NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal

Grand Canyon University NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal– Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University  NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal                            

Whether one passes or fails an academic assignment such as the Grand Canyon University  NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal   depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal                            

The introduction for the Grand Canyon University  NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal   is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal                            

After the introduction, move into the main part of the NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal   assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal                            

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal

Evidence-based practice in nursing is important for the provision of care that optimizes outcomes. Nurses utilize their experiences in the care process and leadership to identify issues that can be addressed and improved with evidence-based interventions. Organizations strive to create environments that support the use of best practices to enhance safety, quality, and efficiency outcomes. Health problems such as catheter-associated urinary tract infections (CAUTIs) have considerable impacts on the patient’s health, health systems, and nursing care. Specific populations such as those with chronic conditions admitted in long-term care facilities have an increased risk of developing CAUTIs. Nurses should explore and adopt best practices to prevent CAUTIs among this population. Therefore, the purpose of this paper is to review the literature on the use of best practices, including CAUTIs bundles for CAUTIs prevention and rates in long-term care settings.

PICOT Question

In the dilapidated patients admitted to long-term care units and using indwelling catheters, how does the use of CAUTI bundles compared to securing and positioning of catheters affect CAUTI rates within eight weeks?

Quantitative Studies: Methods

Two quantitative studies were used in this literature review. They include the studies by Decker et al. (2021) and Shadle et al. (2021). The study by Shadle et al. (2021) investigated the effectiveness of a bundle-based approach in preventing CAUTIs in the intensive care unit. The increase in the number of CAUTIs above the benchmark data informed this study. Accordingly, the institution reported 13 CAUTIs against the hospital benchmark of 4 or fewer CAUTIs annually. The project targeted a 30% reduction in CAUTIs, a 20% reduction in urinary catheter days, and a 75% compliance rating in catheter-related documentation in the intensive care unit.

The methods used in the research by Shadle et al. (2021) were appropriate. The researchers adopted a pre-post design over 2 consecutive 4-month periods. The intervention targeted critically ill patients aged 18 years and above and admitted to the intensive care unit and catheterized. The bundle interventions included staff education, nurse-driven removal protocol for indwelling urinary catheters, and an electronic daily checklist. The obtained data was analyzed using mixed statistics such as Fisher exact tests and independent sample t-tests. The use of methods such as a pre-post design is appropriate for the project aim because it shows the impact of the bundle interventions on the rate. The selected bundled interventions also support the use of best practices to address CAUTIs.

The other quantitative study selected for the literature review is the research by Decker et al. (2021). Decker et al. (2021) investigated the effect of bundle interventions on CAUTIs in critical care units. Decker et al. (2021) study was conducted in Boston Medical Center to decrease CAUTI rates in the intensive care units using five bundles. The bundles included new processes for catheter insertion and maintenance, indications for catheter insertion, appropriate testing for CAUTIs, alternatives to indwelling devices, and sterilization techniques. Unit nursing supervisors performed daily rounds to determine appropriate catheter use in the unit. The interventions by Decker et al. (2021) are appropriate since they demonstrate the effectiveness of nurse-led bundle interventions in addressing CAUTIs.

Qualitative Studies: Methods

Qualitative studies by Quinn et al. (2020) and Parker et al. (2020) were included in the literature review. The study by Quinn et al. (2020) explored persistent barriers to detecting and removing unnecessary catheters in healthcare settings. The authors adopted a multimethod qualitative study design that included in-person interviews and observations of clinicians working in a large hospital. The observations entailed shadowing nurses during shift changes and when admitting patients and observing doctors during morning rounds. Unstructured field notes were used to gather observational data. Semistructured interviews were conducted, audiotaped, and transcribed. Qualitative content analysis was used to identify the main themes. The methods used in this study were appropriate for the project’s aim. For example, the use of multimethod qualitative approaches enriched the data obtained on the barriers to detecting and removing unnecessary catheters. Unstructured field notes and semistructured interviews ensure the relevance and accuracy of the obtained data.

The study by Parker et al. (2020) provided insights into clinicians’ experiences in implementing multifaceted bundled urinary catheter care interventions in four acute care hospitals in New South Wales, Australia. The researchers adopted a pre and post-intervention study design to implement the catheter care bundle. The intervention was implemented in all adult inpatient wards, operating theatres, inpatient wards, and emergency departments in the four hospitals. The bundle interventions focused on improving clinician’s decision-making on catheter insertion, care, and removal practices. Focus groups were conducted in the four hospitals to understand the implementation process from the clinicians’ perspective, and identify barriers and enablers to successful implementation. The adopted interventions in this study answer the project focus. For example, the use of bundle interventions provides insights into the effectiveness of the proposed project change.

