Assignment: Rough Draft Quantitative Research Critique and Ethical Considerations

Assignment: Rough Draft Quantitative Research Critique and Ethical Considerations

Assignment: Rough Draft Quantitative Research Critique and Ethical Considerations

Rough Draft Quantitative Research Critique and Ethical Considerations

The nursing practice problem under consideration is falls among patients, and particularly the elderly ones. Falls among hospital patients is a major nursing concern due to the serious risk posed to patient safety. The prevalence of falls is attributed to a variety of causes, including insufficient staffing levels, changes in medications, confusion and disorientation among elderly patients, and cognitive deficits. It is essential that nurses take proactive steps to ensure their patients’ safety by assessing their risk for falls and implementing fall prevention strategies such as positional shift reminders and education on mobility assistance. Additionally, through the use of monitoring systems such as bed alarms and environmental surveys, nurses can safely monitor high-risk populations and intervene before falls occur. By taking these preventative measures, nurses are able to reduce patient falls and create a smoother experience for patients in the healthcare system. The purpose of this assignment is to write a critical appraisal that demonstrates comprehension of two quantitative research studies identified in topic 1.
PICOT Question: Among older adults aged 65 years and above in nursing homes and residences (P), does the implementation of TIPS framework (I) compared to normal safety measures (C), reduce and prevent fall by 60% and associated effects (O) within six months (T)?

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Background of Studies
The two quantitative studies identified in topic 1 include, Article 4, “Effect of a fall prevention strategy for the older patients: A quasi‐experimental study” by Guo et al., (2023) and Article 5, “Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit” by Duckworth et al., (2019).
The main problem in article 4 is the increasing cases of fall among patients in healthcare. This article is significant to nursing. As discussed, falling has tremendous implications for patient safety and financial implications for healthcare budget; this is what makes this research paper an important study for the nursing practice. The primary objective of the article was to determine the effects of fall prevention strategies among older patients by employing a patient engagement design approach (Guo et al., 2023). After rigorous analysis of several experiments, it was found that engaging with patients led to a statistically significant reduction in fall occurrences. The purpose of the article was to explore the impact of a fall prevention strategy among older patients founded on the patient engagement design (Guo et al., 2023). The main research question from the article is: Does engagement of patients reduce and prevent the occurrence of falls among elderly patients or individuals?
The main problem in article 5 is patient falls in healthcare facilities. The study is highly pertinent to the field of nursing due to its focus on patient falls in healthcare facilities. Through the implementation of a Fall Tips modality, this research was able to assess its effects on patient engagement, as well as determine its efficacy in a three-step fall prevention process (Duckworth et al., 2019). The purpose of the study was to assess the effects of Fall TIPS modality on patient engagement in a three-step fall prevention process and gauge efficacy. The primary objective of this groundbreaking study was to examine the impacts of Fall TIPS modality, and the results were extremely telling – it has been demonstrated time and time again that education on ways to prevent falls are highly effective in keeping patients safe and sound (Duckworth et al., 2019). The main research question was: Does the Fall TIPS modality affect patient engagement using a 3-step fall prevention process and efficacy?

