NUR 550 Research Design Comparison Assignment

Translational Research Graphic Organizer

Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem.

I was hoping after my biostatistics class during my undergraduate study that I would never encounter it again, but I encounter it daily and use it in my nursing practice. I think it can be daunting when we think of it as statistics, but biostatistics is so important in improving health outcomes and for research to meet this goal. Biostatistics helps guide experts through diseases but one of the most common times it is valuable is during disease outbreaks like we saw during the COVID-19 pandemic. Biostatistics can help us explain and predict some of the health outcomes and the direction of epidemics and pandemics as well as influence decision making in public health (Beric-Stojsic, 2021). Epidemiology is the study of the causation, spread and control of disease across time and space and gives us information about health status, morbidity, and mortality in human populations (Beric-Stojsic, 2021). Biostatistics and epidemiology are used together to guide all of our decisions related to the prevention and control of diseases (Beric-Stojsic, 2021). Epidemiology and biostatistics are very significant to my evidence-based practice proposal because in order for it to be evidence-based I need good evidence the comes from well-designed studies that were planned properly for data collection. If studies are not well-designed then the data collected is not useful. I want to base my evidence-based practice on well-designed studies with good evidence.

In order to provide optimal health care to all populations, nurses must work without being overburdened. In contrast, the number of patients visiting health care facilities due to obesity and related complications has increased over the last decade. School-aged children and adolescents are among the most vulnerable demographics. My nursing practice problem for an evidence-based practice project is childhood obesity. Robinson et al. (2017) discovered that unhealthy lifestyles associated with sedentary living, such as long periods of television viewing and gaming, have increased children’s vulnerability to obesity. I chose this topic because childhood obesity is one of the health issues that is increasing mortality and morbidity rates.

Obesity increases the risk of chronic illnesses such as heart disease and diabetes in school-age children, as well as a lower quality of life (Che et al., 2018; De Lorenzo et al., 2019). Such negative health outcomes increase the illness burden in health-care organizations, families, and society, as well as nurses’ workload. As a result, nurses should conduct research on health-care issues that affect population health and have a direct impact on their work, and then provide evidence-based interventions. The article by Stiglic and Viner (2019) was relevant to the issue and directly supported the nursing practice problem. According to Stiglic and Viner (2019), obesity harms children’s well-being, and interventions such as limiting screen time and increasing physical activity effectively reduce obesity rates. Nurses can also help patients and families understand the risks of obesity and educate them on the amount of screen time and physical activity that is recommended to improve health outcomes.

State the nursing practice problem for your evidence-based practice project. If your nursing problem has not yet been approved, make any required changes or revisions to your nursing practice problem prior to starting the assignment. Using your proposed topic, conduct a literature search and complete the tables below.

Also Read: NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Essay

Nursing Practice Problem: patient falls among elderly patients admitted to the hospital

Comparison 1: Translational Research vs. Qualitative Research

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link: Mayhob, M. M., & Amin, M. A. (2022). Fall Prevention Interventions: Tailored Approach versus Routine Interventions among Elderly Hospitalized Patients. American Journal of Nursing Research, 10(1), 26-33. DOI:10.12691/ajnr-10-1-4 Translational Research Type: T3	Peer-Reviewed Traditional Article and Permalink/Working Link: Carter, E. J., Khasnabish, S., Adelman, J. S., Bogaisky, M., Lindros, M. E., Alfieri, L., & Dykes, P. C. (2020). Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatrics, 4(2), 15. http://dx.doi.org/10.21926/obm.geriatr.2002119 Traditional Qualitative Research Type: multisite qualitative	Observations (Similarities/Differences)
Methodology	This study employed a quasi-experimental study design to explore the efficacy of a tailored approach and routine intervention in fall prevention among hospitalized elderly patients.	This study used a multisite qualitative study design where patients were recruited from a total of eleven hospitals. The research subjects were sampled depending on their exposure to fall TIPS.	While the translational research used a quasi-experimental design, the qualitative research employed a multisite qualitative study design.
Goals	The goal of this study was to compare the efficacy of a routine intervention and tailored approach intervention for fall prevention among elderly patients admitted to the hospital.	The goal of the study was to perform an assessment of the dominant facilitators and barriers to the adoption of a patient fall TIPS.	While the translational research majorly focused on examining the efficacy of a TIPS program in reducing patient falls, the qualitative study explored the barrier and facilitators of the TIPS acceptance.
Data Collection	The data used in this study were collected through patient records and through the use of the Morse Risk Assessment Scale.	Data collection was majorly conducted through interviews where the patients were interviewed.	The data collection methods used were different as patient health records, and assessment scale was used in the translational research, while semi-structured interviews were used in the qualitative research.

