safety of older adults in the community. Population The population that is on the verge of experiencing falling risks are older patients. Approximately, the number of older patients is increasing due to the increase in life expectancy. This leads to many older people to experience falling conditions. In the future, the hospitals have to set aside a budget to support the aging population with such a problem. Intervention Bed alarms will be great an advantages benefits. The bed alarms will alert the nurses whenever the patient try to get out of bed or when the bed rails is not up this will alert staffs whenever there is a change in the position or when the patient almost falling off from the bed. The health centers need to expose its staff to adequate training of using bed alarms to take care of older patients. When an alarm goes off, it gives a health profession an adequate time to rash to their patients before involving in the severe fracture. Nurses act as patients’ advocates, and they have a responsibility of educating the family on the support needed to the older patients in society with this problem (Verma et al., 2016). These efforts aim to provide a quality improvement in healthcare services. It leads to a quality-based performance through proper management of the resources with corresponding older patients. Comparison According to recent researches, hourly rounding is the procedure in which every time an employer either the nurse or nursing aide enters the patient room to determine their needs (Jefferson 2017).It helps the nurses to keep track of their respective patients with falling possibilities. This enables older patients to receive better care services in hospitals. Therefore, nurses will have a passion in their profession of helping older patients due to their falling risks. This eliminates neglect of the older patients in the health facilities, as each patient will be satisfied with his or her needs. Outcome Older patients at risk of falling may incur severe injuries due to their critical condition. Fractures in the older population are because of falling leading to a massive number of older patients under nursing care. Serious fractures have resulted in a limitation of physical fitness, lack of mobility, isolation from the rest and even death to some members. Falling risks are critical conditions that require the attention of all individuals to improve the quality of life to the aging population. Conclusion Falling risks is a crucial matter that needs immediate concern to avoid such an instance in the future. Bed alarms have assisted the nurses mostly in monitoring their falling patients. This has improved the quality of services as opposed to hourly patrol of the nurses. Respects for persons Respect for persons is a principle that ensures that every person has the right to fully exercise their autonomy. This system ensure that all persons have the right to be respected and make their own choice in life. Autonomous respect thus means respecting a person’s decisions and choices in life without obstruction of his/her day to day life (Schmidt & Brown, 2019). In addition, vulnerable population such as the children, pregnant, prisoners, mentally disabled and the economically challenged are entitled to protection and deserve respect from others. Nurses and other health care workers are entitles to respect the autonomy of every patient they handle. Nurses and health practitioners are obligated to respect the vulnerable population and acquire informed consent during treatment. Nurses should respect the rights of the elderly above 65 years during treatment in the hospitals. (Schmidt & Brown, 2019).The elderly mostly those above 65 years are among the vulnerable population who deserve total respect of autonomy from the nurses and other health care practitioners in the hospitals. Every elderly in the study be has a right to be respected on their decisions regardless if they take part in the research or not. Respect of individual decision include getting informed consent to be in the research. Elderly have a right to refuse the study or be part of the study. (Schmidt & Brown, 2019) Beneficence Beneficence is a principle of doing good. The concepts that arises in doing good include one should prevent evil or harm, one should always practice good, one should prevent evil or harm and lastly one should not practice harm or evil in the society. Nurse in the hospital s and the researchers should encourage the concept of doing good with the patients and the people being handled. (Gabel, 2011,) In a nut shell the researchers in this situation should consider doing their research with no harm at all. Researchers should find ways of reducing the harm and risks to the elderly over 65 years during the research in the hospitals. For this study, it is very vital to identify the risk falling of the elderly during hospitalization. The principle of beneficence state that if there is any risk or harm during the research the elderly should be informed. (Gabel, 2011,) Many years ago the principle of beneficence has not been taken to consideration. In this research the principle of beneficence will be focused on and there will be no harm to the elderly. The intervention measures such as using of bells to signal nurses when the elderly fall is used. This research will aid in identifying the harm of the falls such us the fractures and bruises of the elderly. This study will further divide the elderly who are at risk of falling and having severe fracture and those with minor fractures. The project will maximize the benefits and minimize the harms by putting bed bells to signal the nurses when the elderly are falling. Other ways to minimize harm in my project will be educating the families on how to take care of the elderly and avoid the falling while at home or the hospitalized. (Gabel, 2011,) Justice The principle of justice is the moral obligation to act on the basis of fairness in the society. The principle entails fairness and equality. Every person in the society has the right to be treated equally and should have equal treatment and access to health care services. Principle of justice states that minority groups should not be used for studies because they are easily available instead the research should include the minority and majority ethnic groups. Persons who don’t take part in research should not be denied medical services. (Sari et al 2018) Individuals ought to be treated equally regardless of their background, skin color, ethnic, race, religion, economic or social status, or education In this research, the elderly will be giving an equal chance in treatment and acquiring quality health services in the hospitals. The selection of the study will be based on the first come first served basis. The principle of justice will ensure that the elderly selected during the study are treated fairly and equally during the research. The study will benefit the vulnerable population where possible during the research. This study will help the nurses in the hospital to identify more ways of preventing falling of elderly in the hospital and provision of quality education. (Sari et al 2018) Principle of autonomy Autonomy states that the patients should have freedom to make their own choice about their lives. Showing respects to patient’s autonomy acknowledges the patients to have decision making capacity and have the right to make their own informed decisions. (Sari et al 2018) When collecting data and doing out the research it is important for a researcher to respect the autonomy of the people. For the persons with diminished autonomy, such as someone with altered mental status, the researcher is still obligated to let the subject know of the study, getting consent from proper source, and even letting the subjects know of what, why and how of the study. The study will ensure every elderly right are respected and taken care of. Those elderly that have mental disorders who will be include to the research, informed consent will be obtained from the family members before carrying out the research. The selection of individual will be somehow perfect to prevent autonomy. (Sari et al 2018) Conclusion The ethical model enables nurses to make decisions that are best for patients. A nurse as a health practitioner has to make decisions based on issues of autonomy, confidentiality, beneficence, and cannot make a treatment choice for instance without providing enough information to the patient and their family and allowing them to make their own choice. (Gabel, 2011,) References Gabel, S. (2011, May). Ethics and values in clinical practice: whom do they help?. In Mayo Clinic Proceedings (Vol. 86, No. 5, pp. 421-424). Elsevier. Jefferson R. S( 2017).Silicon Valley’s Answer to preventing fall Liu, L., Stroulia, E., Nikolaidis, I., Miguel-Cruz, A., & Rios Rincon, A. (2016). Smart homes and home health monitoring technologies for older adults: A systematic review. International Journal of Medical Informatics, 91, 44-59. doi: 10.1016/j.ijmedinf.2016.04.00 Sari, D., Baysal, E., Celik, G. G., & Eser, I. (2018). Ethical Decision-Making Levels of Nursing Students. Pakistan journal of medical sciences, 34(3), 724. Schmidt, N., Brown, J. M. (2019). Evidence-Based Practice for Nurses, 4th Edition. [Bookshelf Ambassadored]. Verma, S., Willetts, J., Corns, H., Marucci-Wellman, H., Lombardi, D., & Courtney, T. (2016). Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States. PLOS ONE, 11(3), e0150939. doi: 10.1371/journal.pone.0150939

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