NRS 493 Week 6 Assignment: Literature Review

NRS 493 Week 6 Assignment: Literature Review

NRS 493 Week 6 Assignment: Literature Review

Assessment Description

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

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A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a review (750-1,000 words) that includes the following sections:

Title page

Introduction section

A comparison of research questions

A comparison of sample populations

A comparison of the limitations of the study

A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines 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 required to submit this assignment to LopesWrite.

A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

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NRS 493 Literature Review

Patient falls are a patient safety concern because of their negative effects which include prolonged hospital stays, increased cost burden, and even fatalities besides disabilities and other complications. Nursing knowledge and interventions, especially in nursing homes dealing with elderly residents, are essential in improving compliance to fall measures and evidence-based practice (EBP) strategies to reduce their occurrence. A literature review allows researchers to establish effective planning and development aspects for their capstone and evidence-based practice (EBP) projects. The literature sources used in projects explore the topic through the assessment of research questions and supportive evidence concerning falls in nursing homes. The purpose of this paper is to review the literature on the nursing issue identified based on different aspects of the intervention.

Comparison of Research Questions

Comparing research questions among literature sources used in any study enables researchers to determine the effectiveness of the findings and associated evidence. The majority of the sources identified to examine falls in nursing homes address the proposed capstone project. However, the research questions in these studies differ and reflect the different approaches that all authors employ based on their purposes and research methodologies.  In several reviewed studies based on the literature evaluation table, the authors pose important research questions that are similar to the ones identified in this capstone project. For instance, articles by Huynh et al. (2021), and Shao et al. (2023) focus on interventions and risk factors associated with falls among elderly patients in nursing homes. Shao et al. (2023) assert that the evaluation of risk factors is critical to understanding falls and their implications on elderly residents.

On their part, Huynh et al. (2022) research question is about the effects of bedrails in reducing the incidence of falls among the elderly residents in these homes. Again, studies by Castaldo et al. (2019) and Turner et al. (2022) examine effective and consistent practices in the management of falls among individuals in these settings. As such, the questions that different studies raise resonate with what the capstone project hopes to consider based on the proposed interventions to reduce falls among elderly residents in nursing homes. These sources are effective in developing interventions to reduce falls among residents in nursing homes.

Comparison of Sample Populations

The setting and sample population that any source selects determine the overall credibility of its evidence and findings as well as recommendations. Several literature sources used in this change proposal focus on developing effective interventions and measures that are both patient-centered and nurse-centered to reduce the prevalence of falls among elderly residents in nursing homes. For instance, Zadvinskis et al. (2019) use 41 nursing units while Shao et al. focus on 18 prospective studies. These sample populations may not align with the expected population in the proposed project. However, Castaldo et al. (2019) use 409 residents in nursing homes while Turner et al. (2022) employ 60 general adult hospital units. These studies all indicate the critical role of using a good representative sample when performing research to determine the effectiveness of suggested interventions to reduce and prevent falls in nursing homes among residents. Therefore, the findings from these sources provide guidelines on appropriate approaches to address this healthcare issue that affects many residents in long-term nursing facilities.

Comparison of Limitations of the Study

            Limitations of study from literature sources allow new researchers to focus on the present research to improve previous findings and the credibility of the outcomes. Some of the limitations noted in the articles reviewed in the evaluation table include insufficient data and a small sample population, research design that does not capture the different aspects of the project, and use of inappropriate settings like hospital units as opposed to nursing homes. For instance, using a systematic review of literature as opposed to having primary research may not offer the most effective outcomes in addressing the issue of falls. These limitations may not have adverse effects on the overall findings from this project, but future studies may critique the practicability of their findings. These limitations like in Shao et al. (2023) and Quach et al. (2021) illustrate the need to evaluate all aspects of the selected research articles and ensure that they meet the inclusion criteria to reduce any limiting aspect.

Conclusion & Recommendations

Research questions, sample populations, and limitations to studies should be assessed when evaluating the level of evidence from existing literature. The implication is that all studies used as part of the literature to justify and support the use of suggested interventions should be founded on credible articles that have sufficient study samples, illustrate critical questions, and contain credible conclusions. The sources identified in this case are linked to the proposed change project because they address different aspects of the study and their associated outcomes. However, limitations like inappropriate research design, insufficient or small sample size, and setting are noted in these literature sources. Future studies should strive to conduct primary research and come up with sufficient population samples and have better-framed research questions. The researchers should ensure that their studies follow best practices, irrespective of their topic to attain the requisite credibility.

References

Castaldo, A., Giordano, A., Incalzi, R. A., & Lusignani, M. (2020). Risk factors associated with

accidental falls among Italian nursing home residents: A longitudinal study (FRAILS). Geriatric Nursing, 41(2), 75-80. DOI: 10.1016/j.gerinurse.2019.06.003

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. DOI: 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. DOI: 10.1016/j.jamda.2020.05.028

Shao, L., Shi, Y., Xie, X., Wang, Z., Wang, Z. A., & Zhang, J. E. (2023). Incidence and risk

factors of falls among older people in nursing homes: systematic review and meta-analysis. Journal of the American Medical Directors Association, (23)00549-2. https://doi.org/10.1016/j.jamda.2023.06.002

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. DOI: 10.1097/PTS.0000000000000758.

Vikan, M., Haugen, A. S., Bjørnnes, A. K., Valeberg, B. T., Deilkås, E. C. T., & Danielsen, S. O.

(2023). The association between patient safety culture and adverse events–a scoping review. BMC Health Services Research, 23(1), 1-27.

DOI: https://doi.org/10.1186/s12913-023-09332-8

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