Comparison 2: Translational Research vs. Quantitative Research

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link: Dykes, P. C., Duckworth, M., Cunningham, S., Dubois, S., Driscoll, M., Feliciano, Z., … & Scanlan, M. (2017). Pilot testing fall TIPS (tailoring interventions for patient safety): a patient-centered fall prevention toolkit. The Joint Commission Journal on Quality and Patient Safety, 43(8), 403-413. https://doi.org/10.1016/j.jcjq.2017.05.002 Translational Research Type: T3	Peer-Reviewed Traditional Article and Permalink/Working Link: Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates, D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open, 3(11), e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889 Traditional Quantitative Research Type: A Nonrandomized Controlled Trial	Observations (Similarities/Differences)
Methodology	This study employed the Institute for Healthcare Improvement framework in translating the research on fall TIPS. The researchers engaged the stakeholders and identified unit champions, and trained staff for successful implementation.	This study employed a nonrandomized controlled trial applying a stepped-wedge design. An interrupted time-series evaluation of the patient-centered fall TIPS tool kit was done among 37231 patients.	While the quantitative research employed a nonrandomized controlled trial with a step-wedged design, the translational research was based on the Institute for Healthcare Improvement framework.
Goals	The goal of the research was to pilot test a fall TIPS in two medical centers using the Institute for Healthcare Improvement framework for spread.	The goal of this study was to explore whether a fall-prevention tool kit that engages patients and their families can lead to lower cases of falls and injurious falls.	Both the research articles focused on evaluating the efficacy of TIPS for patient fall.
Data Collection	Data was collected through the use of a questionnaire with a five-point Likert scale.	The data was collected through the event reporting system	The data collection methods used were different. While the translation research used a questionnaire, the quantitative research applied an event reporting system.

References

Carter, E. J., Khasnabish, S., Adelman, J. S., Bogaisky, M., Lindros, M. E., Alfieri, L., & Dykes, P. C. (2020). Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatrics, 4(2), 15. http://dx.doi.org/10.21926/obm.geriatr.2002119

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates, D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open, 3(11), e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889.

Dykes, P. C., Duckworth, M., Cunningham, S., Dubois, S., Driscoll, M., Feliciano, Z., … & Scanlan, M. (2017). Pilot testing fall TIPS (tailoring interventions for patient safety): a patient-centered fall prevention toolkit. The Joint Commission Journal on Quality and Patient Safety, 43(8), 403-413. https://doi.org/10.1016/j.jcjq.2017.05.002

Mayhob, M. M., & Amin, M. A. (2022). Fall Prevention Interventions: Tailored Approach versus Routine Interventions among Elderly Hospitalized Patients. American Journal of Nursing Research, 10(1), 26-33. DOI:10.12691/ajnr-10-1-4 NUR 550 Research Design Comparison Assignment

The purpose of this assignment is to conduct a comparison on different research designs to better understand their designs and application.

Understanding the different types of research design is important so that nurses can effectively apply evidence-based research into practice to address issues and offer better patient care.

You will utilize your approved nursing practice problem to complete the evidence-based practice project proposal assignments for this course and , during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

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Review feedback from your instructor on your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem,” submitted in Topic 1.

If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment.

If your proposed topic requires revision, complete this prior to beginning this assignment. NUR 550 Research Design Comparison Assignment

Conduct a literature search on your approved nursing practice problem. NUR 550 Research Design Comparison Assignment

Find two translational research articles, one quantitative article, and one qualitative article.

Using the “Translational Research Graphic Organizer,” present your proposed topic and, in the tables provided, compare one translational study to the quantitative study, and one translational study to the qualitative study.

For an overview of the evidence-based practice project proposal assignments, please see the document “Evidence-Based Practice Project Proposal – Assignment Overview.”

This assignment requires you to cite four peer-reviewed sources in order to be considered complete.
Sources must have been published within the last five years and be appropriate for the assignment criteria as well as the content of nursing.

