Identifying the Article’s level of evidence using the (JHNEBP) model. The article is a cross-sectional study, suggesting it is a Level III type of evidence.
The researchers conducted a non-experimental research study without using an intervention. The researchers’ aimed to evaluate patient sitters’ readiness to prevent falls in hospital wards.
Summarizing How the article Analyzed Data
de Jong et al.(2020) summarized closed-ended items quantitative data using descriptive statistics. The researchers also copied verbatim responses to open-ended questions into an excel spreadsheet. de Jong et al.(2020) used a deductive approach to perform a content analysis of the collected data. The researchers also utilized the explanatory matrix to conceptualize fall mechanisms. de Jong et al.(2020) tested the matrix designed based on previous research and the COM-B behavior change model. The matrix highlighted a framework that conceptualized falls prevalence in hospital settings. The framework also highlighted that effective interaction between the environment, staff actions, and patient actions are crucial to reducing a patient’s risk of falling. .
de Jong et al.(2020) used two independent researchers to review the collected data repeatedly. The independent researchers separated the study subjects’ verbatim responses into personalized response items. The researchers then used the matrix to code the items, which were grouped into generic categories. The generic categories were further grouped into subcategories with each category accommodating similar items. The researchers then compared coding, discussed and resolved any differences. The generic categories derived from the quantitative data were capability (knowledge and awareness), motivation (motivation and confidence to prevent falls and willingness to undergo training), and opportunity (enablers and barriers). The researchers used method triangulation to enhance the credibility of their findings. The researchers sent the matrices to a third researcher to review. All researchers agreed on the resulting matrices and main categorization.
Summary of the ethical consideration(s) of the research-based article
The Quality Improvement Project approved the study. All the hospitals participating in the research granted the quality improvement approvals. The study subjects obtained a verbal and written explanation of the research objectives and methods. They were also assured of the survey’s anonymity. The participants were allowed to ask questions about the research before deciding whether to or not to engage in the study. The study subjects were given consent verbally and in written form. Subjects who gave their consent initiated and completed the paper survey
Identifying the Article’s quality rating based on JHNEBP model
The article’s quality is high because the results are generalizable and consistent. Also, the conclusions are definitive, and the recommendations are based on scientific evidence. For instance, de Jong et al. (2020) note that practical training and education focusing on patient’s risky behaviors can boost patient sitters’ readiness to help in fall prevention in wards. The training and education will strengthen cooperation and communication between nursing staff and patient sitters in preventing falls among hospitalized patients. These findings are generalizable to any healthcare setting because they underscore the importance of engaging patient sitters’ in fall prevention programs. However, they should be trained and educated on the risk factors for falls and strategies to prevent falls, and make their involvement effective.