Evidence-Based Practice Project Evaluation of Literature Table Assignment

The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.

Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments

completed in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.

Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal. NUR 550 Evidence-Based Practice Project Evaluation of Literature Table

Read Also: NUR 550 Topic 4 Assignment: Critical Appraisal of Research

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When I was looking for my ten research articles for this week’s assignment, I was surprised by how many of them found the interventions to be beneficial but refused to implement or maintain them due to a lack of time. I understand how time-consuming working in a busy clinic can be, but I don’t see how showing a patient a program that can confidentially/anonymously notify their partners to get tested for STDs or slipping a one-page survey to a patient at check-in can be so time-consuming. According to one of the studies, patients on those surveys requested STD testing but were not tested (Romo et al, 2019). And we’re curious as to why syphilis is so common. It’s ridiculous.

The goal of this study was to look into how early care and education providers and parents can encourage children to engage in physical activity while also limiting the amount of time children spend in front of screens, with a particular focus on preschoolers.
Theme analysis and focus group facilitation are two examples of qualitative research methods.
The research was conducted at ECE facilities in a specific parish in a state in the southeastern United States. There were 28 caregivers who participated in the study.
There were a total of four focus groups that were held (3 parent and 1 ECE provider) (3 parent and 1 ECE provider)
Children’s demographic information, accelerometry data, and screen time habits were collected before and after the new rules were implemented, both at home and at early childhood education facilities.
The groups had very different ideas about whether screen time should be viewed as entertainment or an educational tool, as well as what the acceptable time limit for children is. It was discovered that parents and early childhood educators are unaware of the physical activity and screen time limits.
According to the study’s findings, there is an urgent need for increased public awareness of recommended guidelines for screen time and physical activity. It also suggests conducting research into the various ways in which screen time can be used productively.

The findings of the qualitative research lend credence to the EBP project concept by demonstrating the imperative nature of raising parental understanding about acceptable levels of screen time and levels of physical activity.
Goncalves et al. (2019). International Journal of Behavior Nutrition and Physical Activity, https://dx.doi.org/10.1186%2Fs12966-019-0788-3
Parental influences on screen time and weight status among preschool children from Brazil: a cross-sectional study.
2019
The study hypothesized that parental attributes and parental screen time behaviors proportionately affect preschoolers’ screen time and weight status. The study examined the relationships between parental screen time, parental self-efficacy to limit screen time, child screen time and child BMI in preschool-aged children.
It is quantitative design since it is a cross-sectional study.
The study took place in seven Early Childhood Education and Care (ECEC) centers in Caruaru – Pernambuco, Brazil.

318 parent-child dyads participated in the study.
The 318 parent-child dyads who participated in the study completed a survey measuring sociodemographic data, weekday and weekend screen time, and parental self-efficacy for limiting screen time.
Height and weight were collected using standardized WHO measurement procedures. Observed variable path analysis was used to evaluate the relationships between the parental and child variables.
Greater child screen time was associated with higher child BMI percentile. Parental screen time and self-efficacy to limit screen time emerged as influences towards child screen time and weight status.
Parents should understand the need to reduce screen time. Reducing parental screen time and increasing parental confidence to limit screen time may be effective strategy to prevent overweight.
The study supports the proposed EBP project by confirming the role of parental knowledge in modeling children’s behavior. It advocates for the need to increase parents knowledge to enable them regulate self- and children’s screen time to reduce overweight problems.
Pearson et al., BMC Public Health, https://doi.org/10.1186/s12889-020-8232-9
Reducing screen-time and unhealthy snacking in 9–11 year old children: the Kids FIRST pilot randomized controlled trial.
2020
The study hypothesized that increasing parent-and home-focused interventions can change multiple health behaviors in children. The study evaluated the effectiveness of the Kids FIRST project, a randomized controlled trial to reduce screen time and unhealthy snacking.
Quantitative- a randomized controlled trial.
The Kids FIRST program was family based with a school component in East Midlands region of the United Kingdom.

