NR447 Grand Canyon University Critical Appraisal that Demonstrates

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Grand Canyon University


Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the "Research Critique Guidelines – Part II" document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer‐reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Running head: PICOT QUESTION AND SIX PEER-REVIEWED RESEARCH The PICOT Question and Six Peer-Reviewed Research Institutional affiliation Anileidys Tejera 1 PICOT QUESTION AND SIX PEER-REVIEWED RESEARCH 2 The PICOT Question and Six Peer-Reviewed Research PICOT Statement Older adults are usually predisposed to falling, and they are most likely to sustain injuries due to falling. Falling may generate serious impacts to this population segments to an extent it may subject them to morbidity, and in some instances, it may even lead to death. Falls are marked with an increased physical disability, loss of confidence, and increased hospitalization in patients. While this problem seems severe, the PICOT question attempts to present an ultimate solution, and this is by making a comparison between various interventions that seek to manage the same problem and so, enables the clinician to identify the ultimate solution for the problem. The PICOT makes it clear that the multifactorial intervention for fall is the ultimate solution for the problem (Alvarez et al., 2015). This is because the program engages various interventions that are tailored towards managing the problem considering the fact the problem is always stemmed from compound issues. That said, the PICOT question is: in the patient population of the elderly inpatients with cognitive disorders (P), what is the impact of the multifactorial intervention (I) as compared to other interventions (C) in advancing their health conditions within six months (T)? Literature Search Albert, S. M., Edelstein, O., King, J., Flatt, J., Lin, C. J., Boudreau, R., & Newman, A. B. (2015). Assessing the quality of a non-randomized pragmatic trial for primary prevention of falls among older adults. Prevention science, 16(1), 31-40. Currently, the procedures for fall deterrence are based on the tertiary as well as the secondary deterrence, and they are piloted for individuals vulnerable to falls. In older PICOT QUESTION AND SIX PEER-REVIEWED RESEARCH 3 adults, falls can be minimized if they can be informed about falls and their health being screened regularly to pinpoint the risk factors for the problem and engage preventive measures. The study adopted a non-randomized control trial as the design and it was used to assist in examining the potentiality of the combined training in addressing the concern of fall. The potentiality of the design was determined by examining enrolment and conducting follow-up in all study groups. The results suggest that the aging population based in high-ranking centers (90.5) and consent forms (82.4) completed the assessment successfully and hence, it was necessary to determine their progress through conducting follow-up. In summary, recruitment based on common sites as good as status at baseline, as well as retaining with the same experiences suggest that the design is effective in examining the approach that seeks to prevent falls. Alvarez, K. J., Kirchner, S., Chu, S., Smith, S., Winnick-Baskin, W., & Mielenz, T. J. (2015). Falls reduction and exercise training in an assisted living population. Journal of aging research, 2015. The researchers commend the compound exercise programs by commenting that they are the ultimate methods for managing falls amongst the aging population. The authors attempted to determine the correlation between exercise program and Boston FCSIT along with the fall incidence in the assisted living community. The type of research qualitative because the adopted research design was a cross-sectional study. 39 participants were engaged in the study where 33 of them were vulnerable to falls. Compound models fluctuating for covariates illustrate a potential defensive correlation between the strength training program (OR=0.25; 95% CI=0.07, 0.85). The exercise PICOT QUESTION AND SIX PEER-REVIEWED RESEARCH 4 training program engaged in the assisted training population was connected to the reduction in the fall rate, and so, the compound exercise programs are helpful in managing falls in this population. Kristinsdottir, E. K., & Baldursdottir, B. (2014). Effect of multi-sensory balance training for unsteady elderly people: a pilot study of the "Reykjavik model". Disability and rehabilitation, 36(14), 1211-1218. The authors were interested in learning the impact of combined proprioceptive, vestibular, and postural control, as well as confidence in the regular practices of the unsteady adults. 37 participants were engaged in the study and participants were restricted to the older adults engaged in psychotherapy because of being unsteady. The approach was necessitated with 18 compound sensory sessions. Afterwards, the equilibrium confidence scale was matched formerly and after exercise. The outcomes revealed a substantial advancement in the measured limits (p
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Explanation & Answer



Critical Appraisal Research Critique
Institution Affiliation




This study was conducted basically to address the clinical issue of fall among elderly
patients. Its significance lies in the establishment of whether the use of multifactorial
intervention has any bearing on the fall situation in healthcare. The study is aimed at the
evaluation of the effects of combining mechano and proprioceptive, vestibular and fall
prevention training on postural control, functional ability and confidence in daily life activities
about the frequency of fall (Kristinsdottir, & Baldursdottir, 2014). The question revolves around
the establishment of whether these combinations are relevant in the address of fall in the
healthcare docket.
Support for the Nursing Practice Issue
This question is relevant for the answering of the PICOT question as it highlights one of
the many multifactorial approaches towards the solution of fall in medical facilities. It generates
feedback on the effectiveness of one of the multifactorial methods hence facilitating its
application in the medical field. The outcomes then highlight the mode of interventions to clearly
establish what the relevance of the preventative measure is when it comes to the prevention of
fall. The PICOT question focuses its line of argument on elderly individuals, this precisely the
same in the research study that was conducted on elderly participants for the sake of relevance
(Kristinsdottir, & Baldursdottir, 2014).
Method of Study
The research study was conducted through the participation of 37 elderly individuals in a
research program that last...

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