Nursing Literature Review Matrix

-List 5 articles and answer the questions below

Study Citation In APA format                                                                          Purpose of the study   What did this article or study look atResults and Implications What was important about this article and what key items applies to my PICOT problem
  1. How does the literature support my PICOT problem
  • Is there a gap ( lack of studies / articles related to my PICOT problem
  • What were the key words that I used to do my literature search
  • What data bases did I use
  • What did I learn by doing my matrix

Conclusion:

Literature Review Matrix Example

PICOT Question: For elderly patients on the medical/ surgical unit (P), how does the use of chair and bed alarms (I) compare to 15 minutes checks (C) affect fall rates (O) within six weeks (T)

Study Citation     Morris, M. E., Webster, K., Jones, C., Hill, A. M., Haines, T., McPhail, S., … & Cameron, I. (2022). Interventions to reduce falls in hospitals: a systematic review and meta-analysis. Age and Ageing51(5), afac077. https://academic.oup.com/ageing/article/51/5/afac077/6581612   Purpose of the Study     The study aimed at investigating the impacts of fall prevention intervention strategies on curbing rates of falls and its inherent risks in health facilities.  Results and Implications     There is an upsurge in hospital fall incidences, especially among the aging population globally (Morris et al., 2022).The study focused on hospitalized adults identifying such fall prevention strategies as medics and patient education, assistive devices, policy amends, rehabilitation, and environmental modification (Morris et al., 2022). Bed and chair alarms are listed as part of the fall intervention strategies in reducing fall risks, even though the authors preferred evidence-based education to prevent falls in hospitals (Morris et al., 2022).  
   
Radecki, B., Reynolds, S., & Kara, A. (2018). Inpatient fall prevention from the patient’s perspective: a qualitative study. Applied Nursing Research43, 114-119. https://www.sciencedirect.com/science/article/pii/S0897189718301757                                        The purpose of the study was to highlight patients’ perception of existing fall preventions in their acute care settings, to guide the formulation of effective patient cantered intervention approaches.The patient’s perspective on fall risks and prevention is crucial in aiding the research to implement the best intervention strategies (Radecki et al., 2018). The study was based on the results of semi-structured interviews with hospitalized patients (Radecki et al., 2018).Alarms are crucial in triggering patient responses during falls (Radecki et al., 2018). Radecki et al. (2018) assert that patient-centered prevention programs can supplement over-reliance on bed and chair alarms which are often clinician-centered and unenlightened patients might not embrace its usefulness.
Brusco, N. K., Hutchinson, A. M., Mitchell, D., Jellett, J., Boyd, L., Webb-St Mart, M., … & Haines, T. (2021). Mobilisation alarm triggers, response times and utilisation before and after the introduction of policy for alarm reduction or elimination: A descriptive and comparative analysis. International Journal of Nursing Studies117, 103769. https://www.sciencedirect.com/science/article/pii/S0020748920302558  The journal’s purpose is to describe how mobilization alarm often elicit false triggers which consequently trigger false response time misleading the healthcare workers. It also compares pre to post mobilization alarm use with the conception of elimination of the mobilization alarms measures in hospitals.  Mobilization alarms are fond of sending false triggers, which hampers the nurses’ response swiftness during an actual fall (Brusco et al., 2021)Given the costly nature of the alarms, the article doubts their effectiveness in preventing falls, given their defects. (Brusco et al., 2021).According to Brusco et al. (2021), the rate of false alarms accounting for 74.52%, supersedes the rate of true alarms, rated 67.47%.These findings will be essential in identifying the drawbacks of the alarm system in comparing it with the 15 mins checks in the PICOT (Brusco et al., 2021).                
Barker, A., Cameron, P., Flicker, L., Arendts, G., Brand, C., Etherton-Beer, C., … & Hill, K. (2019). Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial. PLoS medicine16(5), e1002807. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002807  The research purposed to examine the impact telephone based patient-oriented initiative, termed as RESPOND on fall rates and fall injuries among elder patients in the emergency department post falls.The rising number of elderly reporting prompted the study falls in the emergency department(ED) (Barker et al., 2019).The study entailed follow-ups and checks on the patient’s post-hospital discharge (Barker et al., 2019).The RESPOND used in the study entailed such interventions as telephone calls checks and education, coaching, evidence-based management, and goal setting (Barker et al., 2019).   Secondary outcomes assessed entailed fall risks, mortalities, fall efficacy, hospital admissions, presentation to the ED, and quality of life (Barker et al., 2019).The integration of patient-centered strategies in the prevention and intervention of falls is vital in reducing falls and improving the health outcomes of the patients (Barker et al., 2019). The article is vital in informing the essential measures of responding to falls, for example, highlighting the impact of the checks on the patients. (Barker et al., 2019).
Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane database of systematic reviews, (9). https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005465.pub4/full  The publication aimed at assessing the effects of existing interventions tailored to lower fall occurrences among the elderly in hospitals and other healthcare facilities.The study is a randomized controlled trial of interventions designed to prevent falls and determine fall rates and their risk factors (Cameron et al., 2018).Some of the interventions whose effectiveness was under scrutiny were medication use, exercises, supplements, bed/chair sensor alarms, and physiotherapies (Cameron et al., 2018). The article approves multifactorial interventions’ utility in reducing falls (Cameron et al., 2018).The article highlights all the fall intervention strategies utilized in care facilities and hospitals and justifies the effectiveness of each in minimizing fall rates and risks (Cameron et al., 2018). It is, therefore, vital evidence in comparing the effectiveness of the bed/chair alarm system and the HCWs 15 minutes checks in the six weeks of hospitalization.                
  1. How the Literature Support my PICOT Problem

