Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words):
Patient fall has become a significant problem in healthcare facilities. Patient falls may result in serious adverse impacts such as injuries, legal liability and increased stay in healthcare facilities. This may also have significant impacts on the patient’s financial status given that they have to incur more costs in treatment and stay in hospital. Evidence suggests that about thirty to fifty percent of all falls lead to some form of fracture or physical injury (Morris & O’Riordan, S2017). As a matter of fact all falls are harmful. Falls may also affect the psychological wellbeing of the patients which may lead to lost confidence. Many patients have experienced some of these adverse effects which significantly have affected their health outcomes. While numerous approaches have been developed in the past few years to prevent fall in the hospital, they have not been effective as they should be. This is clearly seen in the increased number of falls among inpatients especially the elderly. Effective prevention approaches are therefore necessary to prevent adverse effects associated with falls indentifying the risk factors to falls could help researchers and healthcare professionals to develop effective preventive measures. Multidisciplinary approaches could prove to be effective solving the fall puzzle.
PICOT Question: Among hospital inpatients (P), what is the effectiveness of conducting standardized assessment (I) as compared to providing a safe hospital environment (C) in preventing fall (O) within the period of hospital stay (T)?
Criteria | Article 1 | Article 2 | Article 3 |
APA-Formatted Article Citation with Permalink | Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane database of systematic reviews, (9). Retrieved from https://www.cochranelibrary.com/cdsr/doi/ | Gu, Y. Y., Balcaen, K., Ni, Y., Ampe, J., & Goffin, J. (2016). Review on prevention of falls in hospital settings. Chinese nursing research, 3(1), 7-10. Retrieved from https://www.sciencedirect.com/science/article/pii/S2095771816300202
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Morris, R., & O’Riordan, S. (2017). Prevention of falls in hospital. Clinical Medicine, 17(4), 360. Retrieved fro https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297656/
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How Does the Article Relate to the PICOT Question? | This article is closely related to the picot question. It explains existing approaches to prevent falls in hospital and suggests new ways to reduce the problem. | This article provides a detailed discussion about the roots of fall and provides intervention measures that can be implemented to reduce falls. It also explores best practices for preventing fall in healthcare institutions. | This study provides multiple risk factors that predict the increased falls in hospitals. It also suggests various ways in which falls can be reduced among inpatients. |
Quantitative, Qualitative (How do you know?) | This is a quantitative study because it uses statistical methods. | This is a qualitative study because it is concerned with the understanding of human behavior and does not use statistical methods. | This is a qualitative study because it doesn’t use statistical methods. |
Purpose Statement | To assess interventions for reducing falls in hospitals and care facilities. | To evaluated the root causes of fall and how falls can be prevented. | To determine the effectiveness of organizational oversight and strong leadership prevent falls in hospitals? |
Research Question | How effective are interventions designed to reduce falls in older people in care facilities and hospitals? | What are the root cause of fall and how can they be prevented? | How can organizational oversight and strong leadership prevent falls in hospitals? |
Outcome | Reduced falls in care facilities and hospitals | Reduced falls in hospitals | Reduced falls in hospitals |
Setting
(Where did the study take place?) |
In care facilities and hospitals | I various hospitals | England and Wales |
Sample | 138,164 participants | 12 studies | 5000 patients |
Method | Randomized controlled trails | Systematic review | National Audit |
Key Findings of the Study | The findings of the study show that interdisciplinary approaches are effective in preventing falls among inpatients. | The findings of the study show that risk assessment is the basis of a robust fall prevention program. | Fall risk assessment is effective in preventing falls in hospitals. |
Recommendations of the Researcher | The researchers recommend that hospitals use Multi-factorial interventions to prevent falls. | The researchers suggest that nurses should be given specialized training to analyze the impacts of specific programs and actions. | The authors recommend that all hospitalized patients should be subjected to fall risk assessment |
Criteria | Article 4 | Article 5 | Article 6 |