While APA style is not required for the body of this assignment, strong academic writing is expected, and sources should be documented in accordance with APA formatting guidelines, which can be found in the APA Style Guide, which can be found in the Student Success Center.
In this assignment, you will compare two different research designs.

This assignment is graded according to a rubric.
To ensure that you understand the expectations for a successful completion of this assignment, please review the rubric before beginning.

It is not necessary for you to submit this assignment to Lopes Write at this time.

Translational Research Graphic Organizer

State the nursing practice problem for your evidence-based practice project. If your nursing problem has not yet been approved, make any required changes or revisions to your nursing practice problem prior to starting the assignment. Using your proposed topic, conduct a literature search and complete the tables below. NUR 550 Research Design Comparison Assignment
Nursing Practice Problem:

Comparison 1: Translational Research vs. Qualitative Research
Criteria Peer-Reviewed Translational Article and Permalink/Working Link:

Translational Research Type:

Peer-Reviewed Traditional Article and Permalink/Working Link:

Traditional Qualitative Research Type: Observations (Similarities/Differences)

Methodology

A biostatistician is someone who uses statistics to study health and disease in the fields of medicine, biology, and public health. Factors such as vaccine and pharmaceutical trials, as well as determining significant risk factors for specific diseases, are studied to evaluate health outcomes (Cal State East Bay, 2021). It is critical to understand biostatistics because it can aid in the discovery of disease and injury causes and risk factors, community trends, and drug effectiveness (Liaison International, 20211).

Epidemiology, also known as population study, is the study of health, illness, and injury in different human populations. People’s characteristics and behaviors in their environment are commonly observed in this research study to determine how they are affected by their health outcomes. Using data collected from patients, researchers can develop hypotheses about the frequency of various events. This is also known as a descriptive study. As a result, it is possible to conduct an analytical investigation to look for any correlations between the various elements contributing to the emergence of health problems (DeNisco, 2021).

An epidemiologist, according to Nash et al., is someone who studies the factors and distribution of health issues that affect a specific population (2021). Non-clinical health characteristics such as age, family history, race/ethnicity, and obesity are of interest to these researchers. As a result, a specific population load can be determined, as well as measures that can help bring about positive population changes (Nash et al., 2021).

A thorough understanding of biostatistics and epidemiology is required to investigate drug compliance in the treatment of low-income COPD patients. Using data from this large population, I’ll be able to determine whether certain characteristics of these individuals affect their ability to take their medication as prescribed. The statistical information I am able to gather will be extremely useful to my evidence-based initiative.

Comparison of Data Collection Between Translational and Traditional Research 15.0% The comparison of data collection between translational and quantitative and translational and qualitative research is omitted. The comparison of data collection between translational and quantitative and translational and qualitative research is incomplete. There are significant inaccuracies. A summary comparison of data collection between translational and quantitative and translational and qualitative research is presented. Some aspects are incorrect or unclear. The comparison of data collection between translational and quantitative and translational and qualitative research is adequately presented. Some aspects require more detail for accuracy or clarity. The comparison of data collection between translational and quantitative and translational and qualitative research is thorough and accurate. An understanding of goals between traditional and translational research is evident.NUR 550 Research Design Comparison Assignment

Observations (Similarities and Differences) 20.0% The similarities and differences between translational and quantitative and translational and qualitative research are not discussed. The similarities and differences between translational and quantitative and translational and qualitative research are only partially discussed. The narrative is vague and contains inaccuracies. The similarities and differences between translational and quantitative and translational and qualitative research are summarized. More information is needed. There are minor inaccuracies. The similarities and differences between translational and quantitative and translational and qualitative research are presented. Some detail is needed for clarity or accuracy The similarities and differences between translational and quantitative and translational and qualitative research are detailed and informative. NUR 550 Research Design Comparison Assignment

Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed 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. 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. 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. The writer is clearly in command of standard, written, academic English.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Topic 2 DQ 1

Explain the value of biostatistics in population health research. Describe the role of epidemiology in researching and addressing population health challenges. How are epidemiology and biostatistics significant to your evidence-based practice proposal?

Re: Topic 2 DQ 1

Biostatistics, a scientific subdiscipline of statistics, is the collection and analysis of biological data to study population health issues (Lee et al., 2019). Through biostatistics, public health outcomes are improved. Epidemiology also plays a significant role in population health by identifying risk factors for diseases and focuses on treatment and promoting prevention (Galea, 2017). Epidemiology has influenced population health for over 150 years and through observations, regulations were developed to improve the safety of drinking water, clean air, waste management, promote anti-smoking directives, diet advice, and physical activity guidelines (Galea, 2017).

