Literature Evaluation Table Paper

Literature Evaluation Table Paper

Literature Evaluation Table Paper

               This project focuses on fall prevention and management in nursing homes. Patient falls are linked to various negative consequences such as economic burdens, injury-related mortality and disabilities, longer hospital stay days, and physical and psychological discomforts to patients (Sun et al.,2020). The proposed nursing intervention is the adoption of hourly rounding to address patient fall in nursing homes. The intervention is expected to assist in reducing chances of falls, reduce fall-related injuries, improve quality of life, and maintain mobility leading to better patient outcomes.

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Criteria  Article 1  Article 2  Article 3  Article 4 
Author, Journal (Peer-Reviewed), and  

Permalink or Working Link to Access Article 

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 Sun, C., Fu, C. J., O’Brien, J., Cato, K. D., Stoerger, L., & Levin, A.

 

The Journal of Nursing Administration.

 

Doi: 10.1097/NNA.0000000000000897

  

 Hamdan, K., Zahran, Z., Allari, R. S., & Shaheen, A.

 

Journal of Nursing Management.

 

https://doi.org/10.1111/jonm.13676

 Quach, E. D., Kazis, L. E., Zhao, S., Ni, P., McDannold, S. E., Clark, V. A., & Hartmann, C. W.

 

Journal of the American Medical Directors Association

 

https://doi.org/10.1016/j.jamda.2020.05.028.

 Turner, K., Staggs, V. S., Potter, C., Cramer, E., Shorr, R. I., & Mion, L. C.

 

Journal of Patient Safety.

 

DOI: 10.1097/PTS.0000000000000758

Article Title and Year Published 

 

 Exploring Practices of Bedside Shift Report and Hourly Rounding. Is There an Impact on Patient Falls?

 

Published in 2020

 Nurses’ Perceptions of Hourly Rounding in Jordanian Hospitals: A National Survey.

 

Published in 2022

 Safety climate associated with adverse events in nursing homes: a national VA study.

 

Published in 2021.

 Fall prevention practices and implementation strategies: Examining consistency across hospital units.

 

Published in 2022.

Research Questions (Qualitative)/Hypothesis (Quantitative)  

 

Whether practices of bedside shift report and hourly rounding have an impact on patient falls.   Implied: What do nurses think about hourly rounding in Jordanian hospitals?  Implied: What is the associations between safety climate domains and each adverse such as falls in nursing homes? How consistently are fall prevention practices and implementation strategies used by U.S. hospitals?
Purposes/Aim of Study   To describe the relationship of inpatient falls to bedside shift report (BSR) and hourly rounding (HR). To explore nurses’ perceptions of hourly rounding in Jordanian hospitals. To examine the contribution of safety climate to adverse events in Veterans Affairs (VA) nursing homes or Community Living Centers (CLCs).  To examine how consistently fall prevention practices and implementation strategies are used by U.S. hospitals.
Design (Type of Quantitative, or Type of Qualitative) 

 

Qualitative study   A cross-sectional correlational design.  Cross-sectional study.  A cross-sectional, descriptive study.
Setting/Sample 

 

9693 observations recorded on 11 units at 4 hospitals over 281 shifts.  A convenient sample of 1378 nurses from different hospitals. Respondents included a total of 56 CLCs nationwide, 1397 and 1645 CLC staff. 60 general adult hospital units. 
Methods: Intervention/Instruments 

 

 The regression model entailing frequency with patient, shift, day of week, and HR.  Data was collected using the Hourly Rounding Questionnaire. CLC Employee Survey of Attitudes about Resident Safety (CESARS).  A survey measuring 5 domains of fall prevention practices was administered.
Analysis 

 

Observation of  data collected on nursing tasks, including BSR and HR.  Data analysis was conducted using descriptive statistics, t test, and one-way ANOVA and Kruskal–Wallis H test.  Adverse events were measured using the FY2017-FY2018 Minimum Data Set (MDS). Beta-logistic regression was used to determine the association between safety climate domains and each adverse event. Observation of data collected.  
Key Findings 

 

