NRS 433 Qualitative Research Critique and Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Must provide rationale, include examples, and reference content from the studies in your responses.

In a 1,000–1,250 word essay, summarize two qualitative studies (must use provided ARTICLE 1 and 2 below), explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Article 1:

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.researchgate.net/publication/299343639…

Article 2:

Cuttler, S. J., Barr-Walker, J., & Cuttler, L. (2017). Reducing medical-surgical inpatient falls and injuries with videos, icons and alarms. BMJ open quality, 6(2), e000119.Retrieved from ttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699144/

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Part I Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses. Qualitative Studies Background of Study 1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question. How do these two articles support the nurse practice issue you chose? 1. Discuss how these two articles will be used to answer your PICOT question. 2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question. Method of Study: 1. State the methods of the two articles you are comparing and describe how they are different. 2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method. Results of Study 1. Summarize the key findings of each study in one or two comprehensive paragraphs. 2. What are the implications of the two studies in nursing practice? Ethical Considerations 1. Discuss two ethical consideration in conducting research. 2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research. © 2019. Grand Canyon University. All Rights Reserved. Literature Evaluation Table Chelsea Mull Summary of Clinical Issue: The clinical issue that forms the basis of this discussion falls among geriatric patients as well as medical surgical patients. Recent statistics reveal a worrying trend, where a large number of aged patient’s experience falls in hospitals, thus incurring more injuries and also worsening their conditions. For instance, in the U.S, falls are the primary cause of injury-related visits to the emergency departments of hospitals. These falls are the leading cause of morbidity and disability. The risk factors for falls among the elderly have been identified as sensory deficits, medication usage, cognitive impairment ad advanced age. Several strategies have been recommended for reducing the number of falls among the elderly patients, for example, providing the patients who at higher risk of falls with Vitamin D supplements, introducing strength and balance programs, administering medications, introducing foot and footwear for the elderly and conducting cataract surgery. NRS 433 Qualitative Research Critique and Ethical Considerations

Nurses are critical in healthcare delivery and are hence play a key role in reducing falls in hospitals. For instance, they can identify high-risk fall patients, doing safety rounds, providing safety companions, set bed alarms and keep patients busy. © 2019. Grand Canyon University. All Rights Reserved. PICOT Question: Population: Inpatient adult medical surgical patients Intervention: Falls task force and post- fall huddle forms Comparison: Previous falls rates to current falls rates Outcome: Decrease falls rates in inpatient medical surgical units Question: What evidence-based practice nursing interventions can decrease falls in inpatient adult medical- surgical units? Criteria Article 1 Article 2 Article 3 APAFormatted Article Citation with Permalink Ayton, D., O’Brien, P., Treml, J., Soh, S. E., Morello, R., & Barker, A. (2017). Nurses’ perceptions of preventing falls for patients with dementia in the acute hospital setting. Australa sian journal on ageing, 36(4), E70E72.Retrieved from King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340.Retrieved from https://www.ncbi.nlm.nih. gov/pmc/articles/PMC59 46811/ Laschinger, H. K. S., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. JONA: The Journal of Nursing Administration, 36(5), 259-267.Retrieved from https://journals.lww.com/jonajournal/Abstract/2006/05000/The_Impact_of_Nursing_Wor k_Environments_on_Patient.19.aspx 2 How Does the Article Relate to the PICOT Question? Quantitati ve, Qualitative (How do you know?) Purpose Statement Research Question Outcome The source The research examines The study examines how the nursing environment contributes to patient examines the the impact of falls outcomes. perspectives of among patients. the nurses regarding falls prevention for patients with dementia. Quantitative Quantitative Quantitative The respondents were selected to fulfill the required quota, What strategies do nurses recommend to prevent falls among patients with dementia? The nurses felt that one-toone supervision in the form of The sample size was relatively small. The sample size forced on a group. What is the impact of hospital falls on the nurses? How does the professional working environment contribute to patient falls. Intense messaging by Nursing leadership was crucial to the quality of work-life pertaining to policy the administration to involvement. attain zero falls in the hospital setting caused 3 specially trained patient sitters was the most effective way of reducing patient falls. Six acute care hospitals in New South Wales. Setting (Where did the study take place?) Sample 96 nurses Method Multicenter clustered randomized control Key Nurses Findings of recommended the Study one-to-one supervision as the best ways to reduce patient falls. Recommen Hospitals dations of should the increase the Researcher number of nurses to enhance oneto-one supervision. nurses to develop great fear. Two hospitals in Wisconsin. Hospitals in Canada 27 RNs and CNAs The Similar Grounded Theory was used. 8597 Compete for measures of work-life and their report of the frequency of adverse patient events. Hospital management should do way with intense messaging as it prevented nursing from operating well to minimize the risk of falls in hospitals. Hospital management should create enabling and conducive environments where nurses can function without stress. When nurses working in the high falls unit felt fully supported by the administration, they were more likely to ambulate the fall risk patients. The hospital should commit more resources to help the nurses feel more supported. 4 NRS 433 Qualitative Research Critique and Ethical Considerations

