[Solved] MM week 4

Assignment Prompt & Instructions

**files (2)**

– ## NU760Unit3SynthesisMatrixTable.docx

– ## NU760Unit3SynthesisMatrixTable.pdf

**## NU760Unit3SynthesisMatrixTable.docx**

INSERT YOUR NAME HERE

| | | | | | |
| — | — | — | — | — | — |
| | **In-text citation for the resource – in the References list below this table include a full citation.**<br>**You are required to upload the full-text file for each article represented in the matrix table into the assignment drop box.** | **What is the purpose of the resource to support the prompt for the unit?** | 1. <br>**Is the resource a research or non-research study**(Hint: JH EBP Rating Scale notes which are research or non-research at the side of the scale)<br>**?**<br>2. <br>**What is the study design**(i.e., Systematic Review of RCTs, Prospective Cohort, etc.)<br>**?**<br>3. <br>**If not a research study, what type of literature is represented in the resource**(i.e., peer-review like narrative review, case reports, clinical guidelines in published journals or non-peer review like editorials, policy briefs, opinion pieces)<br>**?** | **What are the findings and the recommendations in this resource that are relevant to your proposed graduate scholarship project?** | **How does this resource support your proposed project?** |
| Articles/resources #1-2 in the table need to <br>**demonstrate the observation of** **the problem you identified** for which you are designing a project to address.<br> <br>*****Input your Problem Statement here from your unit #2 assignment here**: |
| **1** | | | | | |
| **2** | | | | | |
| |
| Articles/resources #3 -6 in the table need to <br>**demonstrate support for** **the intervention you have selected** to address the identified problem. <br> <br>*****Input your Intervention here from your unit #2 assignment here**: |
| **3** | | | | | |
| **4** | | | | | |
| **5** | | | | | |
| **6** | | | | | |

**References**

**## NU760Unit3SynthesisMatrixTable.pdf**

Michelle Murray

NU760

In-text citation for
the resource – in the
References list below
this table include a
full citation.

You are required to
upload the full-text
file for each article
represented in the
matrix table into the
assignment drop box.

What is the purpose
of the resource to
support the prompt
for the unit?

1. Is the resource a
research or non-
research study (Hint:
JH EBP Rating Scale
notes which are
research or non-
research at the side of
the scale)?

2. What is the study
design (i.e.,
Systematic Review of
RCTs, Prospective
Cohort, etc.)?

3. If not a research
study, what type of
literature is
represented in the
resource (i.e., peer-
review like narrative
review, case reports,
clinical guidelines in
published journals or
non-peer review like
editorials, policy
briefs, opinion
pieces)?

What are the findings
and the
recommendations in this
resource that are
relevant to your
proposed graduate
scholarship project?

How does this resource
support your proposed
project?

Articles/resources #1-2 in the table need to demonstrate the observation of the problem you identified for which you are designing a
project to address.

1 Kakara et al., (2021).
https://doi.org/10.10

Determines the
burden/patterns of
ED visits associated

Research (JH Level III) Evidences quantifiable
and clinically significant
fall-related healthcare

Supports your problem
statement by documenting
real-world fall burden and

Michelle Murray

NU760

16/j.jsr.2021.08.002
(CDC)

with falls in older
adults and confirms
the seriousness of the
outcomes of falls
which fall prevention
programs are
designed to mitigate.
(CDC).

Epidemiologic
investigation of national
ED visits patterns
(seasonal/location
change).

utilization and variation
by fall location/time-
evidences the necessity
of organized assessment
and prevention as
opposed to sporadic
practices.

helps justify implementing a
standardized program to
reduce fall events and
consequences.

2 Adam et al. (2023).
https://doi.org/10.13
71/journal.pone.0294
017

Evidences
downstream
functional
impairment (ADL
impairment) following
falls, which supports
the importance of
preventing falls in frail
older adults.

Research (JH Level III).

Retrospective
cohort/longitudinal
secondary analysis and
hazard-modelling and
trajectory analysis.