Children- 407, parents- 75, in 4 schools.
The randomized controlled trial to reduce screen time and unhealthy snacking had pre- and post-intervention assessments. Baseline and post-intervention data was compared.
Children and parents reported (full questionnaire data) their own screen-time behaviors as children went further to report snacking behaviors. Descriptive analysis was undertaken intending to treat.
Reductions in children’s school day and weekend day TV viewing and computer game use were associated with healthy behaviors in children.
The study recommended more parental engagement in controlling screen time and unhealthy snacking as a parent- and home-focused intervention to promote healthy behaviors in children.
The study supports the EBP project proposal by recommending the need for more parental engagement in regulating children behavior in early stages. Educating parents will enable them to embrace this role to become more active in regulating screen time as a home-focused intervention to reduce childhood obesity.
Tester et al., Pediatrics, https://doi.org/10.1542/peds.2017-3228
Characteristics of Children 2 to 5 Years of Age With Severe Obesity
2018
Children with severe obesity have not been extensively described and more than the recommended screen time limit is a trigger of severe obesity.
Quantitative design- the study classifies and evaluates sociodemographic data, birth characteristics, and screen time, among other factors.
Children from NHANES, a complex, multistage probability cross-sectional sample designed to be representative of the US civilian, non-institutionalized population, participated.

N= 7028
Children were classified as having normal weight, overweight, obesity, or severe obesity (SO) and sociodemographics, birth characteristics, screen time, total energy, and Healthy Eating Index 2010 scores evaluated.
Height and weight were measured by trained personnel at the MEC by using standardized protocols.

From 2001 to 2014, scree time limit was evaluated by asking about average hours per day “over the past 30 days.”
Children with SO had higher odds of screen time above the limit. Children with SO have greater disparities in social determinants of health and more than twice as likely to engage in double the recommended screen time limit.
Children should be more knowledgeable about the connection between obesity and screen time.
The study supports the EBP project by supporting the need for increasing children’s knowledge on the connection between screen time and obesity. The EBP project looks forward to educating parents and children on reducing screen time and increasing physical activity.
Schwarzfischer et al., Plos One, https://dx.doi.org/10.1371%2Fjournal.pone.0229708
Effects of screen time and playing outside on anthropometric measures in preschool aged children
2020
Excessive screen time is a risk factor of overweight irrespective of the time children spend playing outside. The study investigated the relationship between average time spent playing outside and screen time and anthropometric measures.
Quantitative- the study is an annual assessment of children through questionnaires.
Children of the European Childhood Obesity Project (CHOP) participated in the study.

N= 526
Annual assessments were done through questionnaires. Body weight, waist circumference, and height were measured at 3 and 6 years to calculate Body-Mass-Index z-Scores (zBMI) and waist-to-height ratio (WTH).
Researchers performed liner, logistic, and quantile regressions to test the effect of average time spent on playing outside and screen time on anthropometric measures.
Excessive screen time in early years is a risk factor for increased zBMI irrespective of the time children spend playing outside.
Screen time reduction in early years is critical to preventing childhood obesity.
The study supports the EBP project proposal by affirming the need for interventions that reduces screen time in children. It confirms that physical activity should be supplemented with other methods to reduce childhood obesity.
Wernberg et al., Journal of Clinical Medicine,  https://doi.org/10.3390/jcm10040795
Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study.
2021

A greater amount of screen time and low parental education level adversely affects adherence to healthy diet intake increasing risk to childhood obesity. The study evaluated the connection between screen time and parents’ education levels with adherence to a Mediterranean dietary pattern.
Quantitative design- a cross-sectional study of health approaches and risks.
The research was done in a representative sample of the Spanish population aged 8 to 16 years across 17 regions. The analysis included 3333 children and adolescents.
Randomization of the participants was performed through multistage sampling procedure to determine physical activity, sedentarism, lifestyle factors, and weight status.
Data on daily screen time, diet adherence, physical activity, and education levels was gathered via questionnaires.
High screen time was associated with low adherence to healthy diet and the situation was worse among parents with low education levels.
Improving parents’ knowledge can improve children’s adherence to healthy eating and physical activity and reduce screen time as interventions to reduce childhood obesity.
The study supports the EBP project proposal since it confirms the critical role of parents in regulating children’s behavior and how knowledge affects decisions related to screen time, diets, and physical activity.
Oli et al., Plus One,  https://doi.org/10.1371/journal.pone.0200329
Knowledge, attitude and practice on diet and physical activity among mothers with young children in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal
2018
Health education interventions can improve mothers’ and children’s knowledge, attitude, and practice to improve cardiovascular health. The study assessed the needs of mothers concerning cardiovascular health, with particular attention on diet, physical activity, and baseline for future intervention.
Qualitative- interviews are used to gather information.
The research was done at Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS), located near the capital Kathmandu, Nepal.