Summary of Findings

The study by Parker et al. (2020) found that the main complexity and challenges associated with the implementation of bundle intervention could be understood from varied themes. They included early and sustained engagement with key stakeholders, good planning but remaining flexible, managing the burden of practice change, and adopting and sustaining practice change. The study by Quinn et al. (2020) found themes that relate to barriers to detecting and removing unnecessary catheters. They include catheters being hard to find, not accurate, or not available, catheter removal is not a priority, confusion about who has the authority to remove catheters, and lack of agreement on and awareness of standard protocols and indications for removal and communication barriers.

The study by Shadle et al. (2021) found that the implementation of the bundle interventions led to no CAUTIs during the intervention period and reduced the rate by 1.33 per 1000 catheter days. There was also a statistically insignificant increase in catheter days by 10.5%. Documentation compliance increased significantly from 50.0% before to 83.3% during the intervention. The study by Decker et al. (2021) found that bundle interventions reduced CAUTIs from 53 in 2013 to 9 in 2017 and a 33.8% reduction in the utilization of indwelling catheters. CAUTIs awareness education, insertion, and removal protocols, and implementation of PureWick female incontinence devices had significant and clear effects on reducing CAUTIs rates.

Anticipated Outcomes for PICOT Question

The PICOT question is associated with some anticipated outcomes. Firstly, the use of bundle interventions is expected to reduce CAUTI rates in long-term care facilities. Evidence obtained from the included studies demonstrates a decrease in CAUTI rate with the use of bundle interventions (Quinn et al., 2020; Shadle et al., 2021). The other anticipated outcome is the increase in the provider’s knowledge about indications, contraindications of indwelling catheters, and indwelling urinary catheter care. Bundle interventions such as education and training increase the provider’s knowledge about the safe use of indwelling urinary catheters. The third anticipated outcome is the reduction in hospital stay and hospitalization costs for patients with indwelling urinary catheters. CAUTIs increase the length of hospital stay and costs incurred in treating hospitalized patients (Ling et al., 2022; Smith et al., 2019). The proposed bundle interventions will reduce and prevent CAUTIs, hence, efficiency in long-term facilities.

Comparison of Outcomes of the Selected Studies to the Anticipated PICOT Outcome

The outcomes of the selected studies align with the anticipated PICOT outcomes. For example, Shadle et al. (2021) found that bundle interventions eliminated CAUTIs, which support the PICOT outcomes. Similarly, Decker et al. (2021) revealed that bundle interventions reduce CAUTIs and increase healthcare provider’s knowledge of the appropriate use of indwelling urinary catheters. Parker et al., (2020) and Quinn et al. (2020) provide insights into the potential barriers that might be experienced when implementing the proposed bundle interventions. Therefore, the outcomes of the selected studies align with those of the PICOT statement.

The Link between the PICOT Question, Research Articles, and Identified Nursing Problem

The identified nursing problem is CAUTI. The existing evidence shows the increased risk of CAUTIs among hospitalized patients with indwelling catheters. CAUTIs have adverse outcomes such as prolonging the length of hospital stay, increasing care costs, predisposing patients to other complications, and premature deaths (Carter et al., 2016; Shadle et al., 2021; Smith et al., 2019). Nurses should adopt best practices to prevent and reduce CAUTIs. The selected research articles provide insights into the effectiveness of bundle interventions in preventing and reducing CAUTIs. They also inform about the barriers that might be encountered in implementing the proposed change in the project. The PICOT question seeks to determine the effectiveness of bundle interventions in reducing and preventing CAUTIs. Therefore, the PICOT question, research articles, and the identified nursing problem are interrelated.

Proposed Evidence-Based Practice Change

The proposed evidence-based practice change based on the reviewed evidence is the implementation of bundle interventions to prevent and reduce CAUTIs in long-term care facility. The bundle interventions include educating nurses on indications, contraindications, evaluation, care, and removal of urinary catheters, the introduction of a daily checklist for indwelling urinary catheters, and nurse-driven protocol for catheter removal. The practice change will address CAUTIs by strengthening the consistent use of best practices in catheter insertion, care, and removal. Staff training will equip them with the required competencies in assessing the need, caring for, and removing indwelling urinary catheters. The proposed change is evidence-based as seen from the evidence from the included studies in this review.

