The Topic Search Strategy paper is the first of three related assignments. The purpose of this initial paper is to briefly  describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest. 

The Clinical Question

The focus of our group’s work is to investigate the effectiveness of implementing hourly rounding on reducing patient falls in an acute care setting.

In terms of patient outcomes, the significance of this problem is that falls among hospitalized patients may cause severe injury, prolonged stay or even death. According to the Centers for Disease Control and Prevention, falls are the number one cause of injury and deaths among Americans over 65. The proactive nursing intervention known as hourly rounding has proven to reduce patient falls. The PICOT question in support of the group topic is, “In adult patients in acute care settings, how does hourly rounding by nursing staff compared to no hourly rounding affect the incidence of patient falls within a period of 3 months?”

This paper describes the search strategies that were used to find two articles on the effects of hourly rounding in reducing falls among patients in acute care settings.

There are several levels of evidence:

A therapy question is the type of question that’s being asked. Randomized controlled trials (RCTs), and systematic reviews are the best evidence available to answer this question.

The Search Strategy

The search terms used were “hourly rounding,” “patient falls,” “acute care,” and “nursing intervention.” The databases used for the search were CINAHL Complete and PubMed. This search was also linked to the PICOT query.

These limits were used to narrow down the results of the search: articles that have been published within 5 years, articles with full text, articles written in English. The search also included articles that had the terms “hourly rounding” or “patient falls” in the title or abstract.

Here are two of the most pertinent articles, which were identified within 5 years as primary sources:

  1. Halm, M. A. (2017). Hospitalized patients can be prevented from falling by hourly rounding. American Journal of Nursing 117(6):58-63.

In this article, we present the findings of a study which examined whether hourly rounds can reduce patient falls in acute care settings. One hundred and twenty-two adult patients were randomly allocated to either hourly rounding, or regular care. Results showed that patients fell significantly less when they received hourly rounds. Hourly rounding can be a cost-effective and simple intervention to improve patient safety in acute care.

Relevancy, accuracy and relevance: The article provides evidence about the efficacy of hourly rounds in decreasing patient falls in an acute-care setting. Because it was peer-reviewed, the article has been published in a respected nursing journal.

High quality source: It is peer-reviewed and has been published in an reputable journal of nursing.

  1. Kaur, S., Sharma, M., & Parshad, D. (2019). Influence of nurses’ hourly rounds on adult fall rates in hospitals Journal of Clinical Nursing 28 (13-14), 2597-2504.

Here are the findings of an hourly-rounding study in which patient falls were reduced in acute care. There were 200 adults who participated in the study. They were randomly assigned to one of two groups: the hourly-rounding group or the usual care group. Hourly rounding resulted in a significantly lower rate of patient falls. According to the authors, hourly rounding could be an effective and feasible intervention in reducing hospital-acquired falls.

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