NUR 550 Evidence-Based Practice Project Proposal Research Design Comparison Essay

Translational Research Graphic Organizer Template

Individuals and communities require optimal health to optimize their productivity and well-being. As care providers, change agents, and evidence-based practice (EBP) implementers, nursing professionals play a valuable role in addressing nursing practice problems. The interventions they propose are guided by translational research, which moves basic science discoveries into clinical practice (Molloy & Bearer, 2021). The purpose of this graphic organizer is to compare qualitative and quantitative translational research on a nursing practice problem.

Nursing Practice Problem:

Practice problems in nursing adversely affect the work environment, increase healthcare costs, and hamper nurses’ productivity, among other effects. The high prevalence of type 2 diabetes among older adults is a significant nursing practice problem due to its regrettable impacts, such as increased patient visits, high healthcare costs, and the high risk for cardiovascular disease (Cigolle et al., 2022; Evans et al., 2022). If not effectively controlled, the increased patient visits could threaten nurses’ health and well-being due to a high workload. According to Kirwan et al. (2021), type 2 diabetes inhibits functional performance and independence among older adults. Therefore, interventions tailored to improve functional capacity and independence and other positive outcomes are crucial for improved health and reduced clinical visits.

Qualitative Article

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link Che, S., Meng, M., Jiang, Y., Ye, X., & Xie, C. (2022). Perceptions of exercise and exercise instruction in patients with type 2 diabetes mellitus and sarcopenia: a qualitative study. BMC Geriatrics, 22(1), 892. https://doi.org/10.1186/s12877-022-03519-0
Methodology	The researchers conducted a qualitative study using a descriptive phenomenological approach. In phenomenological studies, researchers seek to understand an issue from the participants’ lived experiences (Alhazmi & Kaufmann, 2022). In a similar design, Che et al. (2022) conducted a series of personal semi-structured interviews among the participants to get an in-depth description of the phenomena related to how patients with type 2 diabetes and sarcopenia perceived physical exercises.
Goals	Physical exercises are valuable in helping older adults with type 2 diabetes increase muscle mass and strength. Therefore, the study explored how patients with type 2 diabetes and sarcopenia perceived exercise and exercise instruction from their perspective. Understanding their perceptions would help healthcare providers to understand benefits, tailor physical exercises according to patient needs, and address barriers to participation in such exercises.
Data Collection	Che et al. (2022) invited patients to participate in the interviews, each lasting approximately 15-35 minutes. The patients were adequately informed about the purpose, format, time to be taken, and other essentials to ensure informed consent. Data collection and analysis occurred simultaneously via an interview guide focusing on four main aspects. The first aspect was knowledge, attitudes, and everyday practices regarding exercise. Questions in this area explored the connection between physical exercises and improving blood glucose and how patients perceived and engaged in them. The second area was attitudes toward exercises, where patients answered whether they believed and accepted that exercises help treat diabetes mellitus. The third area was on practices of exercises to evaluate the type of exercises patients engage in. The second aspect was motivations, and the third aspect was barriers to exercise. The fourth aspect was attitudes toward exercise instruction.

Quantitative Article

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-Based Exercise and Lifestyle Program Improves Health Outcomes in Older Adults with Type 2 Diabetes. International Journal of Environmental Research and Public Health, 18(11), 6147. https://doi.org/10.3390/ijerph18116147
Methodology	Kirwan et al. (2021) conducted a pre-post evaluation study that compared the outcomes of a program at baseline and at eight weeks after completion. The program (Beat It) was designed to improve critical health aspects among older adults with type 2 diabetes, particularly anthropometric and physical fitness outcomes. Broadly, Beat It included twice-weekly supervised group exercises and an education program. The exercise program included aerobic, resistance, flexibility, and balance training. A total of 588 individuals participated.
Goals	Translational research is usually goal-driven to produce results that benefit populations and patients. In this study, researchers evaluated the efficacy of Beat It, which was largely a community-based exercise and lifestyle intervention. The results of the research would inform researchers and healthcare providers about the value of physical exercises in improving health outcomes among patients with type 2 diabetes. Such knowledge would be the foundation of health promotion in healthcare organizations and communities.
Data Collection	Researchers collected multiple data sets to evaluate the effectiveness of the Beat It program. The first component was sociodemographic variables, such as age, gender, and residence. Height and weight were also measured to calculate body mass index (BMI) and compare values before and after the study. The values were used to categorize participants as healthy, obese, or overweight. Other data were the waist circumference. Researchers also used arm curls and medicine ball throw tests to assess participants’ strength, flexibility, and aerobic capacity.

