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Evidence Based Practice and Applied Nursing Research Rasmussen CollegeNURSING 4232EBP Task-1

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Evidence Based Practice and Applied Nursing Research Task 1-XAP1 Sam Mor 12/03/2019 Western Governors UniversityEvidence Based-Practice A1. Quantitative Article Area: Peer-Reviewed Journal Article Bóriková, I., Tomagová, M., Žiaková, K., & Miertová, M. (2018). Pharmacotherapy as a Fall Risk Factor. Central European Journal of Nursing & Midwifery, 9(2), 832–839. Retrieved from: https://doiorg.wgu.idm.oclc.org/10.15452/CEJNM.2018.09.0012 A1-1: Background or Introduction The primary focus of this research was about pharmacotherapy as a critical risk factor of falls in acute and long-term care facilities. Morse Fall Scale (MFS) core  45 was used to examine if there is correlation between pharmacotherapy and high fall risk (Bóriková, Tomagová, Žiaková, & Miertová, 2018, p. 832). As far as pharmacotherapy is concerned, there are different types of medications that contribute to high fall risk, thereby resulting in confusion, impaired balance, sedation, and changes of orthostatic blood pressure inpatients. Some medication groups that have been noted to contribute high fall risk are analgesics (e.g., NSAIDs, narcotics, paracetamol, and opioids), Psychotropic medications (e.g., sedatives, anxiolytics, antipsychotics, and hypnotics), benzodiazepines, antiparkinsonians, antiepileptic’s, and some cardiac medications (e.g., antihypertensives, anticoagulants, antiarrhythmics, and diuretics) (Bóriková, Tomagová, Žiaková, & Miertová, 2018, p. 832). A1-2: Review of the Literature Although this study does not have a review of literature section, it can be inferred from the APA in text-citations of the background of this study that the researchers referenced 30 journal articles in this study. The 2Evidence Based-Practice referenced articles are relevant to the study at hand in different ways. For example, it was the researchers’ speculation that pharmacotherapy is a key risk factor of fall in an acute and long-term care settings, and there are several medication groups that have an indication to aggravate high risk of falls. Also, the researchers expected that assessing pharmacotherapy as fall risk factor and devising some interventions for it would reduce fall risk among patients. Most of the referenced articles substantiated the researches’ speculations and expectations. By quoting previous research works (e.g., Registered Nurses’ Association of Ontario, 2011; Watson, Salmoni, Zecevic, 2016; Mamun, Lim, 2009; Agency for Healthcare Research and Quality, 2013; Ambrose, Paul, Hausdorff, 2013; National Institute for Health and Care Excellence, 2013; Obayashi et al., 2013; Severo et al., 2014; Callis, 2016; Gu et al., 2016, and Chu, 2017), the researchers supported their study. The referenced articles also support the researchers’ emphasis and conclusion that pharmacotherapy is a critical factor of falls, and there is a significant correlation between high fall risk and the number of medications the residents take within 24-hours (Bóriková, Tomagová, Žiaková, & Miertová, 2018, p. 836). A1-3: Data Analysis The data was collected from two clinical settings, such as acute and long-term healthcare settings. The information was verified from the health documents of the research participants to determine that the respondents are admitted within 24-48 hours. The data was processed by using Microsoft Office Excel and analyzed by using SPSS Statistics 16.0

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