In this assignment, pull together the change proposal project components you have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. : 1. Background 2. Problem statement 3. Purpose of the change proposal 4. PICOT 5. Literature search strategy employed 6. Evaluation of the literature 7. Applicable change or nursing theory utilized 8. Proposed implementation plan with outcome measures 9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome 10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created. PLEASE INCLUDE ALL THE ABOVE HEADINGS Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, use the feedback to make appropriate revisions to the portfolio components before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide. Turnitin should be less than 8. This assignment uses a RUBRIC. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Concentrate on the excellent column. PICOT statement In hospitalized elderly patients aged 65 years and above (patient, population) how effective is addressing personal-related factors what are the personal related factors? (intervention of interest) compared to changing the environmental factors (comparison intervention) in preventing fall in hospital (outcome), during a period of six months recovery time in hospital (Time). THIS IS THE INSTRUCTOR COMMENTS. The terms in the intervention and comparison are broad define them a little more. Great start, but your intervention and comparison are vague. How are you defining personal and environmental factors? CAN YOU ELABORATE SOME MORE TO MAKE THE PICOT STATEMENT UNDERSTANDABLE. References Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013). Risk factors for falls among older adults: a review of the literature. Maturitas, 75(1), 51-61. Bouldin, E. D., Andresen, E. M., Dunton, N. E., Simon, M., Waters, T. M., Liu, M., … & Shorr, R. I. (2013). Falls among adult patients hospitalized in the United States: prevalence and trends. Journal of patient safety, 9(1), 13. Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., … & Ganz, D. A. (2013). Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness. Journal of the American Geriatrics Society, 61(4), 483-494. Hill, A. M., McPhail, S. M., Waldron, N., Etherton-Beer, C., Ingram, K., Flicker, L., … & Haines, T. P. (2015). Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. The Lancet, 385(9987), 2592-2599. Miake-Lye, I. M., Hempel, S., Ganz, D. A., & Shekelle, P. G. (2013). Inpatient fall prevention programs as a patient safety strategy: a systematic review. Annals of internal medicine, 158(5_Part_2), 390-396. Milos, V., Bondesson, ., Magnusson, M., Jakobsson, U., Westerlund, T., & Midlv, P. (2014). Fall risk-increasing drugs and falls: a cross-sectional study among elderly patients in primary care. BMC geriatrics, 14(1), 40. Stevens, J. A., & Rudd, R. A. (2013). The impact of decreasing US hip fracture rates on future hip fracture estimates. Osteoporosis International, 24(10), 2725-2728.
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