962 mothers of children aged 1-7 years participated.
Nine trained enumerators interviewed mothers in August-November 2014.
Responses on dietary and physical activity knowledge, attitude, and practice (KAP) were scored and categorized based on percentages.
The research found that 57% mothers had good knowledge but required improvement, 44.6% had good attitude and 90% poor practice. Perceived Barriers included attitude towards physical activity, lack of leisure time, and lack of knowledge regarding healthy practices. As a result, health education was necessary in promoting healthy lifestyle.
Health care providers should consider health education interventions to improve healthy lifestyles among mothers and children to improve knowledge, attitudes, and practices.
The study supports the EBP project proposal by confirming the importance of health education interventions in improving mother’s and children’s knowledge. The EBP project proposes educating mothers and children on reducing screen time and increasing physical activity and the primary theme is addressing knowledge deficiencies through education programs.
Hewitt et al., Infant Behavior and Development,  https://doi.org/10.1016/j.infbeh.2017.11.008
Child care centre adherence to infant physical activity and screen time recommendations in Australia, Canada and the United States: An observational study
2018
Adherence to physical activity, screen time, and sedentary behavior recommendations is critical to promoting optimal health among children. The study compared adherence to physical activity, screen time, and sedentary behaviors recommendation.
Quantitative since it is a cross-sectional study using data.
Data was collected from Australian preschools, studies, and trials.

9 Australian 2013 Standing Preschool, 22 Early Start Baseline studies (2014-2017), and 14 Canadian Healthy Living Habits in Pre-School Children study (2011). Others included the American 2008 (N = 31) and 2013–2017 (N = 31) Baby Nutrition and Physical Activity Self-Assessment for Child Care trials.
The observational study primarily compared data on physical activity, screen time, and sedentary behavior recommendation.
Center-level data was collected without any interaction with human subjects.
Child care centers compliant with recommendation for promoting physical activity, reducing screen time, and hindering sedentary living were associated with high levels of health standards.
Children care centers should be assisted on limiting the use of equipment that restricts movement and education about children’s physical activity to families is important.
The study supports the EBP project proposal by affirming the need for education about children’s physical activity to families. A key component of the EBP project proposal is educating parents on increasing physical activity besides regulating screen time.
Eyimaya and Irmak, Journal of Pediatric Nursing,  https://doi.org/10.1016/j.pedn.2020.10.002
Relationship Between Parenting Practices and Children’s Screen Time During the COVID-19 Pandemic in Turkey
2020
There is a direct relationship between parents’ practices and children’s screen time. The study investigated the relationship between parenting practices and children’s screen time following the COVID-19 outbreak.
Quantitative- it is a cross-sectional study.
The study was conducted in three randomly-selected schools in the western, eastern and central regions of Turkey.

1115 parents participated
The data were collected using a descriptive questionnaire form and the Parenting Practices Scale.
The online questionnaire was shared with the parents (children aged 6–13 years) between May 15 and 31, 2020.
There was a significant rise in the amount of screen time after the amount of time that parents spent at home increased due to lockdown. Parenting practices were found to influence children’s screen time and ground rules are necessary to reduce screen time.
Parents need information on setting ground rules for screen time to prevent an increase in screen time as the amount of time spent at home increases.
The study supports the EBP project proposal by affirming that parental knowledge affects children’s screen time and regulation is necessary. Therefore, educating parents to set ground rules is pivotal in reducing screen time at home as a practical intervention of reducing childhood obesity.

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

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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. NUR-550-RS5-LiteratureEvaluationTable.docx

Nonetheless, translational research can help to strengthen the initiative. Translational research is critical for improving population health because it enables health agencies to adopt and implement meaningful and applicable procedures that benefit human health. Increasing readiness and competencies to reduce clinical variation is an important translational research that the National Public Health Improvement Initiative can use to improve health quality. The use of robust analytics and strong physician champions is likely to improve healthcare system organizational strength and, as a result, outcomes. The Western Illinois healthcare system has used this approach. According to the Health Catalyst (2018), UnityPoint Health significantly reduced clinical variation, variable costs, and delays in the western Illinois healthcare system after increasing readiness and changing competencies. As a result, as seen in the case of western Illinois, translational research aimed at increasing readiness and changing competencies in the National Public Health Improvement Initiative is likely to produce remarkable results.