 Bedside shift report and hourly rounding may require robust and sustained interventions to provide lasting effects. Majority of nurses agreed that hourly rounding is effective in preventing patient falls (87.9%), preventing hospital-acquired pressure ulcers (87.2%), and addressing patients’ position (87%).  Better ratings of supervisor commitment to safety were associated with lower rates of major injuries from falls.  There is substantial variation in the implementation of fall prevention practices and implementation strategies across inpatient units.
Recommendations 

 

Future studies should focus on sustained interventions to augment BSR and HR to enable lasting effects.   Research is needed to affirm the benefits of implementing hourly rounding across different contexts.  Nursing homes may reduce adverse events by fostering supportive supervision of frontline staff and a safer physical environment.  Future studies should examine how units tailor fall prevention practices based on patient risk factors and how units decide, based on their available resources, which implementation strategies should be used.
Explanation of How the Article Supports EBP/Capstone Project 

 

The article supports hourly rounding in management and prevention of patient falls. The article explores hourly rounding, which is the intervention in this project.    The articles support prevention of adverse events such as patient falls in nursing homes. The article addresses fall prevention in hospitals.  

 

Criteria  Article 5  Article 6  Article 7  Article 8 
Author, Journal (Peer-Reviewed), and  

Permalink or Working Link to Access Article 

 

 Zadvinskis, I. M., Carr, J., Schweitzer, K. E., Patil, N., Clifton, W. D., & Ebert, K. E.

 

JONA: The Journal of Nursing Administration.

 

Doi: 10.1097/NNA.0000000000000808

  

 Ryan, L., Jackson, D., East, L., Woods, C., & Usher, K.

 

Journal of Advanced Nursing.

 

https://doi.org/10.1111/jan.15197

Huynh, D., Lee, O. N., An, P. M., Ens, T. A., & Mannion, C. A.

 

Clinical Nursing Research.

 

https://doi.org/10.1177/1054773820907805

 Christiansen, A., Coventry, L., Graham, R., Jacob, E., Twigg, D., & Whitehead, L.

 

Journal of Clinical Nursing.

 

https://doi.org/10.1111/jocn.14370.

Article Title and Year Published 

 

 The impact of nursing work and engagement on patient falls.

 

Published in 2019.

 Mixed Methods Study Integration: Nursing student experiences and opinions of intentional rounding.

 

Published in 2022

 Bedrails and falls in nursing homes: A systematic review.

 

Published in 2021.

 Intentional rounding in acute adult healthcare settings: A systematic mixed‐method review.

 

Published in 2018.

Research Questions (Qualitative)/Hypothesis (Quantitative) 

 

Do nursing work and engagement have impact on patient falls?   Whether intentional rounding benefits nursing students as a patient safety strategy and organization tool.   For older adults living in nursing homes, does more or less bedrail use reduce the incidence of falls? Implied: Does intentional rounding have impact on patient and nursing outcomes?
Purposes/Aim of Study  To explore the relationships between nurse-sensitive structures, processes (work engagement [WE], frequency of fall risk discussion during report, and frequency of purposeful rounds), and patient falls.  To explore pre-registration nursing students’ understandings and experience of intentional rounding in education and clinical sectors.  To investigate whether more or less bedrail use reduce the incidence of falls among older adults living in nursing homes.  To determine the impact of intentional rounding on patient and nursing outcomes and identify the barriers and facilitators surrounding implementation.
Design (Type of Quantitative, or Type of Qualitative)  A descriptive, cross-sectional, survey design.  An explanatory sequential mixed methods design using convenience sampling. Qualitative study  Qualitative study 
Setting/Sample 

 

 41 nursing units from 7 hospitals.  Data were collected between August 2017 and August 2018 using online survey and individual interviews. Fifteen records for systematic review.   Twenty-one studies were included in the review
Methods: Intervention/Instruments 

 

A survey and National Database of Nursing Quality Indicators reports provided falls data.  Nursing Perceptions of Patient Rounding quantitative online survey and individual qualitative interviews. A systematic review of the databases Academic Search complete, Cumulative Index in Nursing and Allied Health Literature, HealthStar, and MEDLINE   This systematic mixed-method review was conducted using the Joanna Briggs Institute methodology.
Analysis 

