o Develop a practice improvement project basked off the PICOT question For Complete an evaluation outcome from the PICOT: Adults >65 years of age in the retirement community (P) does the utilization of an exercise program (I) compared to no exercise program (C) decrease fall rates (O) within one year (T)?
· Literature Review/Synthesis (Use as Heading)
o Use the 7 articles and complete a literature review. 7 articles on reference list.
- EBP Change Model (Use as Heading)
- The model you will use to guide your project and change practice, including a rationale for that choice with at least 2 references. The change model you will use to motivate stakeholders with a rationale.
- Evaluation/Outcome (Use as heading)
o PICOT Question: Complete an evaluation outcome from the PICOT : Adults >65 years of age in the retirement community (P) does the utilization of an exercise program (I) compared to no exercise program (C) decrease fall rates (O) within one year (T)?
- Use Both the Evaluation and Synthesis Tables provided based on the pared-down search, with a narrative that explains the results and includes:
- What the evidence tells you about best practices for this topic
- How the body of evidence will help you design your practice improvement project
- Outcomes that you will measure to determine whether change has occurred, their sources (electronic health record [EHR], deaths, etc.), and how the data will be evaluated (this may be in the form of a grid in the appendix)
- Conclusion (Use as heading)
References
Barnett, A., Smith B., Lord, S. R., Williams, M., & Baumand, A. (2003). Community-based group exercise improves balance and reduces falls in at-risk older people: A randomized controlled trial. Age Ageing, 32(4), 407–414.
Chang, J. T., Morton, S. C., Rubenstein, L. Z., Mojica, W. A., Maglione, M., Suttorp, M. J.,… Shekelle, P. G. (2004). Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials. British Medical Journal, 328(7441), 680–683.
El-Khoury, F., Cassou, B., Charles, M-A., & Dargent-Molina, P. (2013). The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: Systematic review and meta-analysis of randomised controlled trials. British Medical Journal, 347, f6234. doi:10.1136/bmj.f6234
Hutton, L., Frame, R., Maggo, H., Shirakawa, H., Mulligan, H., Waters, D., & Hale, L. (2009). The perceptions of physical activity in an elderly population at risk of falling: A focus group study. New Zealand Journal of Physiotherapy, 37(2), 85-92. http://physiotherapy.org.nz/assets/Professional-dev/Journal/2009- July/2009JulMLRoberts.pdf
Oh, D. H., Park, J. E., Lee, E. S., Oh, S. W., Cho, S. I., Jang, S. N., & Baik, H. W. (2012). Intensive exercise reduces the fear of additional falls in elderly people: Findings from the Korea falls prevention study. Korean Journal of Internal Medicine, 27(4), 417–425.
Sherrington, C., Whitney, J. C., Lord, S. R., Herbert, R. D., Cumming, R. G., & Close, J. C. T. (2008). Effective exercise for the prevention of falls: A systematic review and meta-analysis. Journal of the American geriatric Society, 56(12), 2234–2243.
Taylor, D., Hale, L., Schluter, P., Waters, D. L., Binns, E. E., McCracken, H. . . . Wolf, S. L. (2012). Effectiveness of tai chi as a community-based falls prevention intervention: A randomized controlled trial. Journal of the American Geriatrics Society, 60(5), 841–848.