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 researcher develops a clinical
guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must
be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised
research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be
utilized for subsequent assignments.
Use the "Literature Evaluation Table" to complete this assignment.
1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient
population and identify a clinical problem or issue that arises from the patient population. In 200–250 words,
provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of
interest. The PICOT question should be applicable to your proposed capstone project (the project students
must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem
of interest. This literature search should include three quantitative and three qualitative peer-reviewed
research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or
broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research
design was used in the articles the search produced, review the abstract and the methods section of the article. The
author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews,
Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not
considered primary research articles.  Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and
documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style
Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the
expectations for successful completion.

Solution:

Summary of Clinical Issue (200-250 words):

The clinical issue identified is patient falls. Patient falls are highly devastating healthcare complications especially in elderly patients. Patient fall rate is at 3 to 5 per 1000 bed-days. The Agency for Healthcare Research and Quality has it that approximately 700,000 to 1 million hospitalized patients fall on annual basis (Casilari,  & Oviedo-Jiménez, 2015). The patients in long-term care are more vulnerable to falls. In estimation, 50% of the 1.6 million nursing home residents within United States fall annually while another report by the Office of the Inspector General in 2014 found that almost 10% of Medicare skilled nursing care facility residents experience falls, which results in significant injury. Further, more than 1/3 of patient falls within hospitals result in injury, including serious ones such as head trauma and fractures (Boletsis, McCallum, & Landmark, 2015). Death, injury, or serious injury caused by in-hospital fall is considered a never event, and thus, is not reimbursed by the Centers for Medicare and Medicaid Services, resulting in increased patient-fall related costs. According to World Health Organization, even falls that are “supposedly not harmful may cause anxiety and distress to patients, their families, healthcare staff, “even supposedly ‘no harm’ falls can cause distress and anxiety to patients, their family members, and health care staff, resulting in a negative cycle fear which sees the elderly restricted in their physical activity, resulting in further loss of independence and strength. Considering the negative impacts of patient falls noted, it is highly crucial to address this nursing problem.

PICOT Question:For hospitalized patients (P), does implementation of smartphone or smartwatch fall detection and prevention systems (I), as compared to no fall detection and prevention systems (C), result in reduction of patient falls (O) in a period of 4 weeks (T)?………Please click the icon below to purchase the full solution at $10