Solution
Jose answered on
Nov 22 2021
Literature Evaluation Table
Student Name:
Change Topic (2-3 sentences):
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Kea Turner, Ragnhildur Bjarnadottir, Ara Jo,
Renee John R. Repique, D.N.P., R.N., Jamie Thomas, Jeanette F. Green,
Vincent S. Staggs,
Psychiatry online
https:
ps.psychiatryonline.org/doi/10.1176/appi.ps.202000004
Sam A
ham
Journal of Community Medicine & Health Education
https:
www.omicsonline.org/open-access/factors-contributing-to-psychiatric-patient-falls-2161-0711-1000410.php?aid=72193
Shen-Hua Lu, Kuang-Huei Chen,
Ying-Chieh Pan,
Szu-Nian Yang, Yuan-Yu Chan
Journal of Medical Sciences
https:
www.jmedscindmc.com/article.asp?issn=1011-4564;year=2018;volume=38;issue=3;spage=117;epage=121;aulast=Lu
Jeannette Deano
Master's Projects and Capstones
https:
epository.usfca.edu/cgi/viewcontent.cgi?article=1504&context=capstone
Article Title and Year Published
Patient Falls and Injuries in U.S. Psychiatric Care: Incidence and Trends, 2020
Factors Contributing to Psychiatric Patient Falls,2016
Influence of medications and psychotic symptoms on fall risk in acute psychiatric inpatients,2018
Fall Prevention in Acute Psychiatric Patients
2016
Research Questions (Qualitative)/Hypothesis (Quantitative)
How many falls occur with assistance in psychiatric care settings.
What are the factors contributing to psychiatric inpatient falls
How the medications influences psychiatric inpatient falls
What are the different assessment tools for reducing the falls
Purposes/Aim of Study
Estimate the incidence of falls (total, injurious, and assisted) in U.S. psychiatric care across 6 years
To investigate the factors contributing to psychiatric inpatient falls
To investigate the incidence rate and risk factors related to falls among acute psychiatric inpatients in a regional hospita
To conduct an assessment of the unit’s cu
ent, fall risk
assessment tool, interventions, and processes, while collecting and analyzing data of each fall
and patients who have fallen
Design (Type of Quantitative, or Type of Qualitative)
Quantitative
Qualitative
Quantitative and Qualitative
Qualitative
Setting/Sample
1,159 units in 720 hospitals
Data of 1000 patients
521 patients
Used CINHAL Complete database
Methods: Intervention/Instruments
Data on falls among patients of adult and geriatric psychiatric units of general, acute care, and psychiatric hospital inpatient units from the National Database of Nursing Quality Indicators were used for this 6-year study
Nursing Interventions; setting up a voiding schedule, monitoring cognitively impaired individuals regularly, assisting patients to the bathroom, and reviewing medications with the physician (A
aham 2016,p.10)
Authors compared differences between the fall and non-fall groups in demographic characteristics, psychiatric diagnoses, medication use, psychotic symptoms, and Timed Up and Go scores. Chi-square tests were used for comparison of categorical variables and t-test was used for continuous variable
Education on the use of a fall risk
assessment tool that is appropriate for the acute-psychiatric population, instead of the cu
ent
Schmid Fall Risk Assessment Tool that is used for all departments of the hospital and training
for nurses
Analysis
It is also possible that improving fall prevention practices would increase the likelihood of staff assistance during falls in psychiatric units. Hospitals often put fall prevention protocols in place that increase monitoring of at-risk patients, such as staff assigned to sit with patient (Jo et al 2020,p.899)
Falls in hospitals are a significant nursing clinical problem, with legal implications, and regulatory consequences. Trauma, bone fractures and even death can result from falls, leading to psychological trauma, fear of falling and debilitation in activities of daily living
Patients using more kinds of medications had a higher risk of falls, which is consistent with previous studies. Compared with the use of 4 or more medications, the use of the general category of psychotropic medications increases the risk of 1 or more falls among women (Pan et al 2018,p.12)
costs for falls to
Medicare alone totaled over $31 billion in the United States. Adjusted to 2010 dollars, one fall
without serious injury costs hospitals an additional $3,500, while patients with more than 2 falls
without serious injury have increased costs of $16,500 (Deano...