Falls: Clinical Nursing Issue and Evidence Search

Table of Contents

Clinical Nursing Practice Problem

There are many clinical priorities that include safety or quality measures in a modern nursing environment. It is hard to choose one concept only because each aspect deserves attention and recognition in research. In this project, the necessity to underline the urgency of falls as a safety issue will be discussed. According to the World Health Organization (2018), falls are defined as a second leading cause of accidental injury death around the globe. For example, in the middle- or low-income countries, approximately 650,000 people die because of falls (World Health Organization, 2018). Therefore, it is recommended to investigate the nature of falls and predict them by means of such preventive strategies as patient education, the creation of a safe environment, or staff training. Although older adults introduce a group of people who are at high risk of falls, the same problem may be observed in different patients. The problem of falls is one of the most important in nursing practice because it may be prevented in case much attention is paid and enough interventions are developed.

Clinical Nursing PICOT Question

In 65+ and older adults with a one-year history of falling (P), does family involvement through education (I) compared to care without family participation (C) decrease the number of falls and fall-related complications (O) over six months (T)?

Define PICOT Elements

P– (patient population/patients of interest): 65+ and older adults with a one-year history of falling

I– (Intervention): family involvement through education

C– (Comparison): care without family participation

O– (Measurable outcome): the decrease in the number of falls and fall-related complications

T– (Time frame in months): 6 months

Evidence Retrieval Process and Summary

The problem of falls in different patients is frequently discussed by a variety of researchers. As a rule, these studies are based on the statistical data offered by such credible organizations as the Centers for Disease Control and Prevention to the World Health Organization. In this project, falls statistics by the World Health Organization (2018) will be used to underline the urgency of the problem around the whole world, but not in the United States only. Falls create unpredictable threats to people of different ages, but older adults are at high risks due to the existence of other chronic diseases and physical problems like vision impairment, gait abnormalities, or medication usage (Ott, 2018). This source with evidence is relevant to the study due to the possibility to explain why older adults introduce the best sample group. Evidence that was taken from Opsahl et al. (2016) and Schoberer, Eglseer, Halfens, and Lohrmann (2018) contributed to the discussion of the chosen nursing practice problem. First, the authors recognized the worth of education interventions in fall prevention. Second, the participation of family members in fall control is highly appreciated.

The chosen articles introduce the results of pilot studies with a quasi-experimental design for qualitative or quantitative research projects. The authors identify the strengths and limitations of the work and add recommendations for further researchers to strengthen the offered area of safety practice. Level III evidence is chosen because these articles have enough peer-reviewed material to be developed in a new study and contain a new perspective on the already existing problem:

Opsahl, A. G., Ebright, P., Cangany, M., Lowder, M., Scott, D., & Shaner, T. (2016). Outcomes of adding patient and family engagement education to fall prevention bundled interventions. Journal of Nursing Care Quality, 32(3), 252-258.

Ott, L. D. (2018). The impact of implementing a fall prevention educational session for community-dwelling physical therapy patients. Nursing Open, 5(4), 567-574.

Schoberer, D., Eglseer, D., Halfens, R. J. G., & Lohrmann, C. (2018). Development and evaluation of brochures for fall prevention education created to empower nursing home residents and family members. International Journal of Older People Nursing, 13(2).

Implications of the Evidence

The evidence chosen for the discussion of fall prevention among older patients helps to clarity the already known approaches in the nursing practice and get prepared for new evaluations and research. The peculiar feature of the articles is their authors’ recognition of falls as a serious public health concern that has to be elaborated in nursing. Falls have specific physical symptoms and outcomes of patients (Ott, 2018). Falls may happen anywhere, either it is a nursing home or a family house, a child or an older person may fall and put his or her life at threat (Schoberer et al., 2018). In all three articles, the authors underline the role of education and explain that family involvement cannot be ignored as a part of a treatment plan. Educational engagement of patients’ families can result in a positive decrease in falls (Opsahl et al., 2016). Nurses should collaborate with patients and explain the level of their responsibility in each step taken and every decision made. However, despite the level of patient preparedness and awareness of falls, people should never forget about the worth of family support.

In fact, such intervention as family involvement in older patients’ fall prevention is not expensive. Some time and properly developed steps are required to prove the appropriateness of the chosen idea. Therefore, the nursing evidence-based practice committee should pay attention to this problem and its solution to help healthcare institutions and families predict the growth of falls. Sometimes, the answer to the problems lies on the surface, and people are in need of a good guide to take the first step. In this case, the study about family involvement through education is a chance for older patients to predict falls and improve the quality of life.

Evidence Search Terms

To succeed in this search for evidence, several relevant searchable terms were identified:

  1. falls
  2. prevention
  3. older patients
  4. family involvement
  5. family education

The decision to combine these terms and use them separately was made to find out what approaches and alternatives could be available for a potential researcher.

References

Opsahl, A. G., Ebright, P., Cangany, M., Lowder, M., Scott, D., & Shaner, T. (2016). Outcomes of adding patient and family engagement education to fall prevention bundled interventions. Journal of Nursing Care Quality, 32(3), 252-258. Web.

Ott, L. D. (2018). The impact of implementing a fall prevention educational session for community-dwelling physical therapy patients. Nursing Open, 5(4), 567-574. Web.

Schoberer, D., Eglseer, D., Halfens, R. J. G., & Lohrmann, C. (2018). Development and evaluation of brochures for fall prevention education created to empower nursing home residents and family members. International Journal of Older People Nursing, 13(2). Web.

World Health Organization. (2018). Web.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Social Work and Human Services
Although it took 2 revisions I am satisfied but I did receive it late because of that.
Customer 452603, March 25th, 2021
Economics
Nice work
Customer 453185, May 21st, 2022
Education
Very fast response and did a excellent job.
Customer 453201, May 31st, 2022
Business and administrative studies
awesome work
Customer 453201, June 15th, 2022
Management
Thank you!!! I received my order in record timing.
Customer 452551, February 9th, 2021
Management
It's the second time I use this service and it does not let me down. Work quality is so good for its price!
Customer 452985, December 3rd, 2021
English 101
IThank you
Customer 452631, April 6th, 2021
Psychology
quick, fast and exact!
Customer 453027, May 24th, 2022
Business Studies
First of all, the writer made sure that he completely understood my assignment and all the guidelines before he began writing. My paper was finished very fast and well before the specified deadline. I thought it was written excellently. He definitely completely grasped the topic. Overall, he is a great writer and I couldn't have asked for better.
Customer 452441, November 29th, 2021
Other
I am beyond eager to write this review for this writer. I received a grade of "Mastered"upon first submission on this assignment. I will shout to the rooftops ENCOURAGING you to hire him. I have used other writers but NONE have delivered such awesome work as this writer and NONE of their prices can compare to his. He does not try to "break the bank" and he works hard; it shows in the final paper and the grade. He is simply,THE BEST HERE!!
Customer 452995, November 16th, 2021
English 101
great summery in terms of the time given. it lacks a bit of clarity but otherwise perfect.
Customer 452747, June 9th, 2021
Nursing
Paper much better compared to the one prior revision request. References need to be no more than the past 5 years.
Customer 452547, July 20th, 2021
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp