NRS 465 Week 4 Assignment: Literature Evaluation Table

NRS 465 Week 4 Assignment: Literature Evaluation Table

NRS 465 Week 4 Assignment: Literature Evaluation Table

Assessment Description

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

This assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (published within the past 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.

Attachments

NRS-465-T4-RS-Literature Evaluation Table.docx

Finalized PICOT Question: In elderly hospitalized patients (Population/problem), how does purposeful hourly rounding (Intervention) compared to normal rounding by nurses (Comparison) reduce the rate of falls by 40% (Outcome) within three months (Time, optional)?
Literature Search Strategy Employed
An effective literature search strategy is essential to get the right research articles from required databases on a topic of interest. f In this case, the library databases used to search for research articles on the proposed intervention include PubMed, CINAHL, and Medline as well as Cochrane Library. The keywords used to find research articles included falls, elderly falls, purposeful rounding, and falls among older adults.

Criteria Article 1 Article 2 Article 3 Article 4
APA Reference
All peer-reviewed journal articles should be current (published within the last 5 years) and closely related to the PICOT question developed earlier in this course. Include the GCU permalink or working link used to access the article. Roberts, B., Holloway-Kew, K., Pretorius, T., Hosking, S., Kennedy, A., & Armstrong, K. (2020). Does 20-min rounding reduce falls in an aged-care setting? A pilot intervention study. Geriatric nursing, 41(5): 579-584. DOI: 10.1016/j.gerinurse.2020.03.003. Allari, R. S., & Hamdan, K. (2023). Caring Behavior and Hourly Rounding: Nurses’ Perception. The open nursing journal, 17(1). http://dx.doi.org/10.2174/18744346-v17-e230210-2022-118 Anu, J. A. (2021). Hourly Rounding and fall prevention among the elderly in long-term care: a change process. Journal of geriatric medicine, 3(1): 1-5. DOI: https://doi.org/10.30564/jgm.v3i1.2614 Leamy, M., Sims, S., Levenson, R., Davies, N., Brearley, S., Gourlay, S., … & Harris, R. (2023). Intentional rounding: a realist evaluation using case studies in acute and care of older people hospital wards. BMC health services research, 23(1):1341. DOI:https://doi.org/10.1186/s12913-023-10358-1
Purpose/Aim of Study The study aimed to investigate the effects of a 20-minute rounding can reduce falls in aged-care facilities. The researchers aimed to examine the perceptions of nurses about caring and hourly rounding and evaluate the correlation between the perception of caring behavior and hourly rounding The article aimed to improve residents’ safety by reducing the number of falls and evaluating the effectiveness of education after the implementation of hourly rounding. The purpose of this study was to test, refine, or refute eight program models to understand what works, for whom, and in what situations to reduce patient falls.
Research questions (Qualitative)/Hypothesis (Quantitative) Hypothesized 20-minute rounding to a). increase falls among non-study participants in the aged facilities b) reduce falls for residents in the intervention groups, and c) will not create more workload for nurses
Do hourly rounding and caring behavior correlate to improve patient safety and reduce falls? The article developed a PICOT question as follows:
For adult residents in LTC units aged 65 years and
older (P) does education on hourly rounding provided
to nursing staff (I) compared to no education on hourly
rounding (C) reduces the number of falls among residents in
the LTC units (O) over ten weeks (T)? The authors hypothesized that patient rounding improved patient safety by reducing falls
Design
Type of quantitative or type of qualitative study design Observational qualitative study A cross-sectional descriptive correlational design The author used a case study design for the project. In-depth interviews based on realistic synthesis comprising qualitative and quantitative methods like case studies and surveys.
Setting
