Literature Evaluation Table | Nursing Homework Help

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 nursing13(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 Association16(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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