Conclusion

Translational research on type 2 diabetes prevention and management is extensive and applies different approaches. As revealed in the graphic organizer, researchers have explored the effectiveness of physical exercises on health outcomes such as functional capacity and independence among older adults with type 2 diabetes. Moving such scientific discoveries to clinical practice can help nursing professionals improve health outcomes among patients by implementing physical exercise programs tailored according to patient needs. Doing so could reduce clinical visits related to type 2 diabetes, improve care quality, and contribute immensely to the safety and health of the work environment.

References

Alhazmi, A. A., & Kaufmann, A. (2022). Phenomenological qualitative methods applied to the analysis of cross-cultural experience in novel educational social contexts. Frontiers in Psychology, 13, 1495. https://doi.org/10.3389/fpsyg.2022.785134

Che, S., Meng, M., Jiang, Y., Ye, X., & Xie, C. (2022). Perceptions of exercise and exercise instruction in patients with type 2 diabetes mellitus and sarcopenia: a qualitative study. BMC Geriatrics, 22(1), 892. https://doi.org/10.1186/s12877-022-03519-0

Cigolle, C. T., Blaum, C. S., Lyu, C., Ha, J., Kabeto, M., & Zhong, J. (2022). Associations of age at diagnosis and duration of diabetes with morbidity and mortality among older adults. JAMA Network Open, 5(9), e2232766-e2232766. doi:10.1001/jamanetworkopen.2022.32766

Evans, M., Chandramouli, A. S., Faurby, M., Matthiessen, K. S., Mogensen, P. B., & Verma, S. (2022). Healthcare costs and hospitalizations in US patients with type 2 diabetes and cardiovascular disease: a retrospective database study (OFFSET). Diabetes, Obesity & Metabolism, 24(7), 1300–1309. https://doi.org/10.1111/dom.14703

Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-based exercise and lifestyle program improves health outcomes in older adults with type 2 diabetes. International Journal of Environmental Research and Public Health, 18(11), 6147. https://doi.org/10.3390/ijerph18116147

Molloy, E. J., & Bearer, C. F. (2021). Translational research is all-encompassing and lets everyone be a researcher. Pediatric Research, 90(1), 2-3. https://doi.org/10.1038/s41390-020-01225-4

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.

