Title: EVIDENCE BASED PRACTICE AND APPLIED NURSING RESEARCH
Number of sources: 1
A. Evaluate a primary, quantitative research, peer-reviewed journal article that has healthcare implications by doing the following:
Note: You may select an article focusing on a healthcare topic of your choice or an article focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, or hand hygiene and infections in hospitals.
1. Describe how the researcher addresses the following four areas in the selected journal article:
background or introduction (e.g., the purpose of the study)
review of the literature (e.g., research used to support the study)
data analysis (e.g., how the researcher analyzed the data)
methodology (e.g., research type and sampling methods)
2. Evaluate whether the evidence presented in each of the four areas of the journal article from part A1 supports the outcome of the study and implications for future research.
3. Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the journal article from part A.
4. Describe one strength and one limitation of the study.
5. Describe how the evidence from the article in part A informs current nursing practices.
Evidence-based Practice and Applied Nursing Research
The primary quantitative study under review focuses on falls and fall prevention with a basic recommendation that exercise programs effectively mitigate the fall risk for older people. For their background and introduction, Gschwind et al. (2015) explore the iStoppFalls project using the ICT approach geared towards developing a randomized and controlled study across homes hosting older people. In this regard, the authors’ primary agenda is to explore the feasibility of the intervention program. They also intend to determine the effectiveness of this program on the predominant fall risk factors.
As for the literature review, the study is structured around incorporating external sources of information and statistical figures relevant to the research design. It is also based on evaluating both independent and dependent variables acquired through the randomized approach of data collection from the involved participants. Subsequently, the authors analyze the collected data using the Psychological Profile Assessment (PPA) approach that establishes the relationship between the psychological fall risk with the control and intervention groups. Moreover, the data is also analyzed by acquiring the total exercise’s median duration that was found to be 11.7h (IQR=22.0). The methodology used is the use of questionnaires as well as psychological and cognitive tests. They also apply the post hoc analysis method to establish the effect on stepping reaction time, quality of life, execution functioning, and the postural sway.
The evidence presented throughout the study supports both the outcome and the implication of the study. On this note, the adverse events and falls frequency were determined over a period of 6 months in addition to the medical history and socio-demographic characteristics of each participant. This leads to the identification of various sensory monitor tests that include balance sway, contrast sensitivity, as well as peripheral sensation. The authors managed to explore the level or wellbeing for the participants based on the aspects of anxiety, pain, regular activities, mobility, and self-care. Furthermore, the evidence played a significant role in impacting the development of future research by identifying the primary factors facilitating and preventing the fall risk for seniors. The authors also maintained ethical considerations by upholding privacy and confidentiality of patient information to protect the human subjects. As for the cultural considerations, they were addressed through the provision of educational material on fall prevention and the inclusion of 153 community-dwelling individuals over the age of 65.
Some strengths and limitations characterize the study. One of the strengths is the use of firsthand information from the individuals vulnerable to fall while using a computer-generated randomized approach to increase the credibility of the acquired information and data. This establishes a considerable level of credibility for the study, thereby developing informative and reliable results. As for the limitations, the primary one is the delicate nature of handling older people who might have memory loss issues, thus providing non-reliable information while others might be irresponsive to the study. The evidence acquired from the study informs the current nursing practice by prioritizing the use of the iStoopFalls exercise program as an effective approach towards mitigating the psychological fall risk. This means that the nursing practice could develop a means to increase older people’s adherence as this improves their postural sway, executive function, and the stepping reaction. As such, the iStoppFalls strategy is reliable and effective for use in the development of competent and effective measures of handling seniors in their respective community homes support of an instructor.
Gschwind, Y. J., Eichberg, S., Ejupi, A., de Rosario, H., Kroll, M., Marston, H. R., … & Aal, K. (2015). ICT-based system to predict and prevent falls (iStoppFalls): results from an international multicenter randomized controlled trial. European review of aging and physical activity, 12(1), 10.