The reason falls during
the previous 6 months
were correlated with
increased risk of ADL
impairment; but a sub-
group experienced long-
term impairment.
Authors come to a
conclusion that older
adults require a holistic
approach to fall risk
evaluation and access to
evidence-based
prevention.

Improves the urgency and
relevance of your project goal
(reduce falls to prevent
injury/functional decline)
directly and aids in the
measurement of outcomes
associated with quality of life.

Articles/resources #3 -6 in the table need to demonstrate support for the intervention you have selected to address the identified
problem.

3 Gillespie et al. (2012).

https://doi.org/10.100
Offers evidence on
high-levels of
effective
interventions (what

Research (JH Level I)

Cochrane systematic
review of RCTs

Balance/strength
exercise program and Tai
Chi decrease falls;
multifactorial can

Directly informs the evidence-
based Directly informs the
evidence-based “menu” for
individualized prevention plans

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

2/14651858.CD00714

6.pub3
works) to provide
program aspects.

(with/without meta-
analysis).

decrease fall rate. Favors
the integration of
interventions as opposed
to the use of one tactic.

in your nurse-led program (e.g.,
balance/strength + tailored
risk-factor actions).

4 Guirguis-Blake et al.
(2024).
https://doi.org/10.10
01/jama.2024.4166

Provides modern
synthesized data of
multifactorial +
exercise
interventions to
prevent using
practice-relevant
prevention
techniques.

Research (JH Level I)

Updated systematic
review (USPSTF evidence
report; RCT-focused).

Multifactorial
interventions significantly
reduced fall incidence
rate; exercise showed
consistent benefit for
falls and injurious falls
across multiple
outcomes.

Justifies your intervention
model (screen -assess –
customize plan) and justifies
the incorporation of structured
exercise as a fundamental part
when possible, in adult day
care.

5 Dykes et al. (2020).
https://doi.org/10.10
01/jamanetworkope
n.2020.25889

Demonstrates real-
world effectiveness of
a nurse-led, tailored
fall-prevention toolkit
linked to patient-
specific risk factors
(high implementation
relevance).

Research (JH Level II)

Nonrandomized
controlled trial (stepped-
wedge / interrupted time
series evaluation).

Implementation had
been linked to a decrease
in falls of approximately
15 percent and a
decrease in injurious falls
of approximately 34
percent; it focuses on
customized plans,
communication tools and
constant monitoring, as
well as unit champions.

Well advocates your model of
nurse-led: risk assessment to
customized plan to consistent
implementation;
training/monitoring, which can
be directly applied to adult day
care workflow.

6 Logan et al. (2021).
https://doi.org/10.11
36/bmj-2021-066991

Gives stringent
support to a
multifactorial fall
prevention program
within care-home
settings, which is

Research (JH Level I)

Multicenter cluster
randomized controlled

Compares a structured
multifactorial program
(Guide to Action for Care
Home) with normal care;
demonstrates that
structured protocols can

Endorses viability and design of
standardized multifactorial
prevention in supervised
environments- handy in your
project in the training of staff,

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

applicable to
congregate older-
adult settings.

trial with economic
evaluation.

be introduced at multiple
sites with fidelity
concerns.

workflow design, and
monitoring plans.

References

Adam, C. E., Fitzpatrick, A. L., Leary, C. S., Ilango, S. D., Phelan, E. A., & Semmens, E. O. (2024). The impact of falls on activities
of daily living in older adults: A retrospective cohort analysis. PLoS one, 19(1), e0294017.
https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates, D. W. (2020). Evaluation of a patient-
centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open,
3(11), e2025889.
https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395
.pdf

Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L., & Lamb, S. E. (2012). Interventions for
preventing falls in older people living in the community. Cochrane database of systematic reviews, (9).
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full

Guirguis-Blake, J. M., Perdue, L. A., Coppola, E. L., & Bean, S. I. (2024). Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US preventive services task force. Jama, 332(1), 58-69.
https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.4098
6.pdf

[https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable](https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full](https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

Michelle Murray

NU760

Logan, P. A., Horne, J. C., Gladman, J. R., Gordon, A. L., Sach, T., Clark, A., … & Sims, E. (2021). Multifactorial falls prevention
programme compared with usual care in UK care homes for older people: multicentre cluster randomised controlled
trial with economic evaluation. bmj, 375. https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf

Kakara, R. S., Moreland, B. L., Haddad, Y. K., Shakya, I., & Bergen, G. (2021). Seasonal variation in fall-related emergency
department visits by location of fall–United States, 2015. Journal of safety research, 79, 38-44.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf

[https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf](https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf)

[https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf)

**## NU760Unit3SynthesisMatrixTable.pdf**

Michelle Murray

NU760

In-text citation for
the resource – in the
References list below
this table include a
full citation.