Epidemiology and biostatistics are the foundation of public health and preventative medicine and are critical components in disease monitoring and prevention. Furthermore, data and findings from epidemiology and biostatistics are used to better understand chronic diseases such as hypertension and the associated risk factors. Because consumption of a poor diet and lack of exercise are modifiable risk factors that increase the morbidity and mortality rate associated with hypertension, it is vital that patients receive detailed patient education to improve health care outcomes and encourage participation in their care. Studies have demonstrated that patients who receive patient education and are actively involved in their care are more likely to comply with taking their medications and treatments (Miller, 2016).

References

Galea, S. (2017). Making epidemiology matter. International Journal of Epidemiology, 46(4), 1083-1085. https://doi.org/10.1093/ije/dyx154

Lee, K. J., Moreno‐Betancur, M., Kasza, J., Marschner, I. C., Barnett, A. G., & Carlin, J. B. (2019). Biostatistics: A fundamental discipline at the core of modern health data science. Medical Journal of Australia, 211(10), 444. https://doi.org/10.5694/mja2.50372

Miller T. A. (2016). Health literacy and adherence to medical treatment in chronic and acute illness: A meta-analysis. Patient education and counseling, 99(7), 1079–1086. https://doi.org/10.1016/j.pec.2016.01.020

Topic 2 DQ 2

Consider ecological and global issues, social determinants of health, principles of genetics, and genomics. Explain how translational research can be applied in these areas to address the burden of global disease.

Re: Topic 2 DQ 2

Translational research uses scientific techniques to help improve outcomes through taking the research and putting it into practice (Setty et al., 2019). When it comes to ecological and global issues, translational research applies to address burden of global disease by understanding any potential human health effects from environmental exposures and identifying any interventions that would help reduce exposure and improve health outcomes (Kaufman & Curl, 2019). This is done through the use of exposure sciences, biology, epidemiology, biostatistics, and risk assessments (Kaufman & Curl, 2019). When it comes to social determinants of health (SDOH), translational research applies to address burden of global disease by using research to examine the cause of disparity and using new interventions to help reduce mortality and morbidity at the provider to patient level and community level to help address eliminating health disparities (Fleming et al., 2009). When it comes to genetics and genomics, translational research applies to addressing burden of global disease by the research being able to study genes and help with the development of genetic testing in order to take the necessary interventions earlier to curtail certain diseases sooner rather later leading to decreases in morbidity and mortality from certain diseases.

In Oncology genetic testing is a big part of finding out about cancers and the risks it presents to an individual and other family members. For example, with breast cancer we test for BReast CAncer genes (BRCA) 1 and 2 gene mutations. If the individual with the breast cancer tests positive for one of the BRCA genes, then the provider can order this testing for family members. If a family member tests positive for the BRCA genes, but does not have cancer, there are certain interventions that can be offered to decrease their risk of getting cancer such as surgery, medications, and early and more frequent breast cancer screenings. Strong evidence has shown though in these cases that the benefit of surgical intervention can reduce the breast cancer risk by 85% and ovarian cancer by 69% (HealthyPeople.gov, 2021).

References:

Fleming, E. S., Perkins, J., Easa, D., Conde, J. G., Baker, R. S., Southerland, W. M., Dottin, R., Benabe, J. E., Ofili, E. O., Bond, V.C., McClure, S. A., Sayre, M. H., Beanan, M. J., & Norris, K. C. (2009). The role of translational research. in addressing health disparities: A conceptual framework. Ethnicity and disease, 18(2), 155-160. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705204/

HealthlyPeople.gov. (2021). Genomics. https://www.healthypeople.gov/2020/topics-objectives/topic/genomics

Kaufman, J. D., & Curl, C. L. (2019). Environmental health sciences in a translational research framework: More than benches and bedsides. Environmental Health Perspectives, 127(4), 1-7. https://doi-org.lopeed.idm.oclc.org/10.1289/EHP4067

Setty, K., Cronk, R., George, S., Anderson, D., O’Flaherty, G., & Bartram, J. (2019). Adapting Translational research methods to water, sanitation, and hygiene. International Journal of Environmental Research and Public health, 16(20), 4049. doi:10.3390/ijerph16204049

