Description

Directions: Based on your synthesis of the evidence, you will present your findings in a professional format. Using all the work products from previous parts, you will create a slide presentation of your work. See the grading rubric embedded in Brightspace.

Instructions:

Create a PowerPoint presentation of no more than 10 slides. Design should be professional, clean, organized, and readable from a distance (use graphics and tables; keep words to a minimum!).
In the notes section of each slide, write your narrative, i.e. what you would say for an oral presentation.
At a minimum, slides and your presentation should demonstrate:
PowerPoint Narrative in your presentation
Introductory title slide (grabs attention with title, includes your name and credentials) Short introduction of yourself and purpose of presentation
Final PICO Question Explanation of the question and your inspiration for choosing it (Use Part 1 for your inspiration; be sure to include your FINAL PICO question from Part 3 or beyond).
Short description of the final intervention—based on the evidence!–you are proposing to fulfill the outcome in your PICO. Explain the intervention. It can be a combination of high-quality interventions—based on the evidence!—across multiple articles.
Synthesis of consistency and findings for each level of evidence (use Parts 5 and 6) to support (or not support) the intervention. Include the # of studies for each level. Explain the consistency (or inconsistency) of findings across each level.
Applicability of the intervention to the population and agency resources. Explain this.
Recommendation for practice change or future work Explain the rationale for the recommendation.
Final slide should include a complete reference list in APA format. No narrative.

