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    Attached s the rubric. It is to cover a clinical practice guideline that was published in the past five years. The topic that I would like it to be over is patient falls in the hospital. If this is too difficult to do it can be over air pollution instead related to health hazards. Although the article chosen is over a certain topic the aim or the assignment is to identify the rigor of the guideline. Can you please attach a copy of the clinical practice guideline chosen thanks. By the way the text book for the course is   Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice (3rd ed.)


    Analysis and Application of Clinical

    Practice Guidelines & Scoring Rubric


    The purpose of this assignment is to provide an opportunity for students to apply and disseminate information based on practice summaries. The most common type of practice summary in healthcare is the clinical practice guideline (CPG).

    Course Outcomes

    Through this assignment, the student will demonstrate the ability to

    (CO 3) Synthesize for dissemination the research findings from nursing and related disciplines (POs 1, 3, 4, 5, 9); and


    (CO 6) Utilize the principles of evidence-based practice to propose strategies that can address nursing issues (POs 1, 3, 4, 5, 7, 9).


    Due Date: Sunday 11:59 p.m. MT at the end of Week 7  

    Total Points Possible: 200 Points


    Through this assignment, the student will


    Develop summary of a clinical practice guideline. (COs 3, 6)


    Preparing the paper

    You will develop a summary that you could use within an evidence-based practice (EBP) committee or related venue to share with your colleagues.


    • Select (1) one of the following issues:

    (1) One of the issues identified in Week 1 in Ironridge or Summerville,

    (2) An issue pertinent to your practice setting.


    • Search the literature and evidence-based practice websites and databases to find a recent clinical practice guideline (no more than 5 years) related to the issue you select. The course Webliography provides websites where you can find clinical practice guidelines, but there are many others available in specialty-organization websites. A good place to start is guidelines.gov.
    • Analyze and critique the clinical practice guideline. Use the Clinical Practice Guideline Summary Template in Doc Sharing to develop your paper. Components include
      • scope and purpose of the clinical practice guidelines;
      • stakeholder involvement;
      • rigor of development;
      • clarity and presentation
      • applicability
      • editorial independence


    • Attach a .pdf file of the Clinical Practice Guidelines with your handout. If you attach the CPG late, you will receive a late-paper deduction.


    • Note: The template is to assist you in setting up your paper so you will be sure to address those topics in your paper in addition to other information to meet the criteria for this assignment. Your paper should be in APA 6th ed format. Do not copy and paste the template into your paper.


    The summary sheet is amended from the AGREE instrument on page 200 of Melnyk & Fineout-Overholt (2015). Your summary should be approximately 56 pages long.





    Scope and Purpose



    Describes the scope and purpose of the document. Includes the health question(s) covered by the guideline


    Stakeholder Involvement




    Describes the stakeholder involvement in the development of the document. Identifies the target population.


    Rigor of Development



    Critiques the rigor of the development of the document. Describes the systematic methods used to develop the guideline.  Include level of evidence of the studies used to develop the guideline.

    Clarity & presentation (Recommendations)



    Provides the key recommendations of the document. Discusses different options for managing the condition or issue in the guideline.




    Identifies facilitators, barriers, costs, and outcome measurement for application of the document.. Identifies key monitoring and/or auditing criteria (outcomes)

    Editorial Independence



    Discusses conflict of interest and how competing interests of the CPG group members recorded and addressed.




    Summarizes how the CPG answers the key clinical questions presented in the CPG. Discusses how the student, as the advanced practice nurse, would apply the CPG in practice.

    Uses appropriate grammar, syntax, and spelling



    No more than 2 errors in grammar, syntax, or spelling.


    APA 6th Edition



    No more than 2 APA 6th edition errors.


    Attach pdf file of the Clinical Practice Guidelines



    A pdf copy of the Clinical Practice Guidelines submitted.





    A quality assignment will meet or exceed all of the above requirements.


