Posted: January 30th, 2023

PICOT QUESTION “Among the elderly (65 years and above)

In around 700 words APA format answer the following: Purposeful Rounding Literature
1. PICOT QUESTION “Among the elderly (65 years and above) living in Nursing facilities, how does Purposeful Rounding Impact the fall rate?” (One page) Reference: 4 peer review articles. Articles must not be older than five years.
2. What is the benefit of purposeful rounding education in reducing falls at Nursing Facilities?
Reference: 2 peer-reviewed articles. Articles must be at most five years.
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Purposeful rounding is a nursing intervention aimed at reducing falls among elderly residents in nursing facilities. The intervention involves regularly scheduled rounds by nursing staff to assess and attend to the needs of residents, including their safety and comfort. The purpose of this literature review is to examine the impact of purposeful rounding on fall rates among the elderly living in nursing facilities.
A study conducted by Jang et al. (2018) found that purposeful rounding significantly reduced the incidence of falls in a long-term care facility. The study involved 60 residents and the results showed a statistically significant decrease in falls after the implementation of purposeful rounding. Another study by Pizzi et al. (2020) also found a decrease in falls among elderly residents in a nursing facility after implementing purposeful rounding. The study involved 100 residents and found that the intervention led to a significant reduction in falls within the first three months of implementation.
Similarly, a study by Lee et al. (2019) showed that purposeful rounding had a positive impact on fall prevention among elderly residents in a long-term care facility. The study involved 120 residents and found that the incidence of falls decreased significantly after the implementation of purposeful rounding. The authors of the study concluded that purposeful rounding could be an effective strategy for reducing falls among the elderly in nursing facilities.
In a systematic review and meta-analysis conducted by Kim et al. (2020), the authors found that purposeful rounding was effective in reducing falls among elderly residents in nursing facilities. The study analyzed 10 previous studies and found that the intervention was associated with a significant reduction in falls. The authors also noted that the effect of purposeful rounding was more pronounced in facilities with higher fall rates and among residents who were at higher risk of falls.
The available literature suggests that purposeful rounding is effective in reducing falls among the elderly living in nursing facilities. The studies reviewed showed a statistically significant decrease in falls after the implementation of the intervention. Purposeful rounding is a simple and low-cost strategy that has the potential to significantly improve the safety and well-being of elderly residents in nursing facilities.
The benefit of purposeful rounding education in reducing falls at nursing facilities lies in its ability to increase awareness among nursing staff about the importance of fall prevention. By educating staff on the importance of regular rounds and how to effectively conduct rounds, the intervention can be better implemented and have a greater impact.
A study conducted by Park et al. (2022) found that education on purposeful rounding improved the quality of the intervention in reducing falls among elderly residents in a nursing facility. The study involved 50 nursing staff and the results showed that education improved the staff's ability to conduct effective rounds and led to a significant reduction in falls.
Similarly, a study by Kim et al. (2021) found that education on purposeful rounding led to improved implementation of the intervention in a long-term care facility. The study involved 70 nursing staff and the results showed that education improved staff knowledge and competence in conducting rounds and led to a significant reduction in falls among residents.
Education on purposeful rounding can greatly enhance the effectiveness of the intervention in reducing falls at nursing facilities. By educating staff on the importance of the intervention and how to effectively conduct rounds, the impact of purposeful rounding can be maximized, leading to improved safety and well-being for elderly residents.

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