Where did the study take place? What type of setting – inpatient, outpatient, etc.? Five aged care facilities Various hospitals in Jordan implementing hourly rounding. The setting was long-term care facilities with residents aged 65 years and above. Six wards comprising older people and acute ward in three NHS trusts in England.
Sample
Number and characteristics of participants The sample comprised 41 aged persons from 66 to 99 years. Intervention group n=20 and control group n=21 Researchers used a convenience sampling method with participants being nurses working in the selected settings for at least three months. Had 1378 participants The sample comprised 20 staff members and 41 residents who were included in the pilot case study. The sample comprised different participants:
Nursing manager=17
Nursing ward staff=33
Allied health and medical professionals=26
Patients=34
Relatives=28
Methods
Interventions/Instruments 20-minute rounding process An online questionnaire with three parts; one on hourly rounding The researcher used the Studer Group hourly rounding competency checklist and hourly rounding log. Mixed methods design including theory development, survey of all NHS acute trusts, and six case studies
Analysis
How were the data that were collected analyzed? Descriptive statistics as researchers employed statistics to understand outcomes Researchers analyzed data using a statistical package for social science (SPSS) and descriptive statistics including mean and percentage The article used descriptive statistics to analyze the collected data and compared before and after the implementation of two approaches: education and hourly rounding The researchers used realistic synthesis to identify eight program theories about intentional rounding
Outcomes/key findings of the study and implications for nursing practice (Summary of study results) Falls occurred as there was no difference between the intervention group and the control cohort. A trend of reduced falls occurred across all aged care sites based on the mean before and after the implementation of the intervention. The implications for nursing practice include developing better interventions to reduce falls as the results demonstrate the efficacy of the proposed intervention. The perception of hourly rounding was to increase patient safety by preventing falls. A robust relationship exists between hourly rounding and perception of caring meaning that rounding demonstrates nurses care for their patients. The implications for nursing practice include increased positive perception and working with all stakeholders to reduce falls. The results or findings show that the intervention reduced falls and improved patient safety within the facility. The implication for nursing practice is to embrace the tool for better fall management approaches. Nurses should embrace the outcomes as they show that intentional or hourly rounding leads to better patient outcomes. The outcomes demonstrate the effectiveness of hourly intentional rounding on patient care. The authors assert that context plays a critical role in determining the effectiveness of the intervention. Therefore, nurses should embrace intentional rounding since it helps improve patient care and safety
Recommendations of the Researcher More feasibility studies to ascertain the effects of 20-minute rounding on the patients. The authors recommend integrating hourly rounding and caring behavior because of their relationship in improving patient safety and quality of care. The study recommends better interventions to align with hourly rounding to improve patient safety in all settings. The researcher recommends using their findings to implement other evidence-based practice interventions since rounding shows little effect on fall prevention
Explain how this article supports your proposed PICO(T) question and Capstone Change Project The article supports this by demonstrating the importance of rounding to increase the identification of falls and related risk factors. The article supports the proposed PICOT question and the change project as it demonstrates the efficacy of hourly rounding in improving patient and quality of care. The article supports the PICOT question by illustrating the importance of interventions aligned with hourly rounding in healthcare settings. The article supports the PICOT as it shows that intentional rounding is effective but only based on situations.