Conclusion

In summary, the reviewed articles support the use of bundle interventions to address CAUTIs in long-term care facilities. Bundle interventions reduce and prevent CAUTIs. The anticipated PICOT outcomes for the project include reduction and prevention of CAUTIs, increase in provider’s knowledge about CAUTIs prevention and reduction, and reduction in the length of hospital stay and costs for patients with indwelling urinary catheters. Therefore, the evidence informs the proposed change, which entails the use of bundle interventions in the project.

References

Carter, E. J., Pallin, D. J., Mandel, L., Sinnette, C., & Schuur, J. D. (2016). A Qualitative Study of Factors Facilitating Clinical Nurse Engagement in Emergency Department Catheter-Associated Urinary Tract Infection Prevention. The Journal of Nursing Administration, 46(10), 495–500.

Decker, S. G. V., Bosch, N., & Murphy, J. (2021). Catheter-associated urinary tract infection reduction in critical care units: A bundled care model. BMJ Open Quality, 10(4), e001534. https://doi.org/10.1136/bmjoq-2021-001534

Ling, R., Giles, M., & Searles, A. (2022). Budget impact analysis of a multifaceted nurse-led intervention to reduce indwelling urinary catheter use in New South Wales Hospitals. BMC Health Services Research, 22(1), 1000. https://doi.org/10.1186/s12913-022-08313-7

Parker, V., Giles, M., King, J., & Bantawa, K. (2020). Barriers and facilitators to implementation of a multifaceted nurse-led intervention in acute care hospitals aimed at reducing indwelling urinary catheter use: A qualitative study. Journal of Clinical Nursing, 29(15–16), 3042–3053. https://doi.org/10.1111/jocn.15337

Quinn, M., Ameling, J. M., Forman, J., Krein, S. L., Manojlovich, M., Fowler, K. E., King, E. A., & Meddings, J. (2020). Persistent Barriers to Timely Catheter Removal Identified from Clinical Observations and Interviews. Joint Commission Journal on Quality and Patient Safety, 46(2), 99–108. https://doi.org/10.1016/j.jcjq.2019.10.004

Shadle, H. N., Sabol, V., Smith, A., Stafford, H., Thompson, J. A., & Bowers, M. (2021). A Bundle-Based Approach to Prevent Catheter-Associated Urinary Tract Infections in the Intensive Care Unit. Critical Care Nurse, 41(2), 62–71. https://doi.org/10.4037/ccn2021934

Smith, D. R. M., Pouwels, K. B., Hopkins, S., Naylor, N. R., Smieszek, T., & Robotham, J. V. (2019). Epidemiology and health-economic burden of urinary-catheter-associated infection in English NHS hospitals: A probabilistic modelling study. Journal of Hospital Infection, 103(1), 44–54. https://doi.org/10.1016/j.jhin.2019.04.010

Sample Answer 2 for NRS 445 Rough Draft – Research Critiques and Evidence-Based Practice Proposal

Diabetes Mellitus is a persistent metabolic condition marked by high blood glucose levels and a lack of insulin production. The majority of individuals diagnosed with DM, namely over 90%, have type 2 diabetes (Taylor et al., 2024). Unfortunately, complications in these individuals might lead to a decrease in life expectancy. Complications such as retinopathy and polyneuropathy may result in visual impairment and reduced quality of life. Diabetic neuropathy is a significant risk factor for falls in older persons, with a prevalence rate of up to 40%. Effective risk factor management is essential since falls are a primary contributor to both fatal and non-fatal injuries in those aged 65 and above (Halén et al., 2021). Nevertheless, there is a dearth of research examining the variables linked to falls in older persons with diabetes mellitus and diabetic peripheral neuropathy. This paper aims to consolidate a review of existing research and derive conclusions to suggest a practice change based on evidence to address falls in older individuals with type 2 diabetes.

PICOT Question

In older adults with type 2 diabetes (P), how does integrated (resistance, strength, and balance) weekly training (I) compared to no physical exercises (C) affect the incidence of falls (O) within 10 weeks (T)?