You are required to
upload the full-text
file for each article
represented in the
matrix table into the
assignment drop box.

What is the purpose
of the resource to
support the prompt
for the unit?

1. Is the resource a
research or non-
research study (Hint:
JH EBP Rating Scale
notes which are
research or non-
research at the side of
the scale)?

2. What is the study
design (i.e.,
Systematic Review of
RCTs, Prospective
Cohort, etc.)?

3. If not a research
study, what type of
literature is
represented in the
resource (i.e., peer-
review like narrative
review, case reports,
clinical guidelines in
published journals or
non-peer review like
editorials, policy
briefs, opinion
pieces)?

What are the findings
and the
recommendations in this
resource that are
relevant to your
proposed graduate
scholarship project?

How does this resource
support your proposed
project?

Articles/resources #1-2 in the table need to demonstrate the observation of the problem you identified for which you are designing a
project to address.

1 Kakara et al., (2021).
https://doi.org/10.10

Determines the
burden/patterns of
ED visits associated

Research (JH Level III) Evidences quantifiable
and clinically significant
fall-related healthcare

Supports your problem
statement by documenting
real-world fall burden and

Michelle Murray

NU760

16/j.jsr.2021.08.002
(CDC)

with falls in older
adults and confirms
the seriousness of the
outcomes of falls
which fall prevention
programs are
designed to mitigate.
(CDC).

Epidemiologic
investigation of national
ED visits patterns
(seasonal/location
change).

utilization and variation
by fall location/time-
evidences the necessity
of organized assessment
and prevention as
opposed to sporadic
practices.

helps justify implementing a
standardized program to
reduce fall events and
consequences.

2 Adam et al. (2023).
https://doi.org/10.13
71/journal.pone.0294
017

Evidences
downstream
functional
impairment (ADL
impairment) following
falls, which supports
the importance of
preventing falls in frail
older adults.

Research (JH Level III).

Retrospective
cohort/longitudinal
secondary analysis and
hazard-modelling and
trajectory analysis.

The reason falls during
the previous 6 months
were correlated with
increased risk of ADL
impairment; but a sub-
group experienced long-
term impairment.
Authors come to a
conclusion that older
adults require a holistic
approach to fall risk
evaluation and access to
evidence-based
prevention.

Improves the urgency and
relevance of your project goal
(reduce falls to prevent
injury/functional decline)
directly and aids in the
measurement of outcomes
associated with quality of life.

Articles/resources #3 -6 in the table need to demonstrate support for the intervention you have selected to address the identified
problem.

3 Gillespie et al. (2012).

https://doi.org/10.100
Offers evidence on
high-levels of
effective
interventions (what

Research (JH Level I)

Cochrane systematic
review of RCTs

Balance/strength
exercise program and Tai
Chi decrease falls;
multifactorial can

Directly informs the evidence-
based Directly informs the
evidence-based “menu” for
individualized prevention plans

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

2/14651858.CD00714

6.pub3
works) to provide
program aspects.

(with/without meta-
analysis).

decrease fall rate. Favors
the integration of
interventions as opposed
to the use of one tactic.

in your nurse-led program (e.g.,
balance/strength + tailored
risk-factor actions).

4 Guirguis-Blake et al.
(2024).
https://doi.org/10.10
01/jama.2024.4166

Provides modern
synthesized data of
multifactorial +
exercise
interventions to
prevent using
practice-relevant
prevention
techniques.

Research (JH Level I)

Updated systematic
review (USPSTF evidence
report; RCT-focused).

