the first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse
Literature Evaluation Table- Example
Student Name: Nancy Nurse
Summary of Clinical Issue (200-250 words): Reorienting patients to person, surroundings, time of day, current season, name of facility in which they are currently receiving care, the reason they are receiving the care, the name of their doctor and current nurse / family members, all work to keep the patient focused and in touch with current events of the day. It is this reorientation for each patient that reinforces daily focus and decreases the risk of unexpected adverse events in the form of patient falls or periods of dementia. Current research states the patient that has reorientation ques reinforced at periodically will keep the patient in touch with daily events and procedures that effect their environment. If the patient is reoriented, then they remain engaged mentally and are more likely to follow directions to stay in bed or in their wheelchair. If they need to go to the bathroom or obtain a drink of water, they are more likely to call for help than attempting to get up without help and risk a fall the results in a broken bone or concussion. It is the unexpected, untoward event that increases the deterioration of the patient’s condition and possible ultimate demise (Rappaport, Nelson & Michaels, 2017).
PICOT Question: When caring for elderly patients, does reinforcing orientation ques (patient’s name, day of the week &time of day, location of patient, name of care givers and doctor’s name) compared to no reinforcement of orientation ques, decrease the rate of patient falls over a 10-week time frame?
| Criteria | Article 1 | Article 2 | Article 3 |
| APA-Formatted Article Citation with Permalink | Rappaport, N, Nelson, G. & Michaels, W. (2017). Does reorientation of the elderly patient every hour increase their engagement in daily events? Geriatric Nursing 32(4), 142-145. Doi: 1067.gernrs.32.4.142. | ||
| How Does the Article Relate to the PICOT Question? | It explains how keeping the elderly patient mentally engaged with surroundings decreases sentinel events. | ||
| Quantitative, Qualitative (How do you know?) | Quantitative- the survey results were collected using a 5- point Likert survey. | ||
| Purpose Statement | To show a positive effect between patient orientation and decreased adverse events | ||
| Research Question | How does reorienting the elderly patient on a period schedule keep them engaged in daily events and responding appropriately to caregivers’ instructions? | , | |
| Outcome | The greater the orientation of the patient, the more cognizant they are of safety instructions. | ||
| Setting (Where did the study take place?) | 28-bed geriatric unit in a skilled nursing facility in Kansas City, Missouri | ||
| Sample | 250 patients; 125 female and 125 male patients, between 65-88 years, who had debilitated conditions. | ||
| Method | Periodic reinforcement documented and compared with the rate of patient falls. | ||
| Key Findings of the Study | If the patients were reminded of their surroundings, they remembered the safety instructions | ||
| Recommendations of the Researcher | To continue to study these elderly patients’ mentation related to their physical condition upon admission to unit and compare with mentation at 3, 6 and 9- month intervals. |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA-Formatted Article Citation with Permalink |
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