Subject Nursing Pages 9 Style APA


Current Clinical Practice Guidelines on Patient Falls

The scope of this document is rather wide revolves around clinical practice guidelines on patient falls in the modern word. In fact, the document’s purpose involves review and documentation of existing evidence base with regard to interventions to prevent patient falls in hospitals. In addition, the document goes ahead to present an overview of the performance of existing tool with known measurement as well as compiled available resources. As such, the document’s purpose is to provide its readers with proper and working guidelines regarding hospital fall prevention (Hempel et al., 2012). Indeed, the document comes across as a resource guide on the best existing clinical practices on patient fall prevention. This is in recognition to the fact that several resource guides on reduction and prevention of falls in hospital exists, but with varying levels of success. In sum, the document’s purpose is to bridge the divide through systematic review as well as documentation of existing and practical evidence base for fall prevention in hospitals.

            Stakeholder involvement in the document includes RAND (Research and Development), which is a renowned American corporation specializing in research and develops solutions to public policy problems to assist in making global communities safer, healthier, as well as secure. It is a not-for- profit organization meaning that it is nonpartisan and remains committed to the public interest. Nevertheless, the document’s review was carried out by RAND’s Southern California Evidence- based Practice Center (EPC) using their principles to generate a concise as well as structured synopsis of falls prevention tools, interventions, and other resources. The other stakeholder is AHRQ (Agency for Healthcare Research and Quality). As a stakeholder, AHRQ is concerned with producing the document’s findings to make health care safer as well as make it of higher quality (AHRQ, 2016). In addition, this stakeholder works within the American Department of Health and Human Services as well as with various partners to ensure that the evidence is comprehended and applied (Sorra, & Dyer, 2010). Altogether, the interventions, tools, as well as existing resources identified in the documents are meant to be integrated into the AHRQ toolkit regarding fall prevention in hospitals. The target population is without a doubt practitioners and clinicians in United States environment. Notably, the term practitioner is rather broad and may include nurses and doctors. This target population is mostly concerned with patient care in hospital care, and the document seeks to provide them with a large number of intervention evaluations out of which they can base their decisions. In fact, this target population is expected to adopt the document as their blueprint on matters concerning fall prevention in hospitals.

            The development of this document is quite rigorous as evidenced through the considerable research put into it. In fact, the development of the document sees the research efforts refer to evidence from existing studies on fall prevention identifying intervention components used around the world and corresponding outcomes. Doing so requires considerable effort on researcher’s part and, in all likelihood, leads to the development of a detailed document that the target population can adopt. The document’s purpose is to review existing evidence on fall prevention and document it, and thus does a plausible job by presenting evidence-based information on studies around the world including reported outcomes. This is vital to the development of the document simply because it makes it increasingly believable and practitioners can read what intervention components were used and corresponding outcomes. Indeed, some of the systematic techniques used in developing the guideline include identifying reviews describing hospital pertinent interventions through searching DARE (Database of Abstracts of Reviews of Effects), Cochrane Database of Systematic Reviews, and pubmed utilizing a systematic review filter as well as personal files. What is more, existing falls prevention toolkits as well as guidelines were screened. This led to the identification of primary studies reinforced via searching databases as well as the Web of Science for recent publications that are yet to be captured through current comprehensive hospital fall prevention guidelines or reviews. However, the outlined search strategy is not necessarily restricted to a set of known interventions (Boltz et al, 2012). As such, it is kept broad so as to allow identification of diverse approaches.