Multifactorial
interventions significantly
reduced fall incidence
rate; exercise showed
consistent benefit for
falls and injurious falls
across multiple
outcomes.

Justifies your intervention
model (screen -assess –
customize plan) and justifies
the incorporation of structured
exercise as a fundamental part
when possible, in adult day
care.

5 Dykes et al. (2020).
https://doi.org/10.10
01/jamanetworkope
n.2020.25889

Demonstrates real-
world effectiveness of
a nurse-led, tailored
fall-prevention toolkit
linked to patient-
specific risk factors
(high implementation
relevance).

Research (JH Level II)

Nonrandomized
controlled trial (stepped-
wedge / interrupted time
series evaluation).

Implementation had
been linked to a decrease
in falls of approximately
15 percent and a
decrease in injurious falls
of approximately 34
percent; it focuses on
customized plans,
communication tools and
constant monitoring, as
well as unit champions.

Well advocates your model of
nurse-led: risk assessment to
customized plan to consistent
implementation;
training/monitoring, which can
be directly applied to adult day
care workflow.

6 Logan et al. (2021).
https://doi.org/10.11
36/bmj-2021-066991

Gives stringent
support to a
multifactorial fall
prevention program
within care-home
settings, which is

Research (JH Level I)

Multicenter cluster
randomized controlled

Compares a structured
multifactorial program
(Guide to Action for Care
Home) with normal care;
demonstrates that
structured protocols can

Endorses viability and design of
standardized multifactorial
prevention in supervised
environments- handy in your
project in the training of staff,

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

applicable to
congregate older-
adult settings.

trial with economic
evaluation.

be introduced at multiple
sites with fidelity
concerns.

workflow design, and
monitoring plans.

References

Adam, C. E., Fitzpatrick, A. L., Leary, C. S., Ilango, S. D., Phelan, E. A., & Semmens, E. O. (2024). The impact of falls on activities
of daily living in older adults: A retrospective cohort analysis. PLoS one, 19(1), e0294017.
https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates, D. W. (2020). Evaluation of a patient-
centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open,
3(11), e2025889.
https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395
.pdf

Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L., & Lamb, S. E. (2012). Interventions for
preventing falls in older people living in the community. Cochrane database of systematic reviews, (9).
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full

Guirguis-Blake, J. M., Perdue, L. A., Coppola, E. L., & Bean, S. I. (2024). Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US preventive services task force. Jama, 332(1), 58-69.
https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.4098
6.pdf

[https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable](https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full](https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

Michelle Murray

NU760

Logan, P. A., Horne, J. C., Gladman, J. R., Gordon, A. L., Sach, T., Clark, A., … & Sims, E. (2021). Multifactorial falls prevention
programme compared with usual care in UK care homes for older people: multicentre cluster randomised controlled
trial with economic evaluation. bmj, 375. https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf

Kakara, R. S., Moreland, B. L., Haddad, Y. K., Shakya, I., & Bergen, G. (2021). Seasonal variation in fall-related emergency
department visits by location of fall–United States, 2015. Journal of safety research, 79, 38-44.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf

[https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf](https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf)

[https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf)

**## NU760Unit3SynthesisMatrixTable.docx**

INSERT YOUR NAME HERE

| | | | | | |
| — | — | — | — | — | — |
| | **In-text citation for the resource – in the References list below this table include a full citation.**<br>**You are required to upload the full-text file for each article represented in the matrix table into the assignment drop box.** | **What is the purpose of the resource to support the prompt for the unit?** | 1. <br>**Is the resource a research or non-research study**(Hint: JH EBP Rating Scale notes which are research or non-research at the side of the scale)<br>**?**<br>2. <br>**What is the study design**(i.e., Systematic Review of RCTs, Prospective Cohort, etc.)<br>**?**<br>3. <br>**If not a research study, what type of literature is represented in the resource**(i.e., peer-review like narrative review, case reports, clinical guidelines in published journals or non-peer review like editorials, policy briefs, opinion pieces)<br>**?** | **What are the findings and the recommendations in this resource that are relevant to your proposed graduate scholarship project?** | **How does this resource support your proposed project?** |
| Articles/resources #1-2 in the table need to <br>**demonstrate the observation of** **the problem you identified** for which you are designing a project to address.<br> <br>*****Input your Problem Statement here from your unit #2 assignment here**: |
| **1** | | | | | |
| **2** | | | | | |
| |
| Articles/resources #3 -6 in the table need to <br>**demonstrate support for** **the intervention you have selected** to address the identified problem. <br> <br>*****Input your Intervention here from your unit #2 assignment here**: |
| **3** | | | | | |
| **4** | | | | | |
| **5** | | | | | |
| **6** | | | | | |

