The concept of evidence-based practice or EBP is the current driving force behind effective nursing clinical practice. It is a concept that is premised on a simple and straightforward assertion. It is that each and every nursing intervention that is used on a patient must have scholarly evidence that supports its efficacy in bringing about desired patient outcomes. An Introduction to Clinical Inquiry and Research
The terms ‘best practice’ refer to a clinical practice situation in which EBP reigns. The opposite is a situation in which nurses utilize different interventions just because they have always seen other nurses using them. They do not question whether they are efficacious or not. This is what is referred to a common practice (Melnyk & Fineout-Overholt, 2019). An Introduction to Clinical Inquiry and Research Methodologies.To get evidence for a practice, clinical inquiry is used and research databases are searched for peer-reviewed scholarly literature. The clinical practice problem in this project is patient falls among the elderly (aged 65 years and above). Scholarly literature that is peer-reviewed and providing evidence for the efficacy of interventions in preventing patient falls in the elderly was retrieved. This paper is about identifying the research methodologies used in four of these articles that were retrieved.An Introduction to Clinical Inquiry and Research Methodologies.
Matrix Worksheet of Four Peer-Reviewed Articles on Patient Fall Prevention Interventions and their Methodologies
Table: Matrix worksheet identifying research methodologies from studies on fall interventions for elderly patients
| Full citation of selected article | Article #1 | Article #2 | Article #3 | Article #4 |
| Gavaller, M., Gavaller, M., & Oh, H. (2019). Impact of bed alarm removal and implementation of hourly rounding to reduce falls. Journal of the American Medical Directors Association, 20(3), B19. https://doi.org/10.1016/j.jamda.2019.01.080
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Goldsack, J., Bergey, M., Mascioli, S., & Cunningham, J. (2015). Hourly rounding and patient falls. Nursing, 45(2), 25-30. https://doi.org/10.1097/01.nurse.0000459798.79840.95
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Kojima, G., Kendrick, D., Skelton, D., Morris, R., Gawler, S., & Iliffe, S. (2015). Frailty predicts short-term incidence of future falls among British community-dwelling older people: a prospective cohort study nested within a randomized controlled trial. BMC Geriatrics, 15(1). https://doi.org/10.1186/s12877-015-0152-7 | Morgan, L., Flynn, L., Robertson, E., New, S., Forde-Johnston, C., & McCulloch, P. (2016). Intentional rounding: A staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, 26(1-2), 115-124. https://doi.org/10.1111/jocn.13401
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| Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | I chose this article because it addresses the quality improvement problem of accidental patient falls. It relates to my clinical issue of interest in that it investigates the efficacy of hourly rounding as opposed to bedside alarms alone. The ethics of research related to the clinical issue of interest is in upholding nonmaleficence by preventing falls that injure the elderly patients.An Introduction to Clinical Inquiry and Research Methodologies. | I chose this article because it also investigates an intervention aimed at preventing patient falls in an efficacious way. It relates to my clinical issue of interest in that it considers the efficacy of hourly rounding in preventing patient falls. Like the first study, the ethics of research here lie in preventing harm to the patient (nonmaleficence). | I chose this study because it is about the relationship between frailty and the likelihood of falls occurring. It is related to my clinical issue of interest in that frailty is the defining characteristic of elderly patients who are the subject of my clinical issue of interest. Ethically, any inter
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