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EBP Project, Part 3: Executing Your Search
Final PICO Question used for this assignment:
In hospitalized patients would a multifactorial approach be the best impact to prevent falls when
compared to the usual falls prevention interventions in reducing incidence of falls.
Search terms tried/used:
-patient safety
– best practices
-guidelines
-fall prevention
Rationale for choosing Article 1:
According to this article, using a system is the greatest approach to prevent falling. This system
includes a program that helps patients prevent additional harm. The purpose of this program is to
guard against falls in nursing homes. This program is utilized at the bedside and aids in reducing
the likelihood of falls significantly following use.
Rationale for choosing Article 2:
The actions described in this article will reduce hospital-related falls. It focuses on a project that
is built around educating the workers and guaranteeing the right education to reduce the
likelihood of a fall occurring. Patients won’t be at risk if the scale is properly trained for use and
implemented.
Rationale for choosing Article 3:
Interventions in this article include messaging. According to this article, nurses who do not have
penalties will not give a patient’s fall as much attention. Nurses worry that consequences will
ultimately prevent few or no falls from happening.
Rationale for choosing Article 4:
This article handles the intervention by giving the right information and resources to understand
why it is crucial to prevent a fall. These papers explain why it is crucial for neither party that
there be any falls. This will instruct the nurse on appropriate safety measures.
Reflect:
Finding the articles I included in this project made me happy. I think these articles have taught
me a lot about interventions, and they will help me obtain useful, accurate information. I’m glad
to see that there is a lot of research on the subject of my interest and that it is acknowledged as a
problem.
1
EBP Project, Part 4: Levels of Evidence
Author/Year
Journal Title/Peer
Review?
Journal of nursing care
quality (Peer reviewed)
Category
Mozingo (2023)
The University of
Arizona (Doctoral
dissertation)
Primary-Quantitative
King, (2018)
The Gerontologist (Peer Primary-Quantitative
reviewed)
Schoberer (2022)
Worldviews on
Evidence‐Based
Nursing (Peer
reviewed)
Other-CPG
National Institute for
Health and Care
Excellence (2014)
National Institute for
Health and Care
Excellence (Peer
reviewed)
Other-CPG
Tzeng (2021)
Primary-Quantitative
Rationale for
Category
Follows IMRaD, uses
human participants,
results are mainly
numbers and stats, and
there’s an intervention
Follows IMRaD, uses
human participants,
results are mainly
numbers and stats, and
there’s an intervention
Follows IMRaD, uses
human participants,
results are mainly
numbers and stats, and
there’s an intervention
Does not follow
IMRaD but does make
recommendations on
the care of patient
populations
Does not follow
IMRaD but does make
recommendations on
the care of patient
populations
Reflection on the body of evidence as a whole to answer your research question.
Level of Evidence
Level 3
Level 3
Level 3
Level 1
Level 1
2
My research question is answered by the entire body of evidence. A clinical practice guideline (CPG) with the highest level of
evidence gives me the latest fall prevention advice for hospitals and nursing homes. The key quantitative research also support fall
prevention measures. I’m certain I can create a thorough, evidence-based fall prevention program for my organization using the CPG
and primary quantitative studies.
EBP Project, Part 5: Evidence Table
First author/year
Level of Evidence
Population and
Setting
Intervention
Description
Tzeng et al. (2021)
Level 3: PrimaryExperimental
Quantitative
Older adults in a
nursing home
Adopting the Fall
Tailoring
Interventions for
Patient Safety (TIPS)
program
Outcomes
Measured (include
only those that
relate to the “O” in
the PICO)
Number of falls and
fall-related injuries
Relevant findings (or
recommendations for CPGs)
that help answer the PICO
question
The TIPS program was
associated with a significant
reduction in the number of
falls and fall-related injuries.
At this point, do you feel the study is relevant to the clinical question? Why or why not?
Yes, this study is relevant to the clinical question because it evaluates the effectiveness of a fall prevention intervention in older adults in
a nursing home setting.
Mozingo (2023)
Level 5: Primary
Qualitative
Older adults in a
nursing home
Use of the Morse
Fall Scale
Perceptions of the
Morse Fall Scale and
fall prevention
Participants found the Morse
Fall Scale to be a helpful tool
for identifying and
addressing fall risks.
At this point, do you feel the study is relevant to the clinical question? Why or why not?
Yes, this study is relevant to the clinical question because it provides insights into the experiences of older adults in nursing homes with
the Morse Fall Scale, which is a tool used to identify and assess fall risk.
King et al. (2018)
Level 3: PrimaryExperimental
Quantitative
Nurses in a nursing
home
Fall prevention
education and
training
Perceptions of fall
prevention and
knowledge of fall
prevention
strategies
At this point, do you feel the study is relevant to the clinical question? Why or why not?
Nurses’ knowledge of fall
prevention strategies
increased significantly after
the intervention. Nurses also
reported feeling more
confident in their ability to
implement fall prevention
strategies.
First author/year
Level of Evidence
Population and
Setting
Intervention
Description
Outcomes
Measured (include
only those that
relate to the “O” in
the PICO)
Relevant findings (or
recommendations for CPGs)
that help answer the PICO
question
Yes, this study is relevant to the clinical question because it evaluates the effectiveness of fall prevention education and training for
nurses in a nursing home setting.
Schoberer et al.
(2022)
Level 1: Other-CPG
Older adults in
hospitals and nursing
homes
Multifactorial fall
prevention
interventions
Number of falls and
fall-related injuries
Multifactorial fall prevention
interventions are effective in
reducing the number of falls
and fall-related injuries in
older adults.
At this point, do you feel the study is relevant to the clinical question? Why or why not?
Yes, this study is relevant to the clinical question because it provides evidence for the effectiveness of multifactorial fall prevention
interventions in older adults in nursing homes.
National Institute for
Health and Care
Excellence (2013)
Level 1: Other-CPG
Older adults in the
community
Comprehensive fall
prevention
interventions
Number of falls and
fall-related injuries
Comprehensive fall
prevention interventions are
effective in reducing the
number of falls and fallrelated injuries in older
adults in the community.
At this point, do you feel the study is relevant to the clinical question? Why or why not?
This study is relevant to the clinical question because it provides evidence for the effectiveness of comprehensive fall prevention
interventions in older adults. However, it is important to note that the study was conducted in a community setting, not a nursing home
setting.
EBP Project, Part 6: Synthesis Table
Level of Evidence
Level 1
# of Sources
1
Level 2
1
Level 3
2
Level 4
Level 5
0
1
Level 6
1
Consistency
Findings are very
consistent and come
to the same
conclusion.
Findings are
consistent and come
to the same
conclusion.
Findings
Implementation of an evidence-based patient safety team to
prevent falls in inpatient medical units. The study discusses
the effectiveness of a patient safety team in preventing falls
in inpatient medical units.
A systematic review suggests that falls in hospitals can be
prevented effectively using specific strategies. Prevention of
Falls by Appropriate Use of the Morse Fall Scale. This
dissertation explores the use of the Morse Fall Scale as a
tool for fall prevention (Mozingo, 2023).
Impact of fall prevention on nurses and care of fall risk
patients. Fall prevention in hospitals and nursing homes:
Clinical practice guideline.
No relevant sources at this level.
Qualitative research suggests that falls in hospitals can be
prevented effectively using a multidisciplinary evidencebased patient safety team approach (Godlock, Christiansen,
& Feider, 2016).
Clinical practice guidelines recommend specific approaches
to fall prevention in hospitals and nursing homes,
highlighting the importance of evidence-based strategies
(Schoberer et al., 2022).
Fit/Applicability
The evidence from the new articles is relevant to the population in my PICO question, which is hospital falls. Articles 2, 3, 4, and 6
on hospital fall prevention are most pertinent to my PICO question.
Recommendation Option
Level of Evidence
# of Sources
Consistency
Findings
Option 2: good evidence, consistent results, moderate to high applicability: Consider pilot of change or further investigation.
Recommendation Option: The evidence suggests developing evidence-based patient safety teams for fall prevention (Option 3) and
following clinical practice standards in hospitals and nursing homes.
Recommendation Rationale
Option 2 is relevant since it analyzes good evidence and consistent findings from sources, notably for hospital fall prevention. These
techniques must be tailored to the hospital’s needs and challenges through more research or a pilot of change. In Article 4, a
systematic review adds weight to the evidence supporting hospital fall prevention practices.

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