**References**

**## NU760Unit3SynthesisMatrixTable.pdf**

Michelle Murray

NU760

In-text citation for
the resource – in the
References list below
this table include a
full citation.

You are required to
upload the full-text
file for each article
represented in the
matrix table into the
assignment drop box.

What is the purpose
of the resource to
support the prompt
for the unit?

1. Is the resource a
research or non-
research study (Hint:
JH EBP Rating Scale
notes which are
research or non-
research at the side of
the scale)?

2. What is the study
design (i.e.,
Systematic Review of
RCTs, Prospective
Cohort, etc.)?

3. If not a research
study, what type of
literature is
represented in the
resource (i.e., peer-
review like narrative
review, case reports,
clinical guidelines in
published journals or
non-peer review like
editorials, policy
briefs, opinion
pieces)?

What are the findings
and the
recommendations in this
resource that are
relevant to your
proposed graduate
scholarship project?

How does this resource
support your proposed
project?

Articles/resources #1-2 in the table need to demonstrate the observation of the problem you identified for which you are designing a
project to address.

1 Kakara et al., (2021).
https://doi.org/10.10

Determines the
burden/patterns of
ED visits associated

Research (JH Level III) Evidences quantifiable
and clinically significant
fall-related healthcare

Supports your problem
statement by documenting
real-world fall burden and

Michelle Murray

NU760

16/j.jsr.2021.08.002
(CDC)

with falls in older
adults and confirms
the seriousness of the
outcomes of falls
which fall prevention
programs are
designed to mitigate.
(CDC).

Epidemiologic
investigation of national
ED visits patterns
(seasonal/location
change).

utilization and variation
by fall location/time-
evidences the necessity
of organized assessment
and prevention as
opposed to sporadic
practices.

helps justify implementing a
standardized program to
reduce fall events and
consequences.

2 Adam et al. (2023).
https://doi.org/10.13
71/journal.pone.0294
017

Evidences
downstream
functional
impairment (ADL
impairment) following
falls, which supports
the importance of
preventing falls in frail
older adults.

Research (JH Level III).

Retrospective
cohort/longitudinal
secondary analysis and
hazard-modelling and
trajectory analysis.

The reason falls during
the previous 6 months
were correlated with
increased risk of ADL
impairment; but a sub-
group experienced long-
term impairment.
Authors come to a
conclusion that older
adults require a holistic
approach to fall risk
evaluation and access to
evidence-based
prevention.

Improves the urgency and
relevance of your project goal
(reduce falls to prevent
injury/functional decline)
directly and aids in the
measurement of outcomes
associated with quality of life.

Articles/resources #3 -6 in the table need to demonstrate support for the intervention you have selected to address the identified
problem.

3 Gillespie et al. (2012).

https://doi.org/10.100
Offers evidence on
high-levels of
effective
interventions (what

Research (JH Level I)

Cochrane systematic
review of RCTs

Balance/strength
exercise program and Tai
Chi decrease falls;
multifactorial can

Directly informs the evidence-
based Directly informs the
evidence-based “menu” for
individualized prevention plans

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

2/14651858.CD00714

6.pub3
works) to provide
program aspects.

(with/without meta-
analysis).

decrease fall rate. Favors
the integration of
interventions as opposed
to the use of one tactic.

in your nurse-led program (e.g.,
balance/strength + tailored
risk-factor actions).

4 Guirguis-Blake et al.
(2024).
https://doi.org/10.10
01/jama.2024.4166

Provides modern
synthesized data of
multifactorial +
exercise
interventions to
prevent using
practice-relevant
prevention
techniques.