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How Two Articles Support the Nursing Practice Problem Chosen
The two articles will be used to answer the PICOT question by providing evidence on the effectiveness of fall prevention strategies among older adults. The first article (Duckworth et al., 2019) shows that the Fall TIPS framework is effective in reducing and preventing falls among diverse patients, even in their homes. The second article (Guo et al., 2023) illustrates the effectiveness of using a fall prevention approach tailored to patient needs. Both articles provide evidence on the efficacy of patient-centered fall prevention strategies, which is relevant to the PICOT question. The interventions and outcomes in the articles can be compared to those in the PICOT question to determine the most effective approach to fall prevention in nursing homes and residences.
The interventions in the articles are similar to the TIPS framework identified in the PICOT question. The comparison groups in the articles are also similar to the normal safety measures identified in the PICOT question. In both articles, the interventions were compared to usual care or standard safety measures. The outcomes in the articles, such as reduced falls and improved patient safety, are also similar to the outcomes identified in the PICOT question. However, the samples in the articles are different from the PICOT question, as the articles focused on hospitals and healthcare settings, while the PICOT question focuses on nursing homes and residences.
Method of Studies
The methods used in the two articles are different. The Article 4 used a longitudinal quasi-experimental quantitative design to assess the effectiveness of fall prevention interventions while Article 5 used three modalities approach that included laminated Fall TIPS poster, electronic Fall TIPS poster and paperless patient safety displays at the bed side. One benefit of the longitudinal quasi-experimental quantitative design used in the first article is that it allows for the assessment of the effectiveness of an intervention over time. However, a limitation is that it may be difficult to control for all confounding variables. On the other hand, one benefit of a modalities approach that includes laminated Fall TIPS posters, electronic Fall TIPS posters, and paperless patient safety displays at the bedside is that it can effectively reinforce fall prevention strategies and educate both healthcare providers and patients. One limitation of this approach, however, is that it may not be accessible to all patients, particularly those who are not literate or have visual impairments.
Results of Studies
Study from Article 4 found that a fall prevention strategy tailored to patient needs was effective in reducing falls among older patients in healthcare settings (Guo et al., 2023). The study emphasizes the importance of patient engagement in fall prevention interventions. On the other hand, study from Article 5 found that that engaging patients and their families in a three-step fall prevention process using the Fall TIPS framework is effective in reducing and preventing falls among diverse patients, even in their homes. In other words, Fall TIPS modality affect patient engagement using a 3-step fall prevention process and efficacy (Duckworth et al., 2019). The study also highlights the need to implement patient-centered strategies to improve overall patient safety.
The implications of the two studies in nursing practice are that nurses should implement patient-centered fall prevention strategies that engage patients and their families in the process. The Fall TIPS framework and tailored fall prevention strategies can be effective in reducing and preventing falls among older adults in nursing homes and healthcare settings. Nurses should also conduct risk assessments and use evidence-based fall prevention toolkits to improve patient safety. Also, nurses should embrace these interventions to improve safety by preventing and reducing falls in their settings. Overall, the studies highlight the importance of patient engagement and individualized care in fall prevention interventions.
Ethical Considerations
Two ethical considerations in conducting research are informed consent and protection of participants’ confidentiality. Informed consent involves ensuring that participants understand the purpose of the study, the procedures involved, and any potential risks or benefits (Farrugia, 2019). Protection of participants’ confidentiality involves ensuring that participants’ personal information is kept confidential and not disclosed to unauthorized individuals (Farrugia, 2019).
The researchers in the two articles took these ethical considerations into account while performing their research. In Article 4, the researchers obtained informed consent from participants and ensured that their personal information was kept confidential (Guo et al., 2023). They also obtained approval from the institutional review board (IRB) before conducting the study. In Article 5, the researchers obtained informed consent from participants and ensured that their personal information was kept confidential. They also obtained approval from the IRB before conducting the study. Both studies followed ethical guidelines to protect the rights and welfare of participants.
Conclusion
The purpose of this assignment was to write a critical appraisal that demonstrates comprehension of two quantitative research studies identified in topic 1. Research conducted in two distinct settings—healthcare facilities and the homes—has produced compelling evidence on the effectiveness of patient-centered fall prevention strategies. Article 4 demonstrated that tailored fall prevention interventions can be effective in reducing falls among older patients in healthcare facilities, while Article 5 found that involving patients and families in the three-step Fall TIPS framework can successfully reduce and prevent falls even at home. This evidence demonstrates a potential route to addressing the practice problem of patient falls, while reinforcing the relevance of this research to the PICOT question posed.

References
Duckworth, M., Adelman, J., Belategui, K., Feliciano, Z., Jackson, E., Khasnabish, S., … & Dykes, P. C. (2019). Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Journal of medical internet research, 21(1), e10008. 10.2196/10008
Farrugia, L. (2019). WASP (Write a Scientific Paper): The ongoing process of ethical decision-making in qualitative research: Ethical principles and their application to the research process. Early human development, 133, 48-51. https://www.sciencedirect.com/science/article/abs/pii/S037837821930180X
Guo, X., Wang, Y., Wang, L., Yang, X., Yang, W., Lu, Z., & He, M. (2023). Effect of a fall prevention strategy for the older patients: A quasi‐experimental study. Nursing open, 10(2), 1116-1124. https://doi.org/10.1002/nop2.1379

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Assessment Description

In this assignment, you will write a critical appraisal that demonstrates comprehension of two quantitative research studies.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment (or two new articles based on instructor feedback in Topic 1) to complete this assignment.

In a 1,000–1,250-word essay, summarize two quantitative studies.

Use the “Research Critique Guidelines – Part II” document to organize your essay.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Attachments https://halo.gcu.edu/resource/ad7c4b2a-33a4-426a-ab84-3bd51bb1f32f

Rubric Criteria

Collapse All Rubric CriteriaCollapse All

Quantitative Studies

9.5 points

Criteria Description

Quantitative Studies

5. Target

9.5 points

Two articles are presented. Both articles are based on quantitative research.

4. Acceptable

8.46 points

N/A

3. Approaching

7.51 points

N/A

2. Insufficient

7.13 points

Two articles are presented. Of the articles presented, only one article is based on quantitative research.

1. Unsatisfactory

0 points

Only one article is presented. Neither of the articles presented use quantitative research.

Introduction of Nursing Practice Problem, Purpose and Picot Question

9.5 points

Criteria Description

Introduction of Nursing Practice Problem, Purpose and Picot Question

5. Target

9.5 points

Introduction includes the nursing practice problem and purpose of the essay in a comprehensive manner. The PICOT question is concise, accurately written, and includes all elements.