            Recommendations in the document include the need for practitioners to evaluate carefully if interventions are applicable in the United States setting. The manner in which the document is development means that information presented is broad and does not specifically mean that it is applicable for all hospital environments. In fact, each country has its own regulations and interventions components often abide to such regulations. Nevertheless, only about 11 control studies in the document evaluated fall prevention interventions in the United States setting with the rest coming from the international arena. For this reason, it is recommended that practitioners evaluate carefully if shown interventions fit the United States setting. In fact, practitioners ought to be aware that variations exist across the spectrum as some studies presented in the document utilized fall risk evaluation scales to select patients and assigned only high-risk patients to the intervention as well as the control group. Nonetheless, in clinical practice individual hospitals will need to address the issue by balancing the desire to implement fall prevention strategies with the imperative need to conserve resource. It is recommended that practitioners carefully evaluate which intervention components presented in the document are appropriate as well as likely to be cost-effective for individual or local situation. As well, practitioners are advised that selected approaches may be required to vary across hospital wards. Altogether, recommendations are clearly presented revealing information that though the document is to serve as the blueprint for practitioners on fall prevention matters, caution ought to be exercised. In fact, the recommendations signify that the document must not be taken to fit all hospital setting and the need to localize fall prevention components in hospitals is paramount.

            As far as application is concerned, the document cites the multi-component as well as context-specific nature of identified interventions as a barrier. In fact, it is challenging to recommend specific intervention (s) or to establish the components that must be present for intervention components to be deemed successful. It follows that the outcomes associated with information on the guideline cannot always be guaranteed. In addition, cost emerges as a hindrance because of the pertinent need to balance resources and meet corporate or commercial success (Schoene et al, 2013). Monitoring criteria largely involves reduction in the number of patient falls in hospital settings, which again signifies that the intervention components presented, need to be localized to fit the setting if the numbers are to be kept at a minimum. Often, the outcome is that no intervention component lead to complete elimination of patient falls.

            Editorial independence in the document is evidenced through the inclusion of nonpartisan stakeholders such as RAND. In fact, this organization minimizes the risk of conflict of interest because it translates to presentation of non-biased information as far as research process is concerned. In fact, the nonpartisan stakeholders mean that information is not cooked up via use of selective studies as information sources. More so, the involvement of nonpartisan bodies in the development of the document means that it is likely free from influence from such groups as government, who mostly seek to determine study outcomes during funding (Fabre et al, 2010).

            The document identifies a number of intervention evaluations, current tools with known measurement characteristics, as well as published resources. The aim is to present practitioners with an exhaustive list of clinical practices on fall prevention around the world. Indeed, caution is recommended as practitioners need to ensure that adopted intervention component fits the specific hospital setting. In essence, fall prevention in hospital setting ought to consider specific dynamics that practitioners may identify through proper screening of individual patient. This means that clinical practice guidelines need to be viewed as structure through which practitioners work. Thus, the student will apply the clinical practice guidelines in practice by screening a patient and adopting the listed guidelines to fit the specific case. For instance, hospital and local government regulations regarding proper care must be observed including use of proper or recommended restraints. In sum, the various considerations must be made to ensure that the issue of patient falls is dealt with wholly.


AHRQ. (2016). About AHRQ. Retrieved from http://www.ahrq.gov/cpi/about/index.html

Boltz, M et al. (2012). Evidence-based geriatric nursing protocols for best practice. USA: Springer.

Fabre, J. M., Ellis, R., Kosma, M., & Wood, R. H. (2010). Falls risk factors and a compendium of falls risk screening instruments. Journal of geriatric physical therapy33(4), 184-197.

Gillespie LD, Robertson MC, Gillespie WJ, et al. (2009). Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev., 15;(2):CD007146

Hempel, S., Newberry, S., Wang, Z., Shekelle, P. G., Shanman, R. M., Johnsen, B., … & Ganz, D. A. (2012). Review of the evidence on falls prevention in hospitals. Retrieved from https://www.rand.org/content/dam/rand/pubs/working_papers/2012/RAND_WR907.pdf

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice (3rd ed.). USA: Lippincott Williams & Wilkins Publishing.    

Schoene, D., Wu, S. M. S., Mikolaizak, A. S., Menant, J. C., Smith, S. T., Delbaere, K., & Lord, S. R. (2013). Discriminative Ability and Predictive Validity of the Timed Up and Go Test in Identifying Older People Who Fall: Systematic Review and Meta‐Analysis. Journal of the American Geriatrics Society61(2), 202-208. 

Sorra, J. S., & Dyer, N. (2010). Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Services Research10(1), 1.




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