 

Work engagement was analyzed using the Utrecht Work Engagement Scale.  Analysis was done using the Pillar Integration Process.   Data interpretation was conducted using a combination of both the hierarchy of evidence and the Mixed Methods Appraisal Tool (MMAT).  The findings were synthesized into themes using a narrative approach.
Key Findings 

 

 Highly engaged nurses participated more in purposeful rounding and discussion of fall risk during bedside report than less engaged nurses.  The study provides insights into the perceived benefits of intentional rounding for nursing students and patients but also indicated a theory–practice gap that affects nursing students’ confidence in undertaking this intervention.  A definitive result was not possible as the conclusions of some records were unclear; some records had evidence indicating both support and rejection of bedrail use.  Results suggest positive outcomes for falls and call bell use. However, conclusions on the available data are overshadowed by the quality of the studies.
Recommendations 

 

 Further research is needed to understand the impact of work engagement on patient outcomes.  Students find intentional rounding helpful, but further clarity in the education surrounding it is required. Based on the records obtained through this systematic review, bedrails are not the most effective means to preventing falls. Bedrails are a physical restraint and should be a last resort measure.   The introduction of intentional rounding should be accompanied by a protocol for robust evaluation to measure the impact of this process change.
Explanation of How the Article Supports EBP/Capstone 

 

The article focuses on prevention of patient falls.   The article supports intentional rounding.   The articles support patient fall management and prevention.    The article supports intentional rounding.  

References

Christiansen, A., Coventry, L., Graham, R., Jacob, E., Twigg, D., & Whitehead, L. (2018). Intentional rounding in acute adult healthcare settings: A systematic mixed‐method review. Journal of Clinical Nursing, 27(9-10), 1759-1792. https://doi.org/10.1111/jocn.14370

Hamdan, K., Zahran, Z., Allari, R. S., & Shaheen, A. (2022). Nurses’ Perceptions of Hourly Rounding in Jordanian Hospitals: A National Survey. Journal of Nursing Management. https://doi.org/10.1111/jonm.13676

Huynh, D., Lee, O. N., An, P. M., Ens, T. A., & Mannion, C. A. (2021). Bedrails and falls in nursing homes: A systematic review. Clinical Nursing Research, 30(1), 5-11. https://doi.org/10.1177/1054773820907805

Quach, E. D., Kazis, L. E., Zhao, S., Ni, P., McDannold, S. E., Clark, V. A., & Hartmann, C. W. (2021). Safety climate associated with adverse events in nursing homes: a national VA study. Journal of the American Medical Directors Association, 22(2), 388-392. https://doi.org/10.1016/j.jamda.2020.05.028

Ryan, L., Jackson, D., East, L., Woods, C., & Usher, K. (2022). Mixed Methods Study Integration: Nursing student experiences and opinions of intentional rounding. Journal of Advanced Nursing. https://doi.org/10.1111/jan.15197

Sun, C., Fu, C. J., O’Brien, J., Cato, K. D., Stoerger, L., & Levin, A. (2020). Exploring Practices of Bedside Shift Report and Hourly Rounding. Is There an Impact on Patient Falls?. JONA: The Journal of Nursing Administration, 50(6), 355-362. Doi: 10.1097/NNA.0000000000000897

Turner, K., Staggs, V. S., Potter, C., Cramer, E., Shorr, R. I., & Mion, L. C. (2022). Fall prevention practices and implementation strategies: Examining consistency across hospital units. Journal of Patient Safety, 18(1), e236-e242. DOI: 10.1097/PTS.0000000000000758

Zadvinskis, I. M., Carr, J., Schweitzer, K. E., Patil, N., Clifton, W. D., & Ebert, K. E. (2019). The impact of nursing work and engagement on patient falls. JONA: The Journal of Nursing Administration, 49(11), 531-537. Doi: 10.1097/NNA.0000000000000808

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Assessment Description
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

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