NUR 550 Evidence-Based Practice Project: Literature Review

Assignment: In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article: Introduction-Describe the clinical issue or problem you are addressing. Present your PICOT statement

NUR 550 Evidence-Based Practice Project: Literature Review Assessment Description

The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 “Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

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In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.

Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.

Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.

Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).

Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.

Conclusion – Provide a summary statement of what you found in the literature.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper. NUR 550 Evidence-Based Practice Project: Literature Review

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

NUR 550 Evidence-Based Practice Project: Literature Review Rubric

LISTGRID

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Rubric Criteria

Total175 points

Criterion

1. Unsatisfactory

2. Less Than Satisfactory

3. Satisfactory

4. Good

5. Excellent

Introduction

Introduction
0 points

The clinical issue or problem and PICOT statement are omitted.
7 points

The clinical issue or problem and PICOT statement are incomplete or incorrect.
7.7 points

The clinical issue or problem and PICOT statement are presented. Some aspects are vague. There are minor inaccuracies.
8.05 points

The clinical issue or problem and PICOT statement are adequately described.
8.75 points

The clinical issue or problem and PICOT statement are thoroughly described.

Search Methods

Search Methods
0 points

The search strategy and criteria used in choosing and searching for articles are omitted
14 points

The search strategy and criteria used in choosing and searching for articles are only partially described.

15.4 points

The search strategy and criteria used in choosing and searching for articles are summarized. More information is needed.

16.1 points

The search strategy and criteria used in choosing and searching for articles are described. Some detail is needed for clarity or accuracy. NUR 550 Evidence-Based Practice Project: Literature Review

17.5 points

The search strategy and criteria used in choosing and searching for articles is thoroughly described.

Synthesis of Literature

Synthesis of Literature

0 points

A paragraph for one or more article is missing.
14 points

All articles are presented, but the synthesis of literature is incomplete.

15.4 points

A summary for each article is presented. The main components (subjects, methods, key findings) are generally discussed. General rationale for how each article supports the PICOT is provided. More information is needed.

16.1 points

A paragraph for each article is presented. The main components (subjects, methods, key findings) are adequately discussed, and rationale for how each article supports the PICOT is provided. Some detail is needed for clarity or accuracy.

17.5 points

A well-developed paragraph for each article is presented. The main components (subjects, methods, key findings) are thoroughly discussed, and substantial rationale for how each article supports the PICOT is clearly provided.

Comparison of Articles

Comparison of Articles

0 points

One or more article is missing in the comparison.
14 points

All articles are presented, but the comparison is incomplete.

15.4 points

A general comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is presented. Some aspects are unclear. More information is needed.

16.1 points

A comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is adequately presented. Some detail is needed for clarity or accuracy.

17.5 points

A detailed comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is thoroughly presented.

Suggestions for Future Research

Suggestions for Future Research
0 points

Identified gaps and areas requiring further research are omitted.
14 points

Identified gaps and areas requiring further research are only partially presented.

15.4 points

Some identified gaps and areas requiring further research are generally discussed. The narrative is generally based on the analysis of the literature. More information is needed.
16.1 points

Identified gaps and areas requiring further research are adequately discussed. The narrative is based on the analysis of the literature. Some detail is needed for clarity or accuracy

17.5 points

Identified gaps and areas requiring further research are thoroughly discussed and clearly based on the analysis of the literature. The narrative is insightful and demonstrates an understanding of research analysis necessary for future study.

Conclusion

Conclusion
0 points

The conclusion is omitted.
7 points

A conclusion is presented but fails to present a summary statement of what was found in the literature.

7.7 points

The conclusion presents a vague summary statement of was found in the literature. There are inaccuracies.
8.05 points

The conclusion presents an adequate summary statement of what was found in the literature.

8.75 points

The conclusion is well-developed and presents a clear and accurate summary statement of what was found in the literature.

Ability to Analyze (B)

Ability to Analyze (C3.2)

0 points

The literature review presented does not demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.
14 points

The literature review presented does not consistently demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.
15.4 points

The literature review presented demonstrates a general ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.
16.1 points

The literature review presented demonstrates an adequate ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.
17.5 points

The literature review presented demonstrates a strong ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.

Appendix

Appendix
0 points

The appendix and required resources are omitted.
7 points

The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the APA Writing Checklist during development
7.7 points

The APA Writing Checklist is attached and in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality.
8.05 points

The APA Writing Checklist is attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper

8.75 points

The APA Writing Checklist is attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development. NUR 550 Evidence-Based Practice Project: Literature Review

Required Sources

Required Sources
0 points

Sources are not included.
7 points

Number of required sources is only partially met.
7.7 points

Number of required sources is met, but sources are outdated or inappropriate.
8.05 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.
8.75 points

Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.

Thesis Development and Purpose

Thesis Development and Purpose
0 points

Paper lacks any discernible overall purpose or organizing claim.
9.8 points

Thesis is insufficiently developed or vague. Purpose is not clear.
10.78 points

Thesis is apparent and appropriate to purpose.
11.27 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

12.25 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Argument Logic and Construction
0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
11.2 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
12.32 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
12.88 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
14 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
7 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied

7.7 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed

8.05 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
8.75 points

Writer is clearly in command of standard, written, academic English.