Research (JH Level I)

Updated systematic
review (USPSTF evidence
report; RCT-focused).

Multifactorial
interventions significantly
reduced fall incidence
rate; exercise showed
consistent benefit for
falls and injurious falls
across multiple
outcomes.

Justifies your intervention
model (screen -assess –
customize plan) and justifies
the incorporation of structured
exercise as a fundamental part
when possible, in adult day
care.

5 Dykes et al. (2020).
https://doi.org/10.10
01/jamanetworkope
n.2020.25889

Demonstrates real-
world effectiveness of
a nurse-led, tailored
fall-prevention toolkit
linked to patient-
specific risk factors
(high implementation
relevance).

Research (JH Level II)

Nonrandomized
controlled trial (stepped-
wedge / interrupted time
series evaluation).

Implementation had
been linked to a decrease
in falls of approximately
15 percent and a
decrease in injurious falls
of approximately 34
percent; it focuses on
customized plans,
communication tools and
constant monitoring, as
well as unit champions.

Well advocates your model of
nurse-led: risk assessment to
customized plan to consistent
implementation;
training/monitoring, which can
be directly applied to adult day
care workflow.

6 Logan et al. (2021).
https://doi.org/10.11
36/bmj-2021-066991

Gives stringent
support to a
multifactorial fall
prevention program
within care-home
settings, which is

Research (JH Level I)

Multicenter cluster
randomized controlled

Compares a structured
multifactorial program
(Guide to Action for Care
Home) with normal care;
demonstrates that
structured protocols can

Endorses viability and design of
standardized multifactorial
prevention in supervised
environments- handy in your
project in the training of staff,

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

applicable to
congregate older-
adult settings.

trial with economic
evaluation.

be introduced at multiple
sites with fidelity
concerns.

workflow design, and
monitoring plans.

References

Adam, C. E., Fitzpatrick, A. L., Leary, C. S., Ilango, S. D., Phelan, E. A., & Semmens, E. O. (2024). The impact of falls on activities
of daily living in older adults: A retrospective cohort analysis. PLoS one, 19(1), e0294017.
https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates, D. W. (2020). Evaluation of a patient-
centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open,
3(11), e2025889.
https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395
.pdf

Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L., & Lamb, S. E. (2012). Interventions for
preventing falls in older people living in the community. Cochrane database of systematic reviews, (9).
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full

Guirguis-Blake, J. M., Perdue, L. A., Coppola, E. L., & Bean, S. I. (2024). Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US preventive services task force. Jama, 332(1), 58-69.
https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.4098
6.pdf

[https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable](https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full](https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

Michelle Murray

NU760

Logan, P. A., Horne, J. C., Gladman, J. R., Gordon, A. L., Sach, T., Clark, A., … & Sims, E. (2021). Multifactorial falls prevention
programme compared with usual care in UK care homes for older people: multicentre cluster randomised controlled
trial with economic evaluation. bmj, 375. https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf

Kakara, R. S., Moreland, B. L., Haddad, Y. K., Shakya, I., & Bergen, G. (2021). Seasonal variation in fall-related emergency
department visits by location of fall–United States, 2015. Journal of safety research, 79, 38-44.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf

[https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf](https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf)

[https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf)