	T1 Research	T2 Research	T3 Research	Quantitative Research	Observations (Similarities/Differences)
Methodology	Entails testing effects of and use of scientific research outcomes in clinical settings. It ascertains the efficacy of knowledge generated from scientific discoveries on human physiology (Fort et al., 2017). It also entails proof of concept and use of healthy volunteers to ascertain the efficacy of the drugs or knowledge produced.	Researchers utilize controlled settings in trying new diagnostic interventions. Through the approach they develop evidence-based uses and guidelines in clinical practice (Felege et al., 2016).	Research explores the use of the guidelines in general population. The model uses diffusion research to translate the guidelines into practice to benefit populations.	Quantitative research emphasizes objective measurements and statistical, and numerical analysis of the collected data (Deistung et al., 2017).	Both translational and quantitative researches utilize human subjects and clinical settings or studies. Quantitative studies focus on diagnosis, interventions and treatment protocols of diseases while translational research fills the gap between practice and scientific discoveries (Parajuli et al., 2018).
Goals	The goal is to yield knowledge on human physiology and the potential for intervention (Rubio et al., 2016).	To offer information about the efficacy of the interventions in clinical environment To ascertain the efficacy of interventions and treatment. To utilize information and knowledge obtained to provide health services	To attain information on the efficacy of the interventions in practical settings Dissemination and execution of the research recommendations. To develop guidelines based on outcomes as patient routine practices (Felege et al., 2016).	The goal of quantitative research is to test certain hypotheses, look at the cause and effect scenarios in research, and make predictions (Felege et al., 2016).	Quantitative research uses controlled settings to test proved hypotheses that helps in idea exploration as well as lays the foundation for more studies, particularly translational research. Translational research focuses on developing clinical and scientific results to improve patient outcomes and community health (Rubio et al., 2016). The three translation research studies are related as they are used systematically in offering new treatment interventions in populations
Data Collection	Data is collected from the observational studies, clinical trials and case studies, and phase I and II trials (Surkis et al., 2016).	Data is collected through synthesizing of evidence, developed guidelines and phase III trials.	Data is collected through diffusion research, phase IV trials and dissemination research.	Data is collected through surveys, experiments, and observation, and content analysis (Deistung et al., 2017). Data comes from questionnaires and manipulating pre-existing data	A common data collection approach used in these studies is observation. The method is utilized in both T1 and T2 and quantitative. In both research approaches, data is quantified into outcomes for interpretation (Parajuli et al., 2018). The two research models use data collection approaches that include interview, and surveys.

References

Bouhassira, D., & Attal, N. (2016). Translational neuropathic pain research: a clinical

perspective. Neuroscience, 338, 27-35.

Deistung, A., Schweser, F., & Reichenbach, J. R. (2017). Overview of quantitative susceptibility

mapping. NMR in Biomedicine, 30(4), e3569.

Fort, D. G., Herr, T. M., Shaw, P. L., Gutzman, K. E. & Starren, J. B. (2017). Mapping the

evolving definitions of translational research. Journal of Clinical and Translational Science, 1(1), 60-66.

Rubio, D. M., Robinson, G. F. W. B., Gillian, V. A., Primack, B. A., Switzer, G. E., Seltzer, D.

L., & Kapoor, W. N. (2016). Characterization of Investigators’ Approach to Translational Research: A Qualitative Study. CTS Journal, 7(6), 441-446.

Surkis, A., Hogle, J. A., DiazGranados, D., Hunt, J. D., Mazmanian, P. E., Connors, E.,

Westaby, K., Whipple, E. C., Adamus, T., Mueller, M. & Aphinyanaphongs, Y. (2016). Classifying publications from the clinical and translational science award program along the translational research spectrum: a machine learning approach. Journal of Translational Medicine, 14(235).

Parajuli, S. B., Bhattarai, P., & Heera, K. C. (2018). Translational research: Current status, challenges and future strategies in Nepal. Nepalese Heart Journal, 15(2), 3-8.

Felege, C., Hahn, E., & Hunter, C. (2016). Bench, bedside, curbside, and home: Translational research to include transformative change using educational research. Journal of Research Practice, 12(2), P1.

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NUR 550 Evidence-Based Practice Project Proposal Research Design Comparison Essay

Description:

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 NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

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.

Conduct a literature search on your approved nursing practice problem. 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.

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

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

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.

NUR 550 Evidence-Based Practice Project Proposal Research Design Comparison Essay

You are not required to submit this assignment to LopesWrite.

Topic 2 DQ 1

Description:

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?

Topic 2 DQ 2

Description:

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.

Topic 2 Participation

Description:

Topic 2: Epidemiology, Biostatistics, Genetics, and Genomics

Description

Objectives:

Describe the role of epidemiology in researching population health challenges.
2. Describe the role of epidemiology in addressing population health challenges.
3. Explain the value of biostatistics in population health research.
4. Discuss the application of translational research to global issues.
Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapter 19 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Population Health: Creating a Culture of Wellness

Description:

Read Chapters 2 and 3 in Population Health: Creating a Culture of Wellness.

Evidence-Based Practice in Nursing and Healthcare

Description:

Read Chapters 2 and 3 in Evidence-Based Practice in Nursing and Healthcare.