Setting and Sample 10.0% The setting and sample are omitted for one or more of the articles. The setting and sample are indicated for each article, but key information is consistently omitted. There are inaccuracies throughout. The setting and sample are indicated for each article. Key aspects are missing for one or two articles. There are minor inaccuracies. The setting and sample are adequately presented for each article. Minor detail is needed for accuracy or clarity. The setting and sample in which the researcher conducted the study are detailed and accurate for each article.

Methods 10.0% Method of study for one or more articles is omitted. Overall, the methods of study are incomplete. The method of study is presented for each article, but key information is consistently omitted. There are inaccuracies throughout. The method of study for each article is presented. Key aspects are missing for one or two articles. There are minor inaccuracies An adequate discussion on the method of study for each article is presented. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the method of study for each article is presented.  NUR 550 Evidence-Based Practice Project Evaluation of Literature Table

NUR 550 Evidence-Based Practice Project Evaluation of Literature Table Analysis and Data Collection 10.0% Analysis and data collection for one or more articles is omitted. Overall, the analysis and data collection are incomplete. Analysis and data collection are presented for each article, but key information is consistently omitted. There are inaccuracies throughout. Analysis and data collection for each article are presented. Key aspects are missing for one or two articles. There are minor inaccuracies. An adequate discussion on the method of study for each article is presented. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the analysis and data collection for each article is presented.

Outcomes and Key Findings 10.0% Outcomes and key findings for one or more articles are omitted. Overall, the outcomes and key findings are incomplete. Outcomes and key findings are presented for each article, but key information is consistently omitted. There are inaccuracies throughout. Outcomes and key findings for each article are presented. Key aspects are missing for one or two articles. There are minor inaccuracies. An adequate discussion on outcomes and key findings for each article are presented. Minor detail is needed for accuracy or clarity. A thorough and accurate discussion on the outcomes and key findings collection for each article are presented.

Recommendations 10.0% Researcher recommendations are omitted for one or more of the articles. The recommendations described for three or more articles are inaccurate or incomplete. Researcher recommendations are indicated for each article. The researcher recommendations described for two of the articles are inaccurate or incomplete. Researcher recommendations for each article are presented. Researcher recommendations described for one article are inaccurate or incomplete. Researcher recommendations for each article are accurately presented. Minor detail is needed for accuracy or clarity. Researcher recommendations are accurately and thoroughly described for each article.

Explanation of How Articles Support Proposed Evidence-Based Practice Project Proposal 10.0% An explanation of how the article supports the proposed evidence-based practice project proposal is omitted for one or more of the articles. The explanation for three or more articles is inaccurate or incomplete. An explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for two of the articles is inaccurate or incomplete. A general explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for one article is inaccurate or incomplete. Support for the evidence-based project proposal is generally evident. An explanation for how each article supports the proposed evidence-based practice project proposal is presented. Minor detail is needed for accuracy or clarity. Adequate support for the evidence-based project proposal is demonstrated. A detailed explanation for how each article supports the proposed evidence-based practice project proposal is presented. Support for the evidence-based project proposal is clearly evident.

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.

Topic 5 DQ 1

Identify either a safety or quality improvement initiative related to improving population health. Explain how translational research can influence the development of the initiative. Include a specific example to support your response.

Re: Topic 5 DQ 1
The National Public Health Improvement Initiative (NPHII) is a program created by the Centers for Disease Control and Prevention (CDC). The NPHII is a program that aids residential, state, and territorial areas of health. NPHII has been funding and providing technical services to various health departments. Health departments include four United States territories, forty-eight States including the District of Columbia, and four federal tribes (Institute for Healthcare Improvement, 2021). The CDC supports this initiative through the Prevention and Public Health Fund of the Affordable Care Act. Improving the health population will involve making fundamental changes that will advance health organizations—creating health care practices that will improve healthcare delivery and public health services.

