PICOT Question: Among elderly patients in the acute care setting, would utilization of patient centered approach be more effective compared to the normal fall prevention two months after implementation?
|Criteria||Article 1||Article 2||Article 3|
|APA-Formatted Article Citation with Permalink||Bunn, F., Dickinson, A., Simpson, C., Narayanan, V., Humphrey, D., Griffiths, C., … & Victor, C. (2014). Preventing falls among older people with mental health problems: a systematic review. BMC nursing, 13(1), 4.
|LIM, S. C. (2017). Managing the elderly with dementia and frequent falls.||Chan, W. C., Yeung, J. W. F., Wong, C. S. M., Lam, L. C. W., Chung, K. F., Luk, J. K. H., … & Law, A. C. K. (2015). Efficacy of physical exercise in preventing falls in older adults with cognitive impairment: a systematic review and meta-analysis. Journal of the American Medical Directors Association, 16(2), 149-154.|
|How Does the Article Relate to the PICOT Question?||
The Article focuses on prevention of falls among the elderly people with mental health issues.
|The article focuses on fall prevention in hospitals through performing fall prevention assessment for each patient through standardized tools.||The article focuses on the importance of physical exercises as a single intervention to prevent falls in older adults with cognitive impairment|
|Quantitative, Qualitative (How do you know?)||Qualitative- A systematic review as conducted.||Quantitative – The study has relied on a randomized controlled trials||Mixed method – The study has relied on systematic review and meta-analysis.|
|Purpose Statement||To evaluate the effectiveness of preventing falls among elderly patients with mental health issues.||To prevent falls in hospitals through managing patients.||To determine the importance of physical exercise in preventing falls in older adults.|
|Research Question||What interventions are essential in managing and preventing falls among elderly with mental health issues.||What are the risk factors that cause falls among elderly and which interventions are more effective in lowering further falls.||How is physical exercise effective in preventing falls in older adults with cognitive impairment.|
|Outcome||Multifactorial interventions appear to reduce fall risks such as sensory stimulation and supervision.||Among elderly patients with dementia, routine assessment is essential in reducing the number of hospital falls.||The meta analysis indicated that physical exercise is essential in preventing fall among elderly adults.|
(Where did the study take place?)
|Mental health setting.||Nursing care hospitals and facilities||Hospital settings|
|Sample||14 studies||215 participants||781 participants|
|Method||Systematic review||Randomized Controlled Trials||Systematic Review and Meta-analysis|
|Key Findings of the Study||Multifactorial interventions appear to reduce fall risks such as sensory stimulation and supervision.||Among elderly patients with dementia, routine assessment is essential in reducing the number of hospital falls.||Physical exercise is essential in preventing fall among elderly adults.|
|Recommendations of the Researcher||The evidence provided does not offer enough evidence to offer specific guidance for practitioners offering care for elderly people.||Further research is needed to strengthen evidence.||Further research will be required to examine the frequency and modality of exercises that are effective in preventing falls.|
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