Paper Format

Paper Format (Use of appropriate style for the major and assignment)
0 points

Template is not used appropriately or documentation format is rarely followed correctly.
7 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
7.7 points

Template is used, and formatting is correct, although some minor errors may be present.

8.05 points

Template is fully used; There are virtually no errors in formatting style.
8.75 points

All format elements are correct.

Documentation of Sources

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
0 points

Sources are not documented.
7 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
7.7 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
8.05 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.
8.75 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

NUR 550 Evidence-Based Practice Project: Literature Review Sample

Falls and fall-related injuries among elderly patients is a patient safety issue of concern for providers and healthcare organizations because of their adverse effects. Residents in long-term care facilities are typically older individuals, frail, and have poor balance and unsteady gait that make them susceptible to falls and fall-related injuries. Falls among these residents can cause physical and psychological harm to patients, increases cost of care and prolonged hospital stays (Shao et al., 2023). The Centers for Medicare and Medicaid Services (CMS, 2024) consider falls as never events or as preventable occurrences that facilities cannot seek reimbursement emanating from associated costs. Hourly purposeful rounding is an evidence-based practice (EBP) intervention that can help reduce falls and fall-related injuries among residents in long-term care facilities. The purpose of this paper is to review selected articles for the EBP project on implementing hourly rounding protocols combine with fall prevention education and training for patients and staff on risk factors. The PICOT statement for the paper is: Among elderly patients aged 65 and above in long-term care facilities (P), does the implementation of hourly rounding protocols combined with fall prevention education and training for patients and staff on fall risk factor (I) compared to standard practices and multiple interventions (C) reduce fall rate by 40% (O) within three months (T)? NUR 550 Evidence-Based Practice Project: Literature Review

NUR 550 Evidence-Based Practice Project: Literature Review Search Methods

A core of implementing proposed evidence-based practice (EBP) interventions is getting evidence from existing studies which involves searching for peer-reviewed and scholarly articles to answer the developed PICOT question or statement. As such, the search for current literature aimed at getting peer-reviewed articles that support the proposed intervention through relevant databases utilizing related key terms like hourly rounding, structured education, falls in long-term care facilities, and impact of falls on patient outcomes. The literature search focuses on various databases that included PubMed, MEDLINE, Google Scholar, and Cochrane Database as well as the Grand Canyon University library portal. The search also entailed using key terms and words from the PICOT question setting limits through filters and BOOLEAN functions. The search also focused on primary articles and not systematic reviews or meta-analyses to ensure first-hand evidence on the effectiveness of the suggested tools to prevent and reduce patient falls.

NUR 550 Evidence-Based Practice Project: Literature Review Synthesis of the Literature

In her article, Anu (2021) focused on the effects of a change process in long-term care for elderly through hourly rounding to prevent falls. The authors used a qualitative case study approach in a long-term care facility in Dallas, Georgia with a sample of 20 staff members and 41 elderly residents to determine the efficacy of the proposed interventions. Using the Minitab statistical software to analyze data, Anu (2021) found that hourly rounding protocols and education reduced falls by 36% within three months of the implementation. The article supports the proposed EBP project as it demonstrates that the facility had a similar problem that required the implementation of hourly rounding protocols to reduce susceptibility to falls among the elderly residents.

In their article, Albasha et al. (2023) conducted a descriptive cross-sectional study to determine staff’s insights into fall prevention interventions or solutions in long-term care facilities. The setting for the study entailed 13 long-term care facilities in southwest Ireland with a sample of 155 respondents. The findings show that staff recommended implementation of environmental reviews and modifications as effective approaches to prevent falls and fall-related injuries. The staff also recommended education, monitoring of residents, and alarm or calling systems. The article supports the use of structured education together with other interventions like hourly rounding protocols to prevent and reduce falls among elderly residents in long-term care facilities. NUR 550 Evidence-Based Practice Project: Literature Review

The study by Leamy et al. (2023) focused on evaluating the impact of intentional in acute and older people’s care settings to reduce falls and fall-related injuries. Using a mixed method approach based on various interventions in six wards for older people and acute wards in three NHS trusts across England, the article demonstrates the efficacy of intentional rounding protocols as effective in some settings but not all. The article supports my PICOT as it shows that despite limited evidence on the efficacy of rounding protocols, they can still work among certain patients to reduce falls and risk for falling.

The study by Roberts et al. (2020) aimed at investigating the effects of implementing a 20-minute rounding intervention to lower falls in aged care facilities. Using a qualitative design, the authors conducted their study in five aged care facilities with a sample of 20 participants in the intervention group and 21 in the control group. Through descriptive statistics to analyze the data, the researchers found that falls declined in the aged care facilities because of the intervention. Again, they also found that those in the intervention cohort did not record any fracture during the study. As such, the study supports the PICOT that appropriate interventions like hourly rounding protocols combined with structured education can reduce and prevent falls among elderly residents.

NUR 550 Evidence-Based Practice Project: Literature Review Comparison of the Articles

The reviewed articles share similarities and also have differences in their themes, limitations, methods, conclusion and even controversies. For instance, all the six articles focused on the two proposed interventions: hourly rounding protocols and structured education to prevent falls among elderly residents in long-term care facilities. Three of the articles that include Anu etal. (2021), Roberts et al. (2020), and Leamy et al. (2023) had similar theme that is the effects of implementing hourly rounding protocols to reduce and prevent falls among elderly residents in long-term care facilities. The articles by Albasha et al. (2023), Albasha et al. (2024); and Hill et al. (2024) focused on the importance of structured education and other related interventions like staff training and perspectives on falls and fall management to reduce incidences and risks among the elderly in long-term care facilities.

All articles used primary research methods as they were not systematic reviews or meta-analysis. For instance, the articles by Roberts et al. (2020) and Anu (2021) employed case study approaches. NUR 550 Evidence-Based Practice Project: Literature Review However, Albasha et al. (2023) and Albasha et al. (2024) used surveys and semi-structured interviews respectively to determine the effects of the proposed interventions to reduce and prevent falls in long-term care facilities for elderly residents. These articles make varying conclusions on the impact of implementing the proposed interventions. With the exception of the study by Roberts et al. (2020) that found limited evidence on the efficacy of the proposed interventions, all the article conclusions show that the proposed approaches can reduce and help prevent falls among the elderly residents in such facilities. A core limitation of the article was the use of small sample populations and only focusing on the use of the proposed interventions. The articles also demonstrate the importance of implementing practices that suit the setting and enhance staff understanding of the proposed interventions.

NUR 550 Evidence-Based Practice Project: Literature Review Suggestions for Future Research

The analysis of the literature shows certain gaps and areas that require further investigation. For instance, the study by Roberts et al. (2020) raises a controversial conclusion that rounding protocols do not have a significant effect on fall prevention approaches in long-term care facilities. As such, it is critical to conduct more studies, including systematic reviews and meta-analyses to determine the effects of hourly rounding on patient falls. The studies also emphasize further research on all interventions to determine their overall efficacy in not only long-term care facilities (LTCFs) but also in residents where elderly patients live like nursing homes to ascertain their overall efficacy. Another area for research is the effect of a combined approach as most of the studies are either focusing on either on hourly rounding or structured education for staff to reduce and prevent falls.

NUR 550 Evidence-Based Practice Project: Literature Review Conclusion

The literature review of the articles demonstrates the efficacy of the proposed intervention as per the PICOT question. The analysis shows that all studies, irrespective of their different methods and sample populations, show the effectiveness of implementing hourly rounding protocols and structured education to reduce and prevent falls among elderly residents in long-term care facilities. The analysis shows that healthcare entities and providers can leverage these interventions when they combine them to improve outcomes or reduce and prevent falls among the elderly residents.

NUR 550 Evidence-Based Practice Project: Literature Review References

Albasha, N., Curtin, C., McCullagh, R., Cornally, N., & Timmons, S. (2023). Staff’s insights

into fall prevention solutions in long-term care facilities: a cross-sectional study. BMC Geriatrics, 23(1): 738. DOI: https://doi.org/10.1186/s12877-023-04435-7

Albasha, N., Ahern, L., O’Mahony, L., McCullagh, R., Cornally, N., McHugh, S., & Timmons,

47. (2023). Implementation strategies to support fall prevention interventions in long-term care facilities for older persons: a systematic review. BMC Geriatrics, 23(1): 47. DOI: 10.1186/s12877-023-03738-z.

Anu, J. A. (2021). Hourly Rounding and fall prevention among the elderly in long-term care: a

change process. Journal of Geriatric Medicine, 3(1).

DOI: https://doi.org/10.30564/jgm.v3i1.2614

Centers for Medicare and Medicaid Services (CMS) (2024). Fall Prevention Program Helps MD

Resident: Philmore’s Story. https://www.cms.gov/priorities/innovation-center/value-based-care-spotlight/patient-provider-voices/fall-prevention-program-helps-md-resident-philmores-story

Leamy, M., Sims, S., Levenson, R., Davies, N., Brearley, S., Gourlay, S., … & Harris, R. (2023).

Intentional rounding: a realist evaluation using case studies in acute and care of older people hospital wards. BMC Health Services Research, 23(1), 1341. DOI: https://doi.org/10.1186/s12913-023-10358-1

Roberts, B., Holloway-Kew, K., Pretorius, T., Hosking, S., Kennedy, A., & Armstrong, K.

(2020). Does 20-min rounding reduce falls in an aged-care setting? A pilot intervention study. Geriatric Nursing, 41(5): 579-584. https://doi.org/10.1016/j.gerinurse.2020.03.003

Shao, L., Shi, Y., Xie, X. Y., 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, 24(11): 1708-1717. DOI: 10.1016/j.jamda.2023.06.002. NUR 550 Evidence-Based Practice Project: Literature Review