Criteria Article 5 Article 6 Article 7 Article 8
APA Reference
(include the GCU permalink or working link used to access the article) Di Massimo, D. S., Catania, G., Crespi, A., Fontanella, A., Manfellotto, D., La Regina, M., … & INTENTO Study Group. (2022). Intentional Rounding versus Standard of Care for Patients Hospitalised in Internal Medicine Wards: Results from a Cluster-Randomised Nation-Based Study. Journal of clinical medicine, 11(14): 3976. DOI: 10.3390/jcm11143976 Ryan, L., Jackson, D., East, L., Woods, C., & Usher, K. (2022). Mixed Methods Study Integration: Nursing student experiences and opinions of intentional rounding. Journal of advanced nursing, 78(6): 1787-1797. https://doi.org/10.1111/jan.15197 Sims, S., Leamy, M., Levenson, R., Brearley, S., Ross, F., & Harris, R. (2020). The delivery of compassionate nursing care in a tick-box culture: qualitative perspectives from a realist evaluation of intentional rounding. International journal of nursing studies, 107, 103580. https://doi.org/10.1016/j.ijnurstu.2020.103580 Rasmussen, T. R. (2022). An Enhanced Purposeful Hourly Rounding Program: Impact of Proactive Toileting on Rates of Falls and Injurious Falls. Georgetown University. https://www.proquest.com/openview/32c90604dba320472434dd55cfdd467c/1?pq-origsite=gscholar&cbl=18750&diss=y
Purpose/Aim of Study The purpose of the study was to determine the impacts of intentional rounding used to proactively monitor patients on falls and pressure ulcers The article aimed to explore pre-registration nursing students’ knowledge and experience of intentional rounding in the education and clinical sectors. The article aimed to examine the significance of intentional rounding for nurses to deliver compassionate care from different perspectives. The purpose of the study was to evaluate the effects of an enhanced purposeful hourly rounding (PHR) program on rates of patient falls and injurious falls during a two-month practice change project.
Research questions (Qualitative)/Hypothesis (Quantitative) What is the impact of intentional rounding on proactive monitoring of patients and fall reduction Do nursing students know and have experience with intentional rounding in any setting or educational institute Does intentional rounding improve the delivery of compassionate nursing care in a tick-box culture? Does an enhanced PHR program reduce rates of falls among adult patients in the medical-surgical ward?
Design
Type of quantitative or type of qualitative study design The authors used a cluster-randomized controlled design Explanatory sequential mixed methods The authors used a qualitative approach based on case studies across England. Mixed method design through observational design and survey
Setting
Where did the study take place? What type of setting – inpatient, outpatient, etc.? The setting included 28 hospital wards with over 800 patients as participants. Different healthcare settings using collected data from 2017 to 2018 August Three geographically spread case study sites in England. Two medical-surgical units have higher rates of falls
Sample
Number and characteristics of participants The sample comprised 485 subjects in the IR group and 485 subjects in the SoC group. Nursing students in the selected nursing schools The sample comprised 33 nursing staff, 17 senior nurse managers, 34 patients, and 28 family carers. Comprised 102 nurses who volunteered to participate in the simulation.
Methods
Interventions/Instruments Intentional rounding (IR) and standard of care (SoC) Data collection from qualitative and quantitative research articles The researchers used interviews to elicit detailed reflections on the situations, mechanisms, and outcomes of intentional rounding Education and training through live simulation
Analysis
How were the data that were collected analyzed? The study used descriptive statistics to evaluate the outcomes and results The authors used the pillar integration process The authors used a thematic analysis approach where they identified core themes from the qualitative study on intentional rounding. The researcher used descriptive statistics to attain the findings and conclusions.
Outcomes/key findings of the study and implications for nursing practice (Summary of study results) The findings show a significant reduction in falls among patients with increased satisfaction levels. The findings support the deployment of intentional rounding (IR) to reduce falls. Nurses should seek innovative approaches to reduce falls in their facilities. The authors found that intentional rounding confers benefits to students by improving their perception and understanding. The implication is that nurses in different settings should ensure that nursing students get sufficient knowledge of evidence-based strategies to reduce falls. The findings show limited evidence about the effectiveness of hourly purposeful rounding. Using a systematized approach, the researchers demonstrate that intentional rounding encourages transactional care delivery and not individualized patient care. The implication is that nurses should embrace rounding as aimed at improving patient safety and quality of care. The author recorded a significant decline in fall rates based on the p-value. Nurses also completed proactive toileting logs even when no falls occurred on their unit. Staff changed and embraced a positive approach to falls by developing increased awareness levels. The implication is that nurses should embrace a behavioral change and increase awareness about falls and ways to reduce their occurrence.
Recommendations of the Researcher The authors recommend implementation of IR in healthcare settings with vulnerable patients to reduce falls and other adverse events The author asserts that clinicians, academics, and educators can benefit from the program for better fall management approaches The authors recommend more insights to understand the effects of rounding on patient falls. The researchers recommend more interventions to reduce falls through the engagement of providers in all settings.
Explain how this article supports your proposed PICO(T) question and Capstone Change Project The article supports the PICOT question and change project as it shows the importance of intentional rounding (IR) for both patients and their families. The article supports the PICOT question and Capstone change project by demonstrating the importance of intentional rounding in healthcare facilities and improving patient outcomes. The article supports the proposed PICOT question as it shows that intentional rounding can be implemented in all facilities to reduce patient falls, especially among elderly patients. The article supports the proposed PICOT question and Capstone changes project as it encourages the use of innovative approaches to reduce and prevent falls in all healthcare settings.

Conclusion
The evaluation of the literature shows improved acceptance of purposeful hourly rounding in reducing patient falls and improving safety as well as satisfaction among providers. The evaluation shows that researchers use diverse methodologies to attain an understanding of intentional rounding and its effects on patient safety outcomes. The evaluation of the literature is categorical that hourly rounding is essential to manage falls and ensure high-risk patients get better care.