Criteria Article 4 Article 5 Article 6 APAFormatted Article Citation with Permalink 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), 710.Retrieved from https://www.researchgate.net/ publication/299343639_Revie w_on_prevention_of_falls_in_ hospital_settings Cuttler, S. J., Barr-Walker, J., & Cuttler, L. (2017). Reducing medical-surgical inpatient falls and injuries with videos, icons and alarms. BMJ open quality, 6(2), e000119.Retrieved from ttps://www.ncbi.nlm.nih.gov/pmc/articles/PM C5699144/ Vonnes, C., & Wolf, D. (2017). Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual, 6(2), e000038.Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699193/ How Does the Article Relate to the PICOT Question? The article relates to the PICOT since it examines leading causes for patient falls, and the best strategies to reduce the falls. The research is qualitative since it involved compiling previous researches. It relates to the PICOT as it examines was through which nurses can reduce medical-surgical inpatient falls. It relates to the PICOT as it examines ways through which nurses can engage patients and families to enhance safety. Quantitative, Qualitative (How do you know?) Purpose Statement To evaluate how hospitals help in preventing falls among patients. Research Question How can hospitals prevent falls among patients? Outcome Nurses must be given the necessary training and tools so that they can help to reduce falls among patients. Qualitative: The research employed the use of questionnaires to aid in collecting data. To evaluate the effectiveness of patient education videos and falls prevention, visual signalling. How effective are patient education videos and falls visual prevention signaling reducing hospital falls? Patient education and use of bed exit alarms were associated with a decrease in injuries in the hospital. 5 Qualitative: The research reduced the data to numerical findings. To explore if initiation of Fall Prevention Agreement between the nursing team and older patients, I oncology wards can help reduce the incidence of fall. Does the initiation of Fall prevention Agreement between nursing teams in oncology wards help reduce falls? Falls and fall-related injuries among the medical oncology team reduced by 37 and 58. 6 % respectively. Setting (Where did the study take place?) Sample Method Analysis of the results of previous successful studies. Key Findings of the Study Nurses must be given the necessary training and tools so that they can help to reduce Recommendati ons of the Researcher Nurses must be given necessary resources and support to help them in their efforts to ensure falls prevention, Four medical-surgical units in a US public acute care hospital. NCI comprehensive Cancer Centre in southeastern USA 45 patients, 10 RN nurses The rate of patient falls was calculated as 1000 by the number of events, divided by the number of PD Patient education and use of bed exit alarms was associated with a decrease in injuries in the hospital 23 patients and two RN nurses Anecdotal patient data was obtained concerning their impulses and finishing the falls prevention agreement Falls and falls-related injuries among the medical oncology team reduced by 37 and 58. 6 % respectively. NRS 433 Qualitative Research Critique and Ethical Considerations