Method of Studies

The research conducted by Cederbom et al. (2020) sought to examine the viewpoints of physical therapists about the efficacy of the Outpatient Rehabilitation Program in clinical settings for older individuals who live at home and need official home care. The study conducted semi-structured interviews with 17 physical therapists and used qualitative theme analysis for data processing. On the other hand, the research conducted by Pettersson et al. (2021) examined self-determination in older individuals living in the community. They used a self-managed digital fall prevention exercise called the Safe Step program. The research design included a qualitative approach, including open-ended questionnaires and individual and focus group interviews. The program, collaboratively designed with users, underwent four months of use, including 25 participants in a feasibility study. The program was accessible on PCs, cellphones, and tablets and had complete self-management capabilities.

Additionally, the research conducted by Dierick et al. (2022) was a pilot quasi-experimental study that intended to assess the practicality and possible advantages of an intervention using voluntary non-targeted side-stepping exercises in nursing home patients with a high frequency of falling. The trial had 22 individuals, who were randomized at random to either the STEP intervention group or the normal physiotherapy treatment group. Finally, the research conducted by Rikkonen et al. (2023) sought to ascertain if a year-long enrollment in a city’s recreational sports facilities, including a regularly supervised gym and Tai Chi classes, leads to decreased falls and associated injuries. The research included 914 women between the ages of 76.5 and 84.8, randomly assigned to either the exercise intervention or the control group. The intention-to-treat study documented a total of 1,380 instances of falls, of which 92.8% were confirmed by telephone verification.

Results of Studies/Key Findings

In the study conducted by Cederbom et al. (2020), it was discovered that the Outcome-Based Program positively impacted clinical practice. The program enhanced physical function, mood, self-efficacy, and social participation in older adults, as reported by physical therapists. Consequently, in the study conducted by Pettersson et al. (2021), it was discovered that support for autonomy, competence, and relatedness influenced motivation and behavior change techniques. Autonomy was highly regarded, contingent upon the participants’ competence level and technology utilization. The clarity of the program and the availability of exercise videos were crucial for providing effective performance support.

Furthermore, in the study conducted by Dierick et al. (2022), it was discovered that the STEP group exhibited noteworthy enhancements in various measures, including the Timed Up and Go, 6-minute walking test, Berg Balance Scale, and Mini motor test, after eight weeks in comparison to their initial baseline. Nevertheless, during the follow-up period, there was a notable decline in the Tinetti Performance Oriented Mobility Assessment and Berg Balance Scale scores in the STEP group, while no significant differences were found at the corresponding time intervals. Finally, in the study conducted by Rikkonen et al. (2023), it was discovered that the exercise group experienced a significant decrease in fall rates, with a reduction of 14.3% compared to the control group. Approximately 50% of the falls resulted in injuries of a moderate or severe nature. The exercise group experienced a significant decrease in fracture rates, particularly in falls, resulting in severe injury and pain.

Outcomes Comparison

My PICOT question examines the impact of weekly integrated training (resistance, strength, and balance) on the incidence of falls, compared to a lack of physical exercise. Regular physical activity has been shown to enhance overall health and lower the likelihood of developing conditions such as type 2 diabetes, osteoporosis, cardiovascular disease, and certain forms of cancer (Taylor et al., 2024). Therefore, ensuring that strength and balance training for older adults is progressively challenging and personalized to their functional ability is crucial. Additionally, it is important to provide adequate training to achieve the desired results. To prevent falls, engaging in exercise programs that offer a significant challenge to balance, have a substantial dose, involve a gradual increase in intensity over time, and are continuous is crucial.

The four articles I reviewed support my expected result that exercise programs effectively decrease the risks and prevent falls in older adults, even those with various health conditions such as type 2 diabetes. For instance, in the study by Cederbom et al. (2020), it was discovered that the OEP has proven advantageous in primary care settings, effectively enabling older adults to maintain their independence and reside in their homes for longer. Pettersson et al. (2021) also introduced the Safe Step program, which aims to facilitate exercise routines while addressing fundamental psychological needs. The study conducted by Dierick et al. (2022) also demonstrated that the intervention significantly improved mobility and balance over eight weeks. However, further research involving larger sample sizes and randomized control trials must validate these findings. Finally, a study conducted by Rikkonen et al. (2023) discovered a community-based approach to effectively decrease falls, fractures, and fall-related injuries among aging women.