Translational research can influence initiatives towards improving population health by creating a concept used and advancing clinical and biomedical research while reducing and closing the gap to health disparities (Fleming et al., 2018). An example that will support this would include two complementary conceptual models. The first conceptual model focuses on advancing healthcare disparities while using research. While the second conceptual model centers around components that support translational research processes.

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. (2018). The Role of Translational Research in Addressing Health Disparities: a Conceptual Framework. Ethnicity & Disease, 18(2 Suppl 2), S2-15560. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705204/

Institute for Healthcare Improvement. (2021). Resources for Public Health Quality Improvement | IHI – Institute for Healthcare Improvement. Www.ihi.org. http://www.ihi.org/resources/Pages/Tools/ResourcesforPublicHealth.aspx

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 need for patient safety and improved quality of care implores organizations and providers to leverage evidence-based practice (EBP) interventions to address any issues that can lead to occurrence of adverse events in healthcare settings and impact patient outcomes. Falls and incidences of falling among adult patients in medical-surgical settings remain a healthcare safety challenge that requires effective interventions. Falls are considered sentinel and never events by the Centers for Medicare and Medicaid Services (CMS) because they are preventable through institution of different measures aimed at addressing their adverse effects (Cerilo et al.,2022). Falls lead to increased cost of care and stay, poor patient outcomes and in some cases, serious head injuries and fractures that can cause death (Khasnabish et al., 2020). The purpose of this literature evaluation table is to present different research articles on falls and assess their application in medical-surgical settings. The use of TIPS toolkit is considered as one of the ways to reduce and prevent the occurrence of falls in different healthcare settings.

PICOT:

Among hospitalized adult patients in medical-surgical units (P) does the use of TIPS toolkit as a bundled care approach (I) compared to normal falls prevention approach (C) reduce the prevalence of falls (O) within 6 months (T)?

 

Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Article Title and Year Published	Research Questions/ Hypothesis, and Purpose/Aim of Study	Design (Quantitative, Qualitative, or other)	Setting/Sample	Methods: Intervention/ Instruments	Analysis/Data Collection	Outcomes/Key Findings	Recommendations	Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. JAMA Network Open, 3(11), e2025889. https://doi.org/10.1001/jamanetworkopen.2020.25889	Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries. 2020	The purpose of this study was to evaluate if a fall-prevention toolkit which engages patients and families in fall-prevention process during hospitalization leads to a reduction in falls and injurious falls.	The researchers used a nonrandomized controlled trials based in the stepped wedge design.	The setting comprised of 14 medical units in academic centers in Boston and New York. The participants were all hospitalized patents in the participating settings; the patients were 37 231.	The instrument was a nurse-based fall-prevention tool kit that links evidence-based measures to patient-focused risk factors. The method incorporated continuous patient and family engagement preventing occurrence of falls.	The study collected data based on the rate of patient falls and injurious falls in every 1000 patient-days on the units. The study analyzed the data using Poisson regression to estimate the frequency of falls in the facility.	The outcome of the study shows a positive correlation between the intervention and a reduction in falls. The article also found that the nurse-driven intervention reduced injurious falls by enabling the families to have sufficient information on different ways to prevent and reduce falls.	The study recommends the use of a nurse-led and patient-centered fall-prevention tool kit to reduce the rates of falls and injurious falls. The authors assert that providers can have different modalities to implement and integrate the intervention to reduce falls in medical-surgical units.	The article supports the EBP as it shows that the proposed intervention is based on evidence and is effective in reducing the rate of falls and injurious falls among hospitalized patients. The article will offer more information about the effectiveness and efficacy of fall prevention interventions tailored to the needs of a patient.
Tzeng, H.-M., Jansen, L. S., Okpalauwaekwe, U., Khasnabish, S., Andreas, B., & Dykes, P. C. Journal of Nursing Care Quality, https://doi.org/10.1097/ncq.0000000000000547	Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home 2021	The focus of the study was to evaluate the impact of fall (TIPS) program on prevention of falls and fall-associated injuries among older adults in nursing home.	The study used mixed method comprising of qualitative and quantitative approaches at various levels of the research gathered findings.	The study occurred in a 15-bed subacute nursing care unit.	The instrument entailed using fall TIPS initiative customized to setting The approach comprised of providing clinical decision support to prevent falls.	The article collected both qualitative and quantitative data based on the respective tools used. These included recording of monthly fall rates among patients within certain period for effective analysis.	The findings after the implementation of the Fall TIPS show that the rate of falls and injurious falls reduced with clinical significance. The researchers attribute the reduction in falls to awareness among patients, information offered to patients on the TIPS poster and other interventions like self-transfer.	The article recommends the implementation of Fall TIPS initiative in healthcare settings to lower falls and injurious fall incidents among older adult residents in nursing homes and other areas of care delivery. The article also recommends the need for larger studies in different healthcare settings to assess the overall effectiveness of such interventions.	The article supports the proposed EBP practice project proposal by demonstrating that the intervention is sound and based on evidence. The proposed EBP project focuses on reducing falls in medical-surgical unit and this study is categorical that such revelations are important to illustrate the efficacy of the Fall TIPS framework.
Morris, M. E., Webster, K., Jones, C., Hill, A. M., Haines, T., McPhail, S., … & Cameron, I. Age and Ageing, 51(5), afac077. https://doi.org/10.1093/ageing/afac077	Interventions to reduce falls in hospitals: a systematic review and meta-analysis. 2022	The aim of the study was to enquire the effects of falls prevention interventions on fall rates and the risk of falling in healthcare facilities	The study is mixed as it uses a systematic review and meta-analysis.	The participants in the study were hospitalized adults	The intervention entailed staff and patient education, modification of the environment, use of assistive devices, development of policies and systems, medication management and rehabilitation as well as management of cognitive impairment	The researchers collected data from 43 studies that satisfied the inclusion criteria and 23 were included in the meta-analyses.	The findings show that the use of tailored interventions leads to a reduction in rates of falls and injurious falls. The outcomes also suggest that the use of multi-factorial interventions led to a positive impact on patient care.	The study recommends the use of patient and staff education as approaches that can have positive effects on hospital falls. The use of chair alarms, bed alarms, and wearable sensors and scored risk assessment tools did not reduce falls.	The study will be used in the EBP project proposal to demonstrate the need to use TIPS toolkit for both patients and staff with the aim of reducing and preventing the occurrence of falls and injurious falls in medical-surgical settings.
