Narrative research support for proposed project / problem
Write a narrative of 750‐1,000 words that presents the research support for the projects problem and proposed solution.
Problem Statement: Reduction of Fall Rates for Post-Operative Patients
Make sure to do the following:
1. Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
2. Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
3. Incorporate a description of the validity of the internal and external research. Narrative research support for proposed project / problem
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer‐reviewed professional journal articles.
These are the references used in assignment 2
Everhart D, Schumacher, J.R., Duncan R.P., Hall A.G., Neff, D.F., & Shorr, R.I. (2014). Determinants of hospital fall rate trajectory groups: A longitudinal assessment of nurse staffing and organizational characteristics. Health Care Management Review. 39(4), 352–360.
Kobayashi, K., Kei, A., Yuko, I., Yusuke, S., Nagao, Y., & Shiro, I. (2018). Characteristics of falls in orthopedic patients during hospitalization. Nagoya Journal of Medical Science. 80(3), 341–349.
Luzia, M., Victor, G., & Lucena, F. (2014). Nursing diagnosis risk for falls: Prevalence and clinical profile of hospitalized patients. Revista. Latino-Americano. Enfermagem. 22(2), 262–268. Narrative research support for proposed project / problem
Mata, L., Cissa, A., Gabrielle, P., & Moraes, T. (2017). Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study. Revista Latino-Americano Enfermagem. 25(2904).
Shida, D., Wakamatsu, K., Tanaka, Y., Yoshimura, A., Kawaguchi, M., Miyamoto, S. (2015). The postoperative patient-reported quality of recovery in colorectal cancer patients under enhanced recovery after surgery using QoR-40. BioMed central Cancer. 15(799), 1–6.
Vitor, A., Moura, L., Fernandes, L., Botarelli, F.R., Araújo, J., & Vitorino, I. (2015). Risk for falls in patients in the postoperative period. Cogitare Enferm. 20(1), 29–37.
Reduction of Fall Rates for Post-Operative Patients
Description of the Search Method
A comprehensive bibliographic search was performed using various electronic databases such as PubMed, Wiley library databases, EbscoHost, Web of science, Google Scholar and CINAHL. The purpose of performing bibliographic search was to locate the relevant and quality research articles to be used in the study topic. Reference lists of the retrieved research articles were also analyzed and any article in the list that was found to have met the inclusion criteria of this study was searched. In addition, to conduct the search, the PICO was broken down into difference terms as indicated below:
In post-operative patients (P), what are the evidence-based practice nursing interventions (I), when compared to no interventions (C), that can reduce the fall rate (O)?
The keywords used during the search included fall rates, fall prevention, patient falls, nursing interventions, and safety and inpatient falls.
The inclusion criteria include peer-reviewed research studies; studies published between 2014-2019; studies investigating fall rates among inpatients; and studies published in English language.
Summary of Research Studies used as Evidence
According to Mata et al (2017) falls sustained during hospitalization results to increased length of hospital stay, complications and even increment of the healthcare costs. Luzia et al (2014) further explains that falls in inpatients can result to trauma of fractures that further reduce the quality of life and the ability of the patient to perform activities of daily living. Vitor et al, (2015) explains that the inpatients are unfamiliar with the hospital setting and this increases the probability of the patients sustaining falls. The reason is that the hospital setting is completely different with the home setting where facilities like toilet and bathrooms are located in completely different locations, as well as electricity switches; this can lead to confusing among post-operative patients and thus increase their risk for falls and the subsequent injuries.
Shida et al, (2015) opines that post-operative patients normally try to achieve their mobility and regain independence in order to be able to return to performing the normal activities of daily living. post-operative period is also characterized with pain which hinders the patient in so many aspects such as walking properly. This shows that surgeries increase the risk of fall for the patients because of the associated physical weakness. This is the reason post-operative patients are at an increased risk for falls. Everhart et al (2014) further explain that patient fall in healthcare setting represent a major patient safety concern. Kobayash et al (2018) majority of patients undergoing surgeries need special circumstances that enable them to adapt to the perioperative period in order to reduce the risk of fall. This is supported by Victor et al (2014) who exlians that patients in hospitals especially those within the postoperative during are predisposed to a number of complications and one of the complications is the risk for falls. Accordingly, falls rate among the common adverse incidents that occur among the inpatients.
Everhart et al (2014) conducted longitudinal study in an acute care hospital while Kobayash et al (2018) prospectively used a database within the institution’s incident reporting system. Luzia et al (2014) conducted a cross-sectional study with a sample of 174 patients. The data collection was done using a computerized nursing care prescriptions system and then statistical data analysis was done. Mata et al (2017) used quantitative and cross-sectional method and used 257 adult patients. The data collection was done utilizing sociodemographic and clinical questionnaire. Shida et al (2014) used the QoR-40 and questionnaire to assess the patients’ postoperative recovery. Vitor, et al (2015) used a quantitative approach to perform a descriptive cross-section study. Narrative research support for proposed project / problem
Validity of the Internal and External Research
The validity of the studies that were selected to be used in this proposal was addressed using different kinds of validity that include convergent validity, face validity, and content validity. According to Dini et al., 2014) these are the key elements used to assure quality in research. Reliability was achieved by examining the consistency of the studies. Various tools used to text the consistency included instruments like Cronbach’s alpha and KMO Bartlett’s test (Dini et al., 2014). However, in some studies the author developed own tools to collect the data while other authors used data collection tools that reliability and validity has been validated. Finally, rigor of the research ensured the validity of the research. This was achieved by performing a wide literature review to locate all available relevant studies and research on the study topic. Tools such as McMaster appraisal checklists and CASP were also used to rate all the articles included in this study to further ensure their quality (Dini et al., 2014).
Dini, A.P., Alves, D.F.D.S., Oliveira, H.C. and Guirardello, E.D.B., 2014. Validity and reliability of a pediatric patient classification instrument. Revista latino-americana de enfermagem, 22(4), pp.598-603.
Everhart D, Jessica S, Duncan P, Hall A, Neff D & Shorr R. (2014). Determinants of hospital fall rate trajectory groups: A longitudinal assessment of nurse staffing and organizational characteristics. Health Care Manage Rev. 39(4), 352–360. Narrative research support for proposed project / problem
Kobayashi K, Kei A, Yuko I, Yusuke S, Nagao Y, & Shiro I. (2018). Characteristics of falls in orthopedic patients during hospitalization. Nagoya J Med Sci. 80(3), 341–349.
Luzia M, Victor G & Lucena F. (2014). Nursing Diagnosis Risk for falls: prevalence and clinical profile of hospitalized patients. Rev. Latino-Am. Enfermagem. 22(2), 262–268.
Mata L. Cissa A, Gabrielle P & Moraes T. (2017). Factors associated with the risk of fall in adults in the postoperative period: a cross-sectional study. Rev Lat Am Enfermagem. 25(2904). Narrative research support for proposed project / problem
Shida D, Wakamatsu K, Tanaka Y, Yoshimura A, Kawaguchi M, Miyamoto S, et al. (2015). The postoperative patient-reported quality of recovery in colorectal cancer patients under enhanced recovery after surgery using QoR-40. BMC Cancer. 15(799), 1–6.
Vitor A, Moura L, Fernandes L, Botarelli FR, Araújo J & Vitorino I. (2015). Risk for falls in patients in the postoperative period. Cogitare Enferm. 20(1), 29–37.