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐ The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

The selected nursing problem of focus in my project is falls among hospitalized patients aged 65 years and above. Elderly patients have the highest fall rates as compared to other patient populations. Statistics show that at least 300000 older people suffer from hip fractures annually in the USA. More than 95% of these fractures are attributable to falling sideways. Besides fractures, falls result in premature mortalities, prolonged hospitalizations, poor quality of life, and increased care costs. Health technologies have proven effective in detecting, reducing, and preventing patient falls. For example, the use of automated fall detection systems and sensors have been shown to enhance early detection, prevention, and minimization of falls among hospitalized patients. Therefore, my project examines the use of the technology to improve fall rates among hospitalized elderly patients aged 65 years and above.

Comparison 1: Translational Research vs. Qualitative Research

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link: Rahme, M., Folkeard, P., & Scollie, S. (2021). Evaluating the accuracy of step tracking and fall detection in the Starkey Livio artificial intelligence hearing aids: A pilot study. American Journal of Audiology, 30(1), 182–189. https://doi.org/10.1044/2020_AJA-20-00105 Translational Research Type: T2	Peer-Reviewed Traditional Article and Permalink/Working Link: Coahran, M., Hillier, L. M., Bussel, L. V., Black, E., Churchyard, R., Gutmanis, I., Ioannou, Y., Michael, K., Ross, T., & Mihailidis, A. (2018). Automated fall detection technology in inpatient geriatric psychiatry: Nurses’ perceptions and lessons learned. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 37(3), 245. 10.1017/S0714980818000181 Traditional Qualitative Research Type: Qualitative study	Observations (Similarities/Differences)
Methodology	This study was pilot research to examine the effectiveness of an automated fall detection system in fall detection and detecting fall maneuvers. The adopted technology was Starkey Livio Artificial Intelligence hearing aids and tracking step count. The participants wore the system, a Sportline pedometer, and Fitbit Charge 3 concurrently during treadmill and real-world walking conditions. Fall detection and alert were assessed by falling maneuvers of the activities of daily living.	This study was a qualitative study that examined the perceptions of nurses with the HELPER system and lessoned learned from its ability to prevent and reduce patient falls. The study was conducted following a pilot test where nurses were interviewed about their perceptions of the HELPER technology. The nurses were from two geriatric units in Ontario, Canada. Data was analyzed using qualitative naturalistic inquiry approach.	The studies differ on their designs. The study by Rahme et al. (2021) adopted quantitative methods while that by Coahran et al. (2018) adopted qualitative methods. They also differ based on the technologies that were examined for effectiveness in fall prevention and detection. Coahran et al. (2018) utilized qualitative methods of data collection and analysis while Rahme et al. (2021) used quantitative approaches to data collection and analysis. They both focused on the effectiveness of automated technologies in fall detection and prevention.
Goals	The primary aim of this research was to examine the effectiveness and efficacy of Starkey Livio Artificial Intelligence hearing aids in tracking step count. The secondary aim was to investigate the accuracy of the fall detection and alert system of Livio hearing aids in detecting fall maneuvers.	The goal of this study was to obtain the perceptions of nurses with their use of the HELPER system. The study also aimed to identify lessons learned from the technology use in preventing falls in two geriatric units caring patients aged between 60 and 90 years.	The two studies are similar in that they examined the effectiveness of health technologies in fall detection, notification, and prevention. They differ based on the technologies that were being investigated for their effectiveness.
Data Collection	Data on patient’s real-world health condition was obtained through a 5-day period. Step count was done for six different treadmill speeds. The generated fall detection and alerts were analyzed to determine their effectiveness in reducing fall risks among the patients.	Data for this research was collected through interviews conducted with nurses working in the unit. The interviews were conducted over two days by a trained research associate who did not participate in the pilot implementation. The interviews were recorded digitally and transcribed.	The data collection approaches in the studies differ. Coahran et al. (2018) utilized interviews that were digitally recorded and transcribed. Rahme et al. (2021) utilized quantitative methods of data collection based on the observed and physiological changes with activity.