Proposed Evidence-Based Practice Change

All the research I reviewed to answer my PICOT inquiry emphasized that Exercise is a very effective intervention for preventing falls in older individuals. One well-recognized example of such exercise is the Otago Exercise Program (Cederbom et al., 2020). Nevertheless, there is a shortage of user-centric understanding of its practicality in real-life scenarios. Several behavior modification approaches have been recommended to enhance adherence. However, there is a lack of uniformity in how they are reported. A taxonomy has been devised to enhance uniformity in research, including behavior modification strategies. An exercise program called side-stepping has been evaluated in community-dwelling persons in their seventies, but its effectiveness has not been assessed in nursing home patients. Public exercise programs can potentially reduce falls and injuries, while the availability of pragmatic studies is restricted.

Based on the study’s results, I suggest implementing physical exercise as an evidence-based practice change. This is because physical activity is essential for promoting health and well-being, lowering the likelihood of developing diseases, and managing chronic disorders such as arthritis, diabetes, heart problems, and respiratory difficulties. The American Council on Social Medicine and the American Heart Association advise that older individuals should engage in aerobic exercise of moderate or high intensity, do 8-10 strength-training exercises, practice balancing exercises, and follow a physical activity plan (Zhang et al., 2021). Balance training is crucial for preventing falls since muscular strength decreases progressively beyond age 40, and weakened lower limb muscles increase the chance of falling. Effective fall prevention programs prioritize the development of muscular strength in the lower limbs and the ankles and feet.

To evaluate the result of the suggested alteration, we will use incident reports to monitor the frequency of falls and gather data about falls. These reports document the incident and details of a fall, including the loss of balance leading to either falling on the floor or colliding with an object. The factors contributing to falls include the time of day, the location, the activity being performed, orthostasis, and incontinence (Sherrington et al., 2019). Examining this data enables physicians, administrators, and risk managers to determine fall risk levels, specific variables, and general trends. It is essential to standardize the rates at which falls occur and the severity of resulting injuries to monitor fall prevention programs in particular clinical contexts effectively. Systematic data analysis will enable nurses to evaluate assumptions and enhance patient safety.

Conclusion

The impact of falls on older individuals is substantial, placing a heavy burden on healthcare providers, systems, and the community. Exercise plays a vital role in preserving balance and mobility and preventing falls as individuals age. Individuals who engage in regular physical activity are less likely to experience falls. However, to effectively prevent falls, engaging in targeted exercises that challenge balance for extended periods is necessary. This focused strategy helps decrease fall-related injuries and the overall burden on public health.

References

Cederbom, S., Bjerk, M., & Bergland, A. (2022). A qualitative study exploring physical therapists’ views on the Otago Exercise Program for fall prevention: a stepping stone to “age in place” and to give faith in the future. Physiotherapy Theory and Practice, 38(1), 132-140. https://doi.org/10.1080/09593985.2020.1731895

Dierick, F., Bouché, A. F., Guérin, S., Steinmetz, J. P., Federspiel, C., Barvaux, V., & Buisseret, F. (2022). Quasi-experimental pilot study to improve mobility and balance in recurrently falling nursing home residents by voluntary non-targeted side-stepping exercise intervention. BMC Geriatrics, 22(1), 1006. https://doi.org/10.1186/s12877-022-03696-y

Halén, C., Gripenberg, S., Roaldsen, K. S., Dohrn, I. M., & Halvarsson, A. (2022). “A manageable and challenging fall prevention intervention with impact on society”-older women’s perspectives on participation in the Stay Balanced training program. Physiotherapy Theory and Practice, 38(13), 2806-2816. https://doi.org/10.1080/09593985.2021.1972498

Pettersson, B., Janols, R., Wiklund, M., Lundin-Olsson, L., & Sandlund, M. (2021). Older Adults’ experiences of behavior change support in a digital fall Prevention Exercise Program: Qualitative study framed by the Self-determination Theory. JMIR. Journal of Medical Internet Research/Journal of Medical Internet Research, 23(7), e26235. https://doi.org/10.2196/26235

Rikkonen, T., Sund, R., Koivumaa-Honkanen, H., Sirola, J., Honkanen, R., & Kröger, H. (2023). Effectiveness of exercise on fall prevention in community-dwelling older adults: a 2-year randomized controlled study of 914 women. Age and Ageing, 52(4), afad059. https://doi.org/10.1093/ageing/afad059

Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., Hopewell, S., & Lamb, S. E. (2019). Exercise for preventing falls in older people living in the community. Cochrane