NRS433V GCU University PICOT Question

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NRS433V GCU University PICOT Question

NRS433V GCU University PICOT Question

PICOT Question Paper

Inpatient falls is one of the critical issues that face health organizations in the current society. Inpatient falls contribute to significant adverse events that worsen the health outcomes of the patients. Patient falls increase the risk of injuries, unexpected care, increased stay in the hospital, and high costs incurred in seeking the needed treatment. The healthcare institution also incurs significant costs due to the extra needs of care by the patient and lawsuits related to patient safety issues (Najafpour et al., 2019). Nurses and other healthcare providers have a role to play in addressing the issue of inpatient falls. They identify and implement effective interventions that have proven in studies to reduce the prevalence of the problem. One of these interventions is the use of practice protocols such as STRATIFY to prevent and reduce the rates of inpatient falls. Therefore, this research paper explores the issue of inpatient falls and proposes a solution to it as follows:

In elderly admitted patients to the hospital, does the use of STRATIFY risk assessment tool result in a reduction of inpatient falls among this group of patients when compared to usual care in a period of four months?

Evidence-Based Solution

The proposed evidence-based solution that can be utilized to prevent and reduce the rates of inpatient falls is the St. Thomas Risk Assessment Tool in Falling elderly inpatients (TRATIFY tool). The STRATIFY risk assessment tool consists of five assessment items that are used in identifying potential risk of falls in a patient. The assessment areas include past history of falls, visual impairment, patient agitation, transfer, mobility, and incontinence (Castellini et al., 2017). A consistent and effective use of this tool reduces the inpatient fall rates through the early identification of patients at risk and the adoption of responsive interventions for the problem.

Nursing Interventions

The use of the STRATIFY risk assessment tools requires nurses to undertake a number of interventions. One of them is the identification of all the patients who are at a risk of falls. The assessment entails obtaining information related to their histories of falls, visual impairment, agitation, incontinence, transfer, and mobility. Nurses are also expected to develop responsive strategies that will minimize the risk of falls based on the outcomes of the risk assessment (Castellini et al., 2017). Some of the interventions may include the utilization of hourly nursing rounds, alarms, and beds with rails to minimize the risk of falls in the admitted patients.

Patient Care

The use of the proposed solution promotes enhanced patient care. It strengthens the utilization of patient-centeredness in the provision of care. The patient-centeredness is seen in the development of plans of care for the patients based on their risk profiles. The patient care is also improved due to the enhanced level of awareness among the nurses on the importance of patient safety and the creation of organizational culture that promotes safety.

Health Care Agency

The prevention and reduction of inpatient falls with the implementation of the STRATIFY protocol has significant benefits to the health care agency. It improves the overall safety of care given in the organization. It also strengthens the quality of care that the patients receive due to the minimization of adverse events. A reduction and prevention of inpatient falls also reduce the costs in the organization due to lowered inpatient stay by the patients and need for specialists and specialized care due to injuries from falls.

Nursing Practice

Addressing the issue of inpatient falls with the use of STRATIFY risk assessment tool has significant implications to nursing practice. It promotes the provision of high quality and safe care to the patients. It also promotes the provision of patient-centered care to the patients. There is also the aspect of the increased use of evidence-based practices in nursing. This is likely to be experienced if the proposed solution contributes to a significant reduction in the prevalence of inpatient falls in the healthcare agency.

Conclusion

Overall, this research paper has proposed a PICOT question that can be used in addressing the issue of inpatient falls among the elderly patients. The paper has provided insights into the effect of the solution on patient care, evidence-based practice, and health care agency. The proposed solution aims at promoting patient safety in the clinical setting. Therefore, nurses are expected to adopt its use for identifying and preventing patients at risk of falls.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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