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. BMC geriatrics, 20, 1-12. DOI: https://doi.org/10.1186/s12877-020-01515-w	Hospital falls prevention with patient education: a scoping review. 2020	The aim of the scoping review was to examine the content, design, and outcomes concerning patient education approaches to prevent hospital falls. The paper evaluates the significance of patient education to prevent falls and suggests for hospitals to implement in their clinical settings.	The study uses a methodological model developed by Arksey and O’Mallet and refined by Joanna Briggs Institute.	The researchers evaluated 43 articles in their analysis based on different interventions on patient education like face-to-face and educational tools.	The interventions included direct face-to-face education, educational tools, patient-focused consumer materials and hospital systems, policies and procedures	The researchers collected and analyzed data from existing studies. These included studies on falls or education associated outcomes before and after patient fall prevention education.	The findings from the article illustrate the effectiveness of the interventions that use patient education to reduce falls related to injuries like bruises, lacerations and fractures.	The study recommends the implementation of patient-centered prevention education as part of the TIPS approach to reducing falls in healthcare settings. The study observes that well-designed education initiatives can enhance knowledge and self-perception of risk and empower patients to lower their risk of falling while in hospitals.	The study is essential to the EBP project proposal since it illustrates the significance of having a patient-centered toolkit or intervention to reduce and prevent the occurrence of falls among hospitalized patients. The article will offer more information on the efficacy of the TIPS model to reduce and prevent falls.
LeLaurin, J. H., & Shorr, R. I. Clinics in geriatric medicine, 35(2), 273-283. DOI: 10.1016/j.cger.2019.01.007	Preventing falls in hospitalized patients: state of the science. 2019	The aim of this study was to familiarize the audience with the strengths and the cons of different types of research used in testing fall prevention approaches or interventions.	The article uses a review of existing literature or systematic review to highlight different studies on fall prevention in healthcare settings.	The researchers evaluate different articles based on their approaches to reducing falls in healthcare settings. These include quality improvement studies, randomized studies, and non-randomized studies a well as single fall prevention interventions and multifactorial one among others.	The interventions include focusing on single approaches as well as use multifactorial interventions.	The researchers collected and analyzed data from the different types of studies that they evaluated. The researchers focused on both single and multifactorial interventions to reduce and prevent patient falls.	The findings show that different interventions are effective based on a host of factors. Again, the study notes that single interventions are more practical compared to multifactorial interventions in prevention of falls.	The study recommends the implementation of all interventions, especially those emanating from research and are effective based on the healthcare setting. The study notes that the implementation of any of the interventions is the most essential for any patient safety initiative.	The article is essential to the EBP project proposal as it offers sufficient research evidence on the efficacy of the different interventions to prevent and reduce falls in healthcare settings.
Dykes, P. C., Adelman, J. S., Alfieri, L., Bogaisky, M., Carroll, D., Carter, E., … & Spivack, L. B. Nurse Leader, 17(4), 365-370. https://doi.org/10.1016/j.mnl.2018.11.006	The fall TIPS (tailoring interventions for patient safety) program: A collaboration to end the persistent problem of patient Falls 2019	The aim of the article was to offer information to nurse leaders concerning evidence about the efficacy and effectiveness of the Fall TIPS program and how they can create collaborative teams as well as access resources to support implementation at their facilities.	The article uses a qualitative approach to the issue and proposes the integration of different teams to enhance the implementation of the intervention.	The researchers assess and appraise different articles since the development of the Fall TIPS in Boston and how organizations are leveraging it to offer care.	The main intervention is the implementation of the Fall TIPS initiatives in different settings to reduce and prevent the occurrence of falls.	The researchers evaluate data from the existing studies for analysis. They do not collect any data since they only review existing studies’ findings.	The findings show that implementing a fall TIPS program can reduce and prevent the occurrence of falls in different care settings. The researchers are categorical that since its implementation, it has led to a significant reduction and prevention of falls.	The researchers recommend the use of TIPS in healthcare settings to reduce the occurrence of falls, especially in critical care settings with hospitalized adult patients	The resource is essential as it highlights the use of TIPS as an effective intervention in mitigating risks that may lead to falls. The resource will be used in the EBP project to demonstrate the need for TIPS as a way to reduce and prevent the occurrence of patient falls.
Cuttler, S. J., Barr-Walker, J., & Cuttler, L. BMJ open quality, 6(2), e000119. DOI: 10.1136/bmjoq-2017-000119	Reducing medical-surgical inpatient falls and injuries with videos, icons and alarms 2018	The focus of this article was to determine the effectiveness of patient education videos and visual signs with bed exit alarms to reduce falls among hospitalized medical-surgical inpatients.	The study used a performance improvement model based on historic control	The participants were adults in medical-surgical units.	The main intervention was a four-minute video for patients’ viewing by trained volunteers. The second intervention was having icons of risk factors and interventions on the patients’ bedsides. The third intervention was having a bed alarm for those confused patients at risk of falling.	The researchers collected and analyzed data based on the incidences in every 1000 patient days for patient falls, and falls with an injury and those with serious injuries	The findings show that these interventions reduced all different types of falls in every 1000 patient days. However, icons were not fully implemented.	The study recommends more studies, especially multicenter randomized controlled trials to confirm the effectiveness of icons and video interventions o reduce falls.	The article is critical to the EBP proposed project as it demonstrates that the use of TIPS toolkit is effective but requires increased involvement and integration of all stakeholders.