Nurses should take an active role in educating patients about falls and how to prevent them from occurring. Nurses should be at the forefront of empowering patients in decision to fall risk and prevention. 6 Literature Evaluation Table Chelsea Mull Summary of Clinical Issue: The clinical issue that forms the basis of this discussion falls among geriatric patients as well as medical surgical patients. Recent statistics reveal a worrying trend, where a large number of aged patient’s experience falls in hospitals, thus incurring more injuries and also worsening their conditions. For instance, in the U.S, falls are the primary cause of injury-related visits to the emergency departments of hospitals. These falls are the leading cause of morbidity and disability. The risk factors for falls among the elderly have been identified as sensory deficits, medication usage, cognitive impairment ad advanced age. Several strategies have been recommended for reducing the number of falls among the elderly patients, for example, providing the patients who at higher risk of falls with Vitamin D supplements, introducing strength and balance programs, administering medications, introducing foot and footwear for the elderly and conducting cataract surgery. Nurses are critical in healthcare delivery and are hence play a key role in reducing falls in hospitals. For instance, they can identify high-risk fall patients, doing safety rounds, providing safety companions, set bed alarms and keep patients busy. © 2019. Grand Canyon University. All Rights Reserved. PICOT Question: Population: Inpatient adult medical surgical patients Intervention: Falls task force and post- fall huddle forms Comparison: Previous falls rates to current falls rates Outcome: Decrease falls rates in inpatient medical surgical units Question: What evidence-based practice nursing interventions can decrease falls in inpatient adult medical- surgical units? Criteria Article 1 Article 2 Article 3 APAFormatted Article Citation with Permalink Ayton, D., O’Brien, P., Treml, J., Soh, S. E., Morello, R., & Barker, A. (2017). Nurses’ perceptions of preventing falls for patients with dementia in the acute hospital setting. Australa sian journal on ageing, 36(4), E70E72.Retrieved from King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331-340.Retrieved from https://www.ncbi.nlm.nih. gov/pmc/articles/PMC59 46811/ Laschinger, H. K. S., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. JONA: The Journal of Nursing Administration, 36(5), 259-267.Retrieved from https://journals.lww.com/jonajournal/Abstract/2006/05000/The_Impact_of_Nursing_Wor k_Environments_on_Patient.19.aspx 2 How Does the Article Relate to the PICOT Question? Quantitati ve, Qualitative (How do you know?) Purpose Statement Research Question Outcome The source The research examines The study examines how the nursing environment contributes to patient examines the the impact of falls outcomes. perspectives of among patients. the nurses regarding falls prevention for patients with dementia. Quantitative Quantitative Quantitative The respondents were selected to fulfill the required quota, What strategies do nurses recommend to prevent falls among patients with dementia? The nurses felt that one-toone supervision in the form of The sample size was relatively small. NRS 433 Qualitative Research Critique and Ethical Considerations

The sample size forced on a group. What is the impact of hospital falls on the nurses? How does the professional working environment contribute to patient falls. Intense messaging by Nursing leadership was crucial to the quality of work-life pertaining to policy the administration to involvement. attain zero falls in the hospital setting caused 3 specially trained patient sitters was the most effective way of reducing patient falls. Six acute care hospitals in New South Wales. Setting (Where did the study take place?) Sample 96 nurses Method Multicenter clustered randomized control Key Nurses Findings of recommended the Study one-to-one supervision as the best ways to reduce patient falls. Recommen Hospitals dations of should the increase the Researcher number of nurses to enhance oneto-one supervision. nurses to develop great fear. Two hospitals in Wisconsin. Hospitals in Canada 27 RNs and CNAs The Similar Grounded Theory was used. 8597 Compete for measures of work-life and their report of the frequency of adverse patient events. Hospital management should do way with intense messaging as it prevented nursing from operating well to minimize the risk of falls in hospitals. Hospital management should create enabling and conducive environments where nurses can function without stress. When nurses working in the high falls unit felt fully supported by the administration, they were more likely to ambulate the fall risk patients. The hospital should commit more resources to help the nurses feel more supported. 4 Criteria Article 4 Article 5 Article 6 APAFormatted Article Citation with Permalink 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), 710.Retrieved from https://www.researchgate.net/ publication/299343639_Revie w_on_prevention_of_falls_in_ hospital_settings Cuttler, S. J., Barr-Walker, J., & Cuttler, L. (2017). Reducing medical-surgical inpatient falls and injuries with videos, icons and alarms. BMJ open quality, 6(2), e000119.Retrieved from ttps://www.ncbi.nlm.nih.gov/pmc/articles/PM C5699144/ Vonnes, C., & Wolf, D. (2017). Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual, 6(2), e000038.Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699193/ How Does the Article Relate to the PICOT Question? The article relates to the PICOT since it examines leading causes for patient falls, and the best strategies to reduce the falls. The research is qualitative since it involved compiling previous researches. It relates to the PICOT as it examines was through which nurses can reduce medical-surgical inpatient falls. NRS 433 Qualitative Research Critique and Ethical Considerations