Biostatistics

Description:

Read “Biostatistics,” by Minkoff, from Magill’s Medical Guide (2018).

Population Health

Also Check Out: N520 Legal and Ethical Issues in Health Care Module 1 Assignment

Description:

Read “Population Health” by Bibb, from Encyclopedia of Nursing Research (2017).

NUR 550 Evidence-Based Practice Project Proposal Research Design Comparison Essay

A Research Utilisation Framework for Informing Global Health and Development Policies and Programmes
Description:

Read “A Research Utilisation Framework for Informing Global Health and Development Policies and Programmes,” by Christine et al., from Health Research Policy and Systems (2018).

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 550 Evidence-Based Practice Project Proposal Research Design Comparison Essay

Translational Research

Description:

Read “Translational Research” by White, from Encyclopedia of Nursing Research (2017).

Overview and Summary: Translational Research: From Knowledge to Practice

Description:

Read “Overview and Summary: Translational Research: From Knowledge to Practice,” by Naylor, from Online Journal of Issues in Nursing (2018).

Genomics

Description:
Tasks

Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O503 Evidence-Based Practice Project Proposal: Research Design Comparison 100.0

Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 100.0%

Revision (Nursing Practice) 10.0 percent In either case, the issue with nursing practice was not addressed. For an evidence-based practice project proposal, the revisions did not meet the applicable nursing practice problem requirements. There are still changes that need to be made before the final version can be approved. The proposed nursing practice problem has undergone a number of revisions in an attempt to make it more accurate and precise. Additional modifications are still needed for approval. NA There has been a clear presentation of the issue with nursing practice and it has been approved. All necessary adjustments were made, or no revisions were necessary.

Articles on Translation and Tradition 15.0 percent of Choosing more than two articles does not fulfill the assignment’s requirements. There is at least one omission. Two of the submitted articles fail to meet the requirements of the assignment. One or two articles do not support the claimed nursing practice problem, and it is not obvious why. The assignment conditions are not met by one article. This issue is supported by a majority of literature in this field. With the help of one or two other articles, the stated problem would be better supported. Each article has been evaluated to ensure that it meets the assignment’s requirements and provides enough evidence to support the theory behind the problem. Comparative studies were conducted using quantitative and qualitative research articles. Published during the previous five years, these peer-reviewed articles address a current issue in nursing practice. All of the requirements for this assignment have been met.

Comparison of Methodology Between Translational and Traditional Research 15.0% The comparison between translational and quantitative and translational and qualitative methodologies is omitted. The comparison between translational and quantitative and translational and qualitative methodologies is incomplete. There are significant inaccuracies. A summary comparison between translational and quantitative and translational and qualitative methodologies is presented. Some aspects are incorrect or unclear. The comparison between translational and quantitative and translational and qualitative methodologies is adequately presented. Some aspects require more detail for accuracy or clarity. The comparison between translational and quantitative and translational and qualitative methodologies is thorough and accurate. A clear understanding of translational and traditional methodologies is demonstrated.

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

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.

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.

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.

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. Nursing Practice Problem: The problem that this project seeks to address is the incomprehensive hand-off during nurse change-overs. Roslan & Lim (2017) characterized the problem as the communication breakdown that happens during nurse-to-nurse change-overs. The problem arises because nurses use ineffective handover practices that increase the risks of miscommunication. For example, nurses practice bedside handovers whereby information is verbally shared between off-shift and incoming nurses (Fealy et al, 2018). There is also no structured procedure, framework, and/or checklist used to conduct handovers (Fealy et al, 2018). As a result, inaccurate, incomplete, and misleading information is transferred. This is a significant problem because it increases the risks of medical errors thus compromising patient safety. Comparison 1: Translational Research vs. Qualitative Research Criter ia Peer-Reviewed Translational Peer-Reviewed Traditional Article and Article and Permalink/Working Permalink/Working Link: Link: Fealy, G., Donelly, S., Doyle, G., Brenner, M., Patterson, A., McIntire, E., Hughes, M, Mylotte, E.,…Ziki, M. (20 …

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