Bargmann, A. L., & Brundrett, S. M. Military medicine, 185(Supplement_2), 28-34. https://doi.org/10.1093/milmed/usz411	Implementation of a multicomponent fall prevention program: Contracting with patients for fall safety 2020	The study aimed at the implementation of a multicomponent fall prevention program to enhance patient safety from falls and associated risks	The researchers developed a multicomponent approach to fall prevention that comprised of literature and use of a patient fall safety agreement in the facility.	The setting for the research was a 26-bed medical-surgical telemetry unit in a 352-bed level 1 trauma center. The center caters to both civilian and military beneficiaries.	The interventions include a patient fall safety agreement among the providers and EBP fall prevention bundle.	The researchers collected and analyzed data after four months to assess the rate of falls in the unit. They also collected data from an incentive program aimed at increasing adherence to patient safety approaches.	The findings from the study show that the agreements facilitated dialogue among nurses and other providers as well as patients. The findings show that these interventions lead to a reduction in patient falls within the facility	The study recommends the implementation of this intervention since it creates a collaborative environment for nurses and other professionals to carry out safe and quality patient care.	The article is essential to the EBP project because it shows the use of these interventions leads to a decrease in the number of falls in the unit. It also demonstrates the efficacy of using multiple components to reduce and prevent falls in acute care settings.
Duckworth, M., Adelman, J., Belategui, K., Feliciano, Z., Jackson, E., Khasnabish, S., … & Dykes, P. C. Journal of medical internet research, 21(1), e10008. DOI: 10.2196/10008	Assessing the Effectiveness of Engaging Patients and Their Families in the Three-Step Fall Prevention Process Across Modalities of an Evidence-Based Fall Prevention Toolkit: An Implementation Science Study 2019	The focus of the research was to determine the efficacy of fall TIPS tool in engaging patients through three-step fall prevention interventions	The researchers used random audits through a questionnaire. They also used the audits to measure adherence. They also used a case-control approach to understand the prevalence of patients using Fall TIPS to experience falls	The researchers utilized a randomized control trial with a sample size of over 10,000 subjects.	The intervention entailed conducting fall risk assessments, developing a tailored fall prevention plan, and implementing the plan consistently along other well accepted standards and precautions	The researchers collected data from the feedback offered by the participants in the site of the study. They analyzed the data using different fall modalities to assess the effectiveness of the intervention.	The findings show that each Fall TIPS modality led to the engagement of patients in the fall prevention process. The researchers assert that Fall TIPS modalities can enhance effective control of falls ad ensure that patients do not suffer from them.	The researchers recommend the use of the three modalities by healthcare organizations in different settings based on their abilities and one that aligns with the organizational culture.	The article is important to the EBP proposed project as it illustrates that importance of using the TIPS model as an intervention to reduce and prevent the occurrence of falls in medical-surgical units. The intervention is important since it demonstrates the need for better patient outcomes.
Carter, E. J., Khasnabish, S., Adelman, J., Bogaisky, M., Lindros, M. E., Alfieri, L., … & Dykes, P. OBM Geriatrics, 4(2), 1-21. DOI:10.21926/obm.geriatr.2002119.	Adoption of a Patient-Tailored Fall Prevention Program in Academic Health Systems: A Qualitative Study of Barriers and Facilitators. 2020	The aim of this study was to evaluate the facilitators and barriers to the adoption of Fall TIPS in healthcare settings.	The researchers used a multisite qualitative design.	The setting comprised of 11 hospitals that represented three academic health systems that had implemented Fall TIPS. The researchers identified 50 patients and 71 staff for the focus groups.	The interventions included interviews and focus groups where 71 nurses were analyzed.	The researchers collected data from these two cohorts and analyzed them using a conventional content analysis approach.	The findings show that the use of Fall TIPS led to increased levels of partnerships between nurses and patients. The fall prevention interventions were tailored to meet patient needs leading to better clinical decisions. The facilitators include motivation, use of residual fall prevention approaches and willfulness.	The researchers recommend the implementation of Fall TIPS to improve patient safety and prevent the occurrence of falls.	The article is essential as it shows the need for providers to integrate Fall TIPS where it works and leads to better patient safety measures.

 

Conclusion

The evaluation table is categorical that healthcare facilities and providers can mitigate falls through a raft of evidence-based practice (EBP) interventions like the Fall TIPS model. Existing literature is emphatic that these interventions are important in reducing falls and preventing their occurrence. The articles evaluated agree that while organizational challenges can arise in the implementation process, it is critical to evaluate all the aspects of the interventions to enhance adherence to the toolkit. The articles are important as they suggest implementation of the Fall TIPS framework across all areas of patient safety.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Cerilo, P. C., & Siegmund, L. A. (2022). Pilot testing of nurse led multimodal intervention for falls prevention. Geriatric Nursing, 43, 242-248. DOI: 10.1016/j.gerinurse.2021.12.002

Khasnabish, S., Burns, Z., Couch, M., Mullin, M., Newmark, R., & Dykes, P. C. (2020). Best practices for data visualization: creating and evaluating a report for an evidence-based fall prevention program. Journal of the

American Medical Informatics Association, 27(2), 308-314. DOI: 10.1093/jamia/ocz190.