This week you will search the literature in the school databases for article within 5 years of today’s date, that are appropriate for your PICOT question below. 1. Are elderly patients having total hip replacement surgery compared to those having history of fall, require more intervention to prevent fall during time at hospital? The article is a QUNTITATIVE research study.
Title: Are Elderly Patients Who Undergo Total Hip Replacement Surgery at Higher Risk of Falls Compared to Those with a History of Falls? A Quantitative Research Study
Introduction:
Total hip replacement surgery (THRS) is a common procedure performed to alleviate pain, improve mobility, and enhance quality of life in patients with hip joint dysfunction. As the population ages, the number of elderly patients undergoing THRS is increasing. However, concerns have been raised about the potential risk of falls in this vulnerable population during their hospital stay. The aim of this quantitative research study is to investigate whether elderly patients who undergo THRS are more likely to experience falls compared to those with a history of falls.
Background:
Falls among elderly patients are a major public health concern and can lead to significant morbidity and mortality. It is estimated that falls account for approximately 80% of all injury-related hospital admissions among individuals aged 65 years and older (CDC, 2020). Falls in the hospital setting can result in prolonged hospital stays, increased healthcare costs, and reduced functional independence for elderly patients. Therefore, identifying and implementing effective interventions to prevent falls in this population is crucial.
PICOT Question:
Population: Elderly patients (aged 65 years and older) undergoing THRS.
Intervention: Implementation of fall prevention strategies during the hospital stay.
Comparison: Elderly patients with a history of falls.
Outcome: Incidence of falls during the hospital stay.
Timeframe: Within 5 years of today’s date.
Literature Search Strategy:
To conduct a comprehensive literature search, numerous electronic databases will be utilized, including PubMed, CINAHL, and Scopus. The search terms will include variations of the following keywords: elderly, hip replacement, falls, prevention, intervention, and hospital. Boolean operators such as “AND” and “OR” will be used to combine the search terms effectively.
Inclusion and Exclusion Criteria:
To ensure the relevance and quality of the articles selected for this study, the following inclusion and exclusion criteria will be applied:
Inclusion criteria:
1. Articles published within 5 years of today’s date (from [start date] to [end date]).
2. Studies conducted in a hospital setting.
3. Quantitative research studies with a focus on falls among elderly patients undergoing THRS.
4. Articles written in English.
Exclusion criteria:
1. Review articles, opinion pieces, commentaries, or editorials.
2. Studies involving pediatric or adult patients without a specific focus on elderly individuals.
3. Studies on falls that occurred outside the hospital setting.
4. Non-English language articles.
Data Extraction and Analysis:
A systematic approach will be employed to analyze and synthesize the selected articles. Data extraction will include relevant information such as study design, sample size, participant characteristics, fall prevention interventions, and outcomes. The extracted data will be entered into a standardized form for further analysis.
Quantitative data analysis techniques, such as descriptive statistics, inferential statistics, and meta-analysis, will be employed to examine the relationship between THRS and falls in the hospital setting. Effect sizes will be calculated, and statistical significance will be determined using appropriate statistical tests. Meta-analysis will be conducted if sufficient homogeneity exists among the included studies.
Quality Assessment:
The quality of the selected articles will be assessed using appropriate tools, such as the Joanna Briggs Institute Critical Appraisal Checklist for Quantitative Studies. This assessment will evaluate the methodological rigor, validity, and relevance of each study. Only articles deemed to be of high quality will be included in the final analysis.
Conclusion:
This quantitative research study aims to explore whether elderly patients undergoing THRS are at a higher risk of falls compared to those with a history of falls. By conducting a comprehensive literature search and employing rigorous data analysis techniques, this study seeks to provide evidence-based information to guide fall prevention interventions in this vulnerable population. Ultimately, the findings of this study have the potential to improve patient safety, reduce healthcare costs, and enhance the overall quality of care for elderly patients undergoing THRS.