Comparison 2: Translational Research vs. Quantitative Research

Criteria

Peer-Reviewed Translational Article and Permalink/Working Link:

Lumetzberger, J., Münzer, T., & Kampel, M. (2021). Non-obtrusive 3d body tracking for automated mobility assessment in independently living older persons: Results of a pilot trial. EAI Endorsed Transactions on Pervasive Health and Technology, 7(26), e4–e4. https://doi.org/10.4108/eai.4-3-2021.168863

Translational Research Type: T2

Peer-Reviewed Traditional Article and Permalink/Working Link:

Nemeth, B., van der Kaaij, M., Nelissen, R., van Wijnen, J.-K., Drost, K., & Blauw, G. J. (2022). Prevention of hip fractures in older adults residing in long-term care facilities with a hip airbag: A retrospective pilot study. BMC Geriatrics, 22(1), 547. https://doi.org/10.1186/s12877-022-03221-1

Traditional Quantitative Research Type: Retrospective quantitative study

Observations (Similarities/Differences)

Methodology

The study was a pilot investigation of the effectiveness of real time data and mobility assessments in fall detection and prevention. The intervention entailed automatic tracking and detection of movements for the study participants using Orbbec Astra 3d camera. A field trial for the intervention was done for a 10-month period in the private homes of 20 generally healthy older adults. 20 study participants were enrolled and assessed following their use of automated trackers for parameters such as movement patterns, size, and height. Data was expressed as standard deviation and means. Linear regression analysis was done to determine the association of manual physical therapy with machine-based gait data.

This study was a retrospective pilot study that involved 969 participants residing in 11 long-term facilities for the older patients. The researchers utilized intervention that entails the application of 45 WOLK-hip airbags for fall and fracture detection and prevention. The inclusion criteria included physically active participants with pelvic circumference of 90-125 cm. The exclusion criteria included participants who continuously removed hip airbag for themselves and those depending on wheelchair for mobility.

The two studies focused on the effect of technology use in improving gait, physical activity, and falls among the elderly. They differed based on the study designs. While the study by Nemeth et al., (2022) was a retrospective quantitative research, the one by Lumetzberger et al., (2021) was a pilot study on the use of 3D technology in patient monitoring and assessment of fall risk. The two studies support that health technologies are feasible for use in fall detection and prevention.

Goals

The goal of this study was to assess mobility of the older persons using real time data and comparing it with the mobility assessment of physiotherapists.

The aim of this study was to evaluate the effect of introducing WOLK hip airbag on the incidence of hip fractures. The secondary aim was to evaluate the occurrences of falls and pelvic fractures among the participants.

The two studies differ based on their goals. The study by Lumetzberger et al., (2021) examined the effectiveness of using real-time data on gait studies and fall rates while Nemeth et al., (2022) investigated the effect of airbags on fall rates and fractures among those at risk.

Data Collection

A trained physical therapist conducted gait study tests to each of the study subjects. They collected data on the participants’ ability to perform three repetitive tasks to assess for possible mobility changes. At the same time, an automated tracker measured test duration and gait velocity for use in comparing both data.

Data on hip, falls, and pelvic fractures were collected from electronic incidence reports for the participants. The demographic data were extracted electronically from patient records and summarized for median of the study period.

The studies differ on the approaches to data collection. The study by Nemeth et al., (2022) utilized electronic data of the participants to determine the effectiveness of the intervention. On the other hand, Lumetzberger et al., (2021) focused mainly on the physiological changes that occurred with the delivery of the intervention to the participants. Both approaches to data collection were quantitative.

Conclusion

In summary, the reviewed studies show that automated technologies and systems are effective in fall detection, notification, and prevention. They also reduce the risk and rate of injuries due to falls, including fractures. Evidence obtained from translational and traditional sources of evidence support technology use in fall prevention. Therefore, it should be considered for use in healthcare and nursing practice.

References

Coahran, M., Hillier, L. M., Bussel, L. V., Black, E., Churchyard, R., Gutmanis, I., Ioannou, Y., Michael, K., Ross, T., & Mihailidis, A. (2018). Automated fall detection technology in inpatient geriatric psychiatry: Nurses’ perceptions and lessons learned. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 37(3), 245. https://doi.org/10.1017/S0714980818000181

Rahme, M., Folkeard, P., & Scollie, S. (2021). Evaluating the accuracy of step tracking and fall detection in the Starkey Livio artificial intelligence hearing aids: A pilot study. American Journal of Audiology, 30(1), 182–189. https://doi.org/10.1044/2020_AJA-20-00105