4. Acceptable

8.46 points

Introduction includes the nursing practice problem and purpose of the essay in a clear manner. The PICOT question is clear and includes all elements.

3. Approaching

7.51 points

Introduction includes a basic description of the nursing practice problem and purpose of the essay. The PICOT question is present.

2. Insufficient

7.13 points

Introduction does not include a clear description of the nursing practice problem and purpose of the essay. The PICOT question is not clearly written and is missing some of the necessary elements.

1. Unsatisfactory

0 points

Introduction of the nursing practice problem, purpose of the essay, or PICOT question is not included.

Background of Studies

9.5 points

Criteria Description

Background of Studies

5. Target

9.5 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and an extensive explanation.

4. Acceptable

8.46 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details.

3. Approaching

7.51 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation.

2. Insufficient

7.13 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not clearly written and lacks information.

1. Unsatisfactory

0 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not included.

Articles Support of Nursing Practice Problem

24.7 points

Criteria Description

Articles Support of Nursing Practice Problem

5. Target

24.7 points

A thorough discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question.

4. Acceptable

21.98 points

A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question.

3. Approaching

19.51 points

A discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. The interventions and comparison groups in the articles generally compare to those identified in the PICOT question.

2. Insufficient

18.53 points

A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is unclear or lacking information.

1. Unsatisfactory

0 points

A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is not included.

Method of Studies

26.6 points

Criteria Description

Method of Studies

5. Target

26.6 points

A thorough discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods.

4. Acceptable

23.67 points

A detailed discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are presented.

3. Approaching

21.01 points

A general discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are included but the description is general.

2. Insufficient

19.95 points

A partial discussion on the method of study for each article and the comparison of study methods is presented. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies.

1. Unsatisfactory

0 points

A discussion on the method of study for each article is not included.

Results of Studies

26.6 points

Criteria Description

Results of Studies

5. Target

26.6 points

A discussion of the results of each study, including key findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation.

4. Acceptable

23.67 points

A discussion of the results of each study, including key findings and implications for nursing practice is complete and includes relevant details and supporting explanation.

3. Approaching

21.01 points

A general discussion of the results of each study, including key findings and implications for nursing practice, is included.

2. Insufficient

19.95 points

A discussion of the results of each study, including key findings and implications for nursing practice, is unclear and incomplete.

1. Unsatisfactory

0 points

A discussion of the results of each study, including key findings and implications for nursing practice, is not included.

Ethical Considerations

26.6 points

Criteria Description

Ethical Considerations

5. Target

26.6 points

Ethical considerations when conducting nursing research is comprehensively discussed. Discussion of how the researchers accounted for ethical considerations is thorough with substantial relevant details and extensive explanation.

4. Acceptable

23.67 points

Ethical considerations when conducting nursing research is clearly discussed. Discussion of how the researchers accounted for ethical considerations is through.

3. Approaching

21.01 points

Ethical considerations when conducting nursing research is discussed in basic manner. Discussion of how the researchers accounted for ethical considerations is included.

2. Insufficient

19.95 points

Ethical considerations when conducting nursing research unclear. Discussion of how the researchers accounted for ethical considerations is incomplete.

1. Unsatisfactory

0 points

Ethical considerations when conducting nursing research is not included. Discussion of how the researchers accounted for ethical considerations is not included.

Thesis, Position, or Purpose

13.3 points

Criteria Description

Communicates reason for writing and demonstrates awareness of audience.

5. Target

13.3 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

4. Acceptable

11.84 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

3. Approaching

10.51 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

2. Insufficient

9.98 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

1. Unsatisfactory

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

Development, Structure, and Conclusion

13.3 points

Criteria Description

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

5. Target

13.3 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

4. Acceptable

11.84 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

3. Approaching

10.51 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

2. Insufficient

9.98 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

1. Unsatisfactory

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

Evidence

11.4 points

Criteria Description

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

5. Target

11.4 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

4. Acceptable

10.15 points

Relevant evidence that includes other perspectives is used.

3. Approaching

9.01 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

2. Insufficient

8.55 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

1. Unsatisfactory

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

Mechanics of Writing

11.4 points

Criteria Description

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

5. Target

11.4 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

4. Acceptable

10.15 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

3. Approaching

9.01 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

2. Insufficient

8.55 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

1. Unsatisfactory

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

Format/Documentation

7.6 points

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

5. Target

7.6 points

No errors in formatting or documentation are present.

4. Acceptable

6.76 points

Appropriate format and documentation are used with only minor errors.

3. Approaching

6 points

Appropriate format and documentation are used, although there are some obvious errors.

2. Insufficient

5.7 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

1. Unsatisfactory

0 points

Appropriate format is not used. No documentation of sources is provided.Red


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