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The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcherdevelops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1.Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

2.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest.

3.The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).The PICOT question will provide a framework for your capstone project.

4.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis.To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse
P (population):  For patients age 65 and older in long-term facility I (intervention): fall preventive measures that will improve the health of older patients C (comparison):  using Vitamin D and use of supportive devices. O (outcome):  number of falls among elderly individuals reduced, improve the quality of health T (time):  within one month. QuantitativeArticles 1. Fall prevention and vitamin D in the elderly: an overview of the key role of the non-bone effects Cedric Annweiler1*, Manuel Montero-Odasso2, Anne M Schott3, Gilles Berrut4, Bruno Fantino1, Olivier Beauchet1 Retrieved from: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=conedsqd8&AN=edsdoj.421e8232c344b3928b94d43598ab01&site=eds-live&scope=site 2. How Fall-Safe is the Housing for the Elderly in Rural Areas? : A Cross Sectional Study using Fall Prevention Screening Checklist Thomas V. Chacko1, Prabha Thangaraj2, Muhammad GM3 Retrieved from: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=127993988&site=eds-live&scope=site 3. The development of a multidisciplinary fall risk evaluation tool for demented nursing home patients in the Netherlands Jacques CL Neyens1,2, Béatrice PJ Dijcks2, Jolanda CM van Haastregt*3,4, Luc P de Witte2, Wim JA van den Heuvel2,5, Harry FJM Crebolder5 and Jos MGA Schols4,5,6 Retrieved from: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.24d7890b34a848168e31874af2327ad5&site=eds-live&scope=site 4. Effects of Potentially Inappropriate Psychoactive Medications on Falls in US Nursing Home Residents^ Analysis of the 2004 National Nursing Home Survey Database Neetu Agashivala and Wenchen K. Wu St John’s University, Queens, New York, USA Retrieved from: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=105327592&site=eds-live&scope=site Qualitative Articles: 1. Institutional actions based on nursing diagnoses for preventing falls in the elderly Rafaela Vivian Valcarenghi1, Silvana Sidney Costa Santos2, Karina Silveira de Almeida Hammerschmidt1, Edison Luiz Devos Barlem2, Giovana Calcagno Gomes2, Bárbara Tarouco da Silva2 Reteives from: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103968179&site=eds-live&scope=site 2. Falls in long-term care institutions for elderly people: protocol validation. Cristina Rosa Soares Lavareda BaixinhoI, Maria dos Anjos Coelho Rodrigues DixeII, Maria Adriana Pereira HenriquesI Retreived from: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124636955&site=eds-live&scope=site 3. Stevens, J. A., & Olson, S. (2000). Reducing falls and resulting hip fractures among older women. Home care provider, 5(4), 134-141.Retrieved from https://www.sciencedirect.com/science/article/pii/S1084628X00778014 4. Hartholt, K. A., van Beeck, E. F., Polinder, S., van der Velde, N., van Lieshout, E. M., Panneman, M. J., … & Patka, P. (2011). Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life. Journal of Trauma and Acute Care Surgery, 71(3), 748-753. Retrieved from https://repub.eur.nl/pub/30927/36_Hartholt%20et%20al_%20J%20Trauma_2011_71(3)_748-53_J%20TraumaAAM.pdf