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Health, Medicine, Nursing
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Topic:

Fall Among the Elderly in Acute Care Facilities Research

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Here is my original PICOT questions from project 1.
MY PICOT question: What are measures to decrease fall risks among elderly population in acute care setting?
P Elderly Population in inpatient settings.
I Fall Interventions
C Comparing fall in acute care setting and home health setting
O Outcomes of fall intervention in acute care setting
T During inpatient 
These are 3 literature review articles i selected in project 2
Booth, V., Logan, P., Harwood, R., & Hood, V. (2015).Falls prevention interventions in older adults with cognitive impairment: A systematic review

of reviews. International Journal of Therapy & Rehabilitation, 22(6).
Cameron, I. D., Gillespie, L. D., Robertson, M. C., Murray, G. R., Hill, K. D., Cumming, R. G., &Kerse, N. (2012). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev, 12.
Hicks, D. (2014). Can Rounding Reduce Patient Falls in Acute Care? An Integrative Literature Review.Medsurg nursing: official journal of the Academy of Medical-Surgical Nurses, 24(1), 51-55
Nursing Research..... Course Portfolio paper
Topic ...
Fall Among the Elderly in Acute Care Facilities
MY PICOT question: What are measures to decrease fall risks among elderly population in acute care setting?
P Elderly Population in inpatient settings.
I Fall Interventions
C Comparing fall in acute care setting and home health setting
O Outcomes of fall intervention in acute care setting
T During inpatient stay
Course Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

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Fall Among the Elderly in Acute Care Facilities
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Evidence-based practice (EBP) integrates the best evidence from patient data and research to improve patient care. Nurses ought to support EBP to guide their decision making in the clinical set up. Using the PICOT format allows nurses to frame a clinical question to identify the interventions while comparing them to assess whether the identified intervention achieves the intended outcome (Polit & Beck, 2012, p. 20). Nurses who rely on EBP can reduce the rate of falls, the number of patients suffering fractures and those falling. Hence, EBP should be integrated into nursing practice to influence patient-centred care and reduce falls among elderly patients in acute care facilities.
Cameron et al., (2012, p. 15) reviewed various studies and pointed out that no one single intervention was applicable in all situations. In cases where patients had low levels of vitamin D, the vitamin supplementation was prescribed and had a positive effect on reducing falls. Additionally, integrating physiotherapy in intervention combined with strategies that targeted the risk factors was more effective in reducing the number of falls. In most cases, patient-centred care and monitoring make it easier to identify the fall risk factors, allowing the nursing staff to target the fall risk programmes. This includes strategies such as environmental modification and medical review to understand patient risk of falling in acute care.
Hourly rounding to check the progress of patients at regular intervals is necessary to meet their needs (Hicks, 2014, p. 52). Nurses provide care, where a reduction in fall rates and number of fractures indicates improved quality of care. Rounding has been identified as an important strategy to prevent patient fall since the nurses emphasize patient monitoring to assess changes in patient health. This is...
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