Week 2 Assignment: Evidence Summary Example

Week 2 Assignment

Evidence Summary

Directions: Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

Answer the questions under each section with explanation and detail.

Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

Section 1: Discovery

Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

Patient falls in acute care settings is a critical safety concern that leads to injuries, extended hospital stays and increased healthcare costs. Despite existing fall prevention measures, falls continue to occur due to various factors such as patient mobility, medication effects and environmental hazards.

Define each PICOT element

P- (Population): Hospitalized adult patients

I- (Intervention): Hourly nursing rounds

C- (Comparison: Standard care without structured rounding

O- (Outcome): Reduction in patient falls during hospitalization

T- (Time frame in months): Over 3 months

Write out your PICOT question using the standard format below:

In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely.

In hospitalized adult patients (P), does the implementation of hourly nursing rounds (I) compared to standard care without structured rounding (C) reduce the incidence of patient falls during hospitalization (O) over 3 months (T)?

Describe how you selected the population, intervention, outcome, and time frame.

The population was selected based on the high prevalence of falls in hospitalized adult patients, particularly those with mobility issues or at risk due to medications. The intervention, hourly rounding, was chosen because previous studies have demonstrated its effectiveness in reducing falls by proactively addressing patient needs. The outcome focuses on fall reduction, as it is a key indicator of patient safety. The 3-month timeframe allows for sufficient data collection to assess changes in fall rates.

Section 2: Evidence Summary Systematic Review

Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_miscellaneous_1837027025

Mant, T., Dunning, T., & Hutchinson, A. (2012). The clinical effectiveness of hourly rounding on fall-related incidents involving adult patients in an acute care setting: a systematic review. JBI Library of Systematic Reviews, 10(56 Suppl), 1–12. https://doi.org/10.11124/jbisrir-2012-258

Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

The systematic review examines the impact of hourly rounding on fall rates among adult patients in acute care settings. Falls remain a leading cause of injury in hospitals, with rates ranging from 2.2 to 17.1 per 1,000 patient bed days. The review identifies intrinsic factors such as age, cognition and mobility issues and extrinsic factors such as environment and medications contributing to falls.

Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

The review highlights hourly rounding as a proactive strategy that significantly reduces falls by addressing pain, toileting needs, repositioning, and personal item accessibility.

Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study

Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_journals_2800604148

Pirrocco, J. A. (2023). A Multi-Modality Approach to Reducing Falls in an Acute Care Community Hospital. ProQuest Dissertations & Theses.

Explain how the evidence is relevant to your selected nursing practice problem and population.

This study investigates fall reduction strategies in a medical-surgical unit in an urban hospital. The research directly applies to my PICOT question because it evaluates the impact of a structured hourly rounding approach combined with fall prevention tools in a population of hospitalized adults.

Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

The study implemented Patricia Dykes’ Fall TIPS tool alongside hourly rounding and found a 38% reduction in fall rates (p = 0.001). The project demonstrated that staff education and adherence to structured rounding logs significantly impacted fall prevention.

Section 4: Evidence-Based Interventions

Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

The selected intervention is hourly nursing rounds, where nurses proactively visit patients every hour during the day and every two hours at night. This structured approach reduces patient falls by ensuring frequent interactions, minimizing the need for patients to attempt high-risk activities without assistance.

Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

The intervention addresses common fall risk factors such as unmet toileting needs, medication side effects and environmental hazards. By decreasing the unmet needs of the patient, hourly rounding directly decreases the incidence of falls.

What interprofessional team members would it be important to collaborate with? Explain

Nursing Staff – Direct patient care and compliance with rounding protocols.

Nursing Leadership – Ensures adherence to evidence-based practice.

Physicians – Address medication-related fall risks.

References: Provide complete references for all citations.

Mant, T., Dunning, T., & Hutchinson, A. (2012). The clinical effectiveness of hourly rounding on fall-related incidents involving adult patients in an acute care setting: a systematic review. JBI Library of Systematic Reviews, 10(56 Suppl), 1–12. https://doi.org/10.11124/jbisrir-2012-258

Pirrocco, J. A. (2023). A Multi-Modality Approach to Reducing Falls in an Acute Care Community Hospital. ProQuest Dissertations & Theses. Week 2 Assignment Evidence Summary