The literature in the sampled sources exhausts all the vital information related to falls, risk factors, fall rates, intervention strategies, and the susceptibility of older adults. These concepts constitute the theme of the PICOT question and are informative on choosing the effective intervention strategy for falls among the hospitalized elderly population. 

  • Gap (Lack of Studies/Articles Related to my PICOT problem

Most of the studies’ findings are on falls’ prevalence and risk factors, with limited literature on specific fall intervention strategies. The 15-minute check intervention coverage in the literature is pauce.

  • The keywords that I used to do my Literature Search 

Falls, bed and chair alarms, elderly fall rates, 15-minute checks, 

  • Databases Used

Science Direct, Wiley Online Library, Cochrane library, and Medscape

  • What I Learned by doing my Matrix

The matrix gave me a diverse set of literature that forms the foundation of my EBP project. Most information relating to falls among the elderly and the intervention strategies were well analyzed and presented, easing the process of compiling evidence for my EBP.

Conclusion:

There is a high rise in falls among elderly hospitalized patients in medical units, and an effective fall intervention is crucial in reducing the outcomes of falls among this population. There are vast preferred interventions to curb falls. Bed and chair alarms are more effective in alleviating falls compared to the 15-minute checks in hospitals.

References

Barker, A., Cameron, P., Flicker, L., Arendts, G., Brand, C., Etherton-Beer, C., … & Hill, K. (2019). Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial. PLoS medicine16(5), e1002807. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002807

Brusco, N. K., Hutchinson, A. M., Mitchell, D., Jellett, J., Boyd, L., Webb-St Mart, M., … & Haines, T. (2021). Mobilisation alarm triggers, response times and utilisation before and after the introduction of policy for alarm reduction or elimination: A descriptive and comparative analysis. International Journal of Nursing Studies117, 103769. https://www.sciencedirect.com/science/article/pii/S0020748920302558

Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2018). Interventions for preventing falls in older people in care facilities and hospitals. Cochrane database of systematic reviews, (9). https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005465.pub4/full

Morris, M. E., Webster, K., Jones, C., Hill, A. M., Haines, T., McPhail, S., … & Cameron, I. (2022). Interventions to reduce falls in hospitals: a systematic review and meta-analysis. Age and Ageing51(5), afac077. https://academic.oup.com/ageing/article/51/5/afac077/6581612 

Radecki, B., Reynolds, S., & Kara, A. (2018). Inpatient fall prevention from the patient’s perspective: a qualitative study. Applied Nursing Research43, 114-119. https://www.sciencedirect.com/science/article/pii/S0897189718301757

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