**## NU760Unit3SynthesisMatrixTable.docx**

INSERT YOUR NAME HERE

| | | | | | |
| — | — | — | — | — | — |
| | **In-text citation for the resource – in the References list below this table include a full citation.**<br>**You are required to upload the full-text file for each article represented in the matrix table into the assignment drop box.** | **What is the purpose of the resource to support the prompt for the unit?** | 1. <br>**Is the resource a research or non-research study**(Hint: JH EBP Rating Scale notes which are research or non-research at the side of the scale)<br>**?**<br>2. <br>**What is the study design**(i.e., Systematic Review of RCTs, Prospective Cohort, etc.)<br>**?**<br>3. <br>**If not a research study, what type of literature is represented in the resource**(i.e., peer-review like narrative review, case reports, clinical guidelines in published journals or non-peer review like editorials, policy briefs, opinion pieces)<br>**?** | **What are the findings and the recommendations in this resource that are relevant to your proposed graduate scholarship project?** | **How does this resource support your proposed project?** |
| Articles/resources #1-2 in the table need to <br>**demonstrate the observation of** **the problem you identified** for which you are designing a project to address.<br> <br>*****Input your Problem Statement here from your unit #2 assignment here**: |
| **1** | | | | | |
| **2** | | | | | |
| |
| Articles/resources #3 -6 in the table need to <br>**demonstrate support for** **the intervention you have selected** to address the identified problem. <br> <br>*****Input your Intervention here from your unit #2 assignment here**: |
| **3** | | | | | |
| **4** | | | | | |
| **5** | | | | | |
| **6** | | | | | |

**References**

**## NU760Unit3SynthesisMatrixTable.pdf**

Michelle Murray

NU760

In-text citation for
the resource – in the
References list below
this table include a
full citation.

You are required to
upload the full-text
file for each article
represented in the
matrix table into the
assignment drop box.

What is the purpose
of the resource to
support the prompt
for the unit?

1. Is the resource a
research or non-
research study (Hint:
JH EBP Rating Scale
notes which are
research or non-
research at the side of
the scale)?

2. What is the study
design (i.e.,
Systematic Review of
RCTs, Prospective
Cohort, etc.)?

3. If not a research
study, what type of
literature is
represented in the
resource (i.e., peer-
review like narrative
review, case reports,
clinical guidelines in
published journals or
non-peer review like
editorials, policy
briefs, opinion
pieces)?

What are the findings
and the
recommendations in this
resource that are
relevant to your
proposed graduate
scholarship project?

How does this resource
support your proposed
project?

Articles/resources #1-2 in the table need to demonstrate the observation of the problem you identified for which you are designing a
project to address.

1 Kakara et al., (2021).
https://doi.org/10.10

Determines the
burden/patterns of
ED visits associated

Research (JH Level III) Evidences quantifiable
and clinically significant
fall-related healthcare

Supports your problem
statement by documenting
real-world fall burden and

Michelle Murray

NU760

16/j.jsr.2021.08.002
(CDC)

with falls in older
adults and confirms
the seriousness of the
outcomes of falls
which fall prevention
programs are
designed to mitigate.
(CDC).

Epidemiologic
investigation of national
ED visits patterns
(seasonal/location
change).

utilization and variation
by fall location/time-
evidences the necessity
of organized assessment
and prevention as
opposed to sporadic
practices.

helps justify implementing a
standardized program to
reduce fall events and
consequences.

2 Adam et al. (2023).
https://doi.org/10.13
71/journal.pone.0294
017

Evidences
downstream
functional
impairment (ADL
impairment) following
falls, which supports
the importance of
preventing falls in frail
older adults.

Research (JH Level III).

Retrospective
cohort/longitudinal
secondary analysis and
hazard-modelling and
trajectory analysis.

The reason falls during
the previous 6 months
were correlated with
increased risk of ADL
impairment; but a sub-
group experienced long-
term impairment.
Authors come to a
conclusion that older
adults require a holistic
approach to fall risk
evaluation and access to
evidence-based
prevention.

Improves the urgency and
relevance of your project goal
(reduce falls to prevent
injury/functional decline)
directly and aids in the
measurement of outcomes
associated with quality of life.

Articles/resources #3 -6 in the table need to demonstrate support for the intervention you have selected to address the identified
problem.

3 Gillespie et al. (2012).

https://doi.org/10.100
Offers evidence on
high-levels of
effective
interventions (what

Research (JH Level I)

Cochrane systematic
review of RCTs

Balance/strength
exercise program and Tai
Chi decrease falls;
multifactorial can

Directly informs the evidence-
based Directly informs the
evidence-based “menu” for
individualized prevention plans

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

2/14651858.CD00714

6.pub3
works) to provide
program aspects.

(with/without meta-
analysis).

decrease fall rate. Favors
the integration of
interventions as opposed
to the use of one tactic.

in your nurse-led program (e.g.,
balance/strength + tailored
risk-factor actions).

