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DEVELOPING AN EVIDENCE-BASED PROPOSAL: FOUNDATIONS TO STUDY ASSIGNMENT A trigger

DEVELOPING AN EVIDENCE-BASED PROPOSAL: FOUNDATIONS TO STUDY ASSIGNMENT A trigger was identified (from the scenario provided), a PICO/clinical question developed, a brief review of the literature was conducted, the literature was evaluated as to its strength (Melnyk’s framework) and the information from the articles was synthesized. In this assignment the next steps will be taken to start the development of an evidence-based practice proposal. What to do with the steps developed to date and move forward with “this is what I plan on DOING”? Complete the first part of a mock evidence-based practice (EBP) proposal per the guidelines in the DNP Handbook as well as information gleaned in the text reading. This is an opportunity to develop skills in drafting a proposal in preparation for the development of an actual scholarly project when that time comes in the DNP Program. Complete the following categories for an EBP project (based on the case scenario used in the PICO development assignment and the literature review assignment. Use the clinical question that was developed based on the PICO format as well as the 10 articles that were evaluated using the article matrix. For this assignment address the following areas: · Abstract · Introduction (this may be combined with the background if necessary) · Background · Problem Statement (what brought you to the issue/trigger) · Purpose of the Project (why are you doing this? Change in reported metrics, etc.) · Clinical Question(s) · Review of the Literature PICO QUESTION With geriatric patients aged 65 and above in acute care settings, how does implementing a fall prevention program compare to a specific fall prevention program without any relation to standard care or a decrease in fall incidence over six months? 10 articles that were evaluated using the article matrix Article Title, Author, etc. (Current APA Format) Study Purpose Example, A. (2015) Title etc. per Current APA To identify the need for technology to prevent falls Montero-Odasso et al., (2021) Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults: A Systematic Review To systematically evaluate existing clinical practice strategies on fall prevention and management for older adults Hepkema et al., (2022) Feasibility of a new multifactorial fall prevention assessment and personalized intervention among older people recently discharged from the emergency department. To test the feasibility of a transitionally organized fall prevention assessment with accompanying personalized intervention initiated at the ED. Twiss et al., (2019) Effectiveness of non-pharmaceutical interventions to prevent falls and fall-related fractures in older people living in residential aged care facilities- a systematic review and network meta-analysis protocol To evaluate and rank the effectiveness of the most common fall- and fracture prevention approaches of a non-pharmaceutical nature Winser et al., (2019) Economic Evaluation of Exercise-Based Fall Prevention Programs for People with Parkinson’s Disease: A systematic review To explore the existing evidence regarding the cost-effectiveness of exercise-based fall prevention programs for people with PD Muusse et al., (2023) Influencing factors of interprofessional collaboration in multifactorial fall prevention interventions: a qualitative systematic review. To provide an overview of factors influencing interprofessional collaboration in multifactorial FPIs for community-dwelling older adults. Seppala et al., (2022) Medication reviews and deprescribing as a single intervention in falls prevention: a systematic review and meta-analysis To assess the effectiveness of medication review and deprescribing interventions as a single intervention in falls prevention Duckworth et al., (2019) Assessing the Effectiveness of Engaging Patients and Their Families in the Three-Step Fall Prevention Process Across Modalities of an Evidence-Based Fall Prevention Toolkit: An Implementation Science Study To examine if the Fall TIPS modality impacts patient engagement in the 3-step fall prevention process and thus Fall TIPS efficacy all units reached 80% adherence for both measures Vandervelde et al., (2023) Strategies to implement multifactorial falls prevention interventions in community-dwelling older persons: a systematic review To explore strategies used to implement multifactorial falls prevention interventions into the community Modaberi et al., (2021) A Systematic Review on Detraining Effects after Balance and Fall Prevention Interventions To assess what is currently known on detraining effects for balance outcomes Wylie et al., (2019) Podiatry interventions to prevent falls in older people: a systematic review and meta-analysis This systematic review examined podiatry interventions for falls prevention delivered in the community and in care homes

 
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