UCLA Efficiency of Bed Alarms and Risk of Falls Picot Styled Research Paper 15-20 pages, apa format, Typewritten Arial or New Roman Times 12 Font APA fo

UCLA Efficiency of Bed Alarms and Risk of Falls Picot Styled Research Paper 15-20 pages, apa format,

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MCPP Format Section I

1. Student information section

• Student Name

• Student email address

• Student phone or contact information

• Name of project

o Topics are to be selected from the following disciplines:

▪ Medicine

▪ Public Health

▪ Integrative Health

▪ Ethics

▪ Health Policy

• Potential site for project

2. PICOT/Project question

Please state your proposed PICOT question here. Use the elements of the PICOT sections below to describe each component. In your previous coursework, you may have read selections from textbooks, Evidence-Based Practice in Nursing & Healthcare or other required sources that reviewed this methodology.

P = Problem to be addressed

I = Intervention to be used

C= Is there a comparison?

O= Intended outcomes of the intervention

T= Proposed timeline if the project was to be implemented

3. The project is intended to address an area of need that has a possible gap in practice or policy. Identify and state the gap.

4. Provided a detailed analysis of the target population (e.g., age, socioeconomic level, education, etc.) and why the gap is a problem. This should be tied to a policy or evidenced-based guideline. This section should be referenced and all areas supported.

5. Intervention:

a.What specifically do you plan to investigate or implement?

b.How is it different or improves upon a current practice?

6. Is there a policy, practice or program to compare your project to? If so, what is it?

7. Every project must have an outcome that can be measured.

a.What are the intended outcomes?

b.How will the outcomes be measured:

•Survey

•Focus group

c.If the project was implemented, what variables or characteristics would indicate that the project was successful?

d.How would you analyze your data?

8. What would be your proposed timeframe, if you were going to implement the project? Be specific.

9. How did you determine the need for the project?

10. Benefits of the project:

•How will this project benefit the community or population?

•How might the outcomes or findings be sustained after project completion?

•Why would your organization support this project?

•What potential benefits exist for the organization as a result of your project findings?

•What potential benefits exist for the identified population?

Literature review (AKA a Dirty Search)

• Review 15 articles and complete the attached table

2. Complete a one-page Executive Summary of your findings

Literature Review Table

Article/Text

Conceptual

Framework

Design/

Method

Sample/

Setting

Major Variables Studied and their Definitions

Measurement

Data

Analysis

Findings

Appraisal: Worth to Practice

EXAMPLE

Harne-Britner et al. (2011)

Change theory in combination with aspects of behavioral, social science, and organizational theories by Bandura, Skinner, and Lewin

Quantitative research

Quasi-experimental study

Random assignment of 3 nursing units into 2 experimental groups and 1 control group

Aims of the study were to determine (1) the effectiveness of educational and behavioral interventions on improving HH adherence; (2) whether improvements in HH adherence were sustained 6 months post intervention; and (3) the relationships between HH adherence and HAI rates on study units.

RNs and patient care assistants (PCAs) from 3 medical-surgical units within an urban health care system in Pennsylvania, USA

A total of 1203 observations (633 RNs and 570 PCAs) were completed

The control group received education in the form of a self-study module with a pre- and posttest. The experimental groups received the same education plus behavioral interventions. The Positive Reinforcement Experimental group’s behavioral interventions included individual and unit rewards for improved HH adherence and unit-based recognition by peers on a sticker chart. The Risk of Nonadherence Experimental group received additional educational sessions about microorganisms that are transmitted via hands

OBSERVATION =Watching one person having direct contact with a patient or handling patient equipment.

CLEANED HANDS = Washed at a sink and/or used alcohol gel from a dispenser (e.g., wall mounted, pocket-sized, or a bottle that is not wall mounted) before or after having direct contact with a patient or handling patient equipment.

AWARE OF MONITORING: You told the person you’re going to observe them or they verbally acknowledge that you are monitoring them

18 data collection periods per nursing unit

Data were collected each month during 3 time frames (5 AM–7 AM, 7:30 AM–9:30 AM, and 3:30 PM–5:30 PM) reflecting high work volume to ensure a representative sample

SPSS Statistics, Version 17.0

Chi-square analysis was used to determine whether the 3 nursing units had similar HH adherence rates before any intervention. The Fisher exact test was employed to determine whether the change in adherence rates on each unit was statistically significant.

Reported these data to the RN and PCA staff at monthly staff- and unit based quality meetings

Education paired with positive reinforcement behavioral interventions improved HH adherence after the first month (χ2 = 4.27; P = .039); but the improvement was not sustained over 6 months. There were no differences in infection rates between the treatment and control groups.

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