4 Guirguis-Blake et al.
(2024).
https://doi.org/10.10
01/jama.2024.4166

Provides modern
synthesized data of
multifactorial +
exercise
interventions to
prevent using
practice-relevant
prevention
techniques.

Research (JH Level I)

Updated systematic
review (USPSTF evidence
report; RCT-focused).

Multifactorial
interventions significantly
reduced fall incidence
rate; exercise showed
consistent benefit for
falls and injurious falls
across multiple
outcomes.

Justifies your intervention
model (screen -assess –
customize plan) and justifies
the incorporation of structured
exercise as a fundamental part
when possible, in adult day
care.

5 Dykes et al. (2020).
https://doi.org/10.10
01/jamanetworkope
n.2020.25889

Demonstrates real-
world effectiveness of
a nurse-led, tailored
fall-prevention toolkit
linked to patient-
specific risk factors
(high implementation
relevance).

Research (JH Level II)

Nonrandomized
controlled trial (stepped-
wedge / interrupted time
series evaluation).

Implementation had
been linked to a decrease
in falls of approximately
15 percent and a
decrease in injurious falls
of approximately 34
percent; it focuses on
customized plans,
communication tools and
constant monitoring, as
well as unit champions.

Well advocates your model of
nurse-led: risk assessment to
customized plan to consistent
implementation;
training/monitoring, which can
be directly applied to adult day
care workflow.

6 Logan et al. (2021).
https://doi.org/10.11
36/bmj-2021-066991

Gives stringent
support to a
multifactorial fall
prevention program
within care-home
settings, which is

Research (JH Level I)

Multicenter cluster
randomized controlled

Compares a structured
multifactorial program
(Guide to Action for Care
Home) with normal care;
demonstrates that
structured protocols can

Endorses viability and design of
standardized multifactorial
prevention in supervised
environments- handy in your
project in the training of staff,

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

[https://doi.org/10.1002/14651858.CD007146.pub3](https://doi.org/10.1002/14651858.CD007146.pub3)

Michelle Murray

NU760

applicable to
congregate older-
adult settings.

trial with economic
evaluation.

be introduced at multiple
sites with fidelity
concerns.

workflow design, and
monitoring plans.

References

Adam, C. E., Fitzpatrick, A. L., Leary, C. S., Ilango, S. D., Phelan, E. A., & Semmens, E. O. (2024). The impact of falls on activities
of daily living in older adults: A retrospective cohort analysis. PLoS one, 19(1), e0294017.
https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates, D. W. (2020). Evaluation of a patient-
centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open,
3(11), e2025889.
https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395
.pdf

Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L., & Lamb, S. E. (2012). Interventions for
preventing falls in older people living in the community. Cochrane database of systematic reviews, (9).
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full

Guirguis-Blake, J. M., Perdue, L. A., Coppola, E. L., & Bean, S. I. (2024). Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US preventive services task force. Jama, 332(1), 58-69.
https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.4098
6.pdf

[https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable](https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0294017&type=printable)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf](https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2773051/dykes_2020_oi_200851_1605020862.72395.pdf)

[https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full](https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007146.pub3/pdf/full)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

[https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf](https://jamanetwork.com/journals/jama/articlepdf/2819574/jama_guirguisblake_2024_us_240003_1718902289.40986.pdf)

Michelle Murray

NU760

Logan, P. A., Horne, J. C., Gladman, J. R., Gordon, A. L., Sach, T., Clark, A., … & Sims, E. (2021). Multifactorial falls prevention
programme compared with usual care in UK care homes for older people: multicentre cluster randomised controlled
trial with economic evaluation. bmj, 375. https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf

Kakara, R. S., Moreland, B. L., Haddad, Y. K., Shakya, I., & Bergen, G. (2021). Seasonal variation in fall-related emergency
department visits by location of fall–United States, 2015. Journal of safety research, 79, 38-44.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf

[https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf](https://www.bmj.com/content/bmj/375/bmj-2021-066991.full.pdf)

[https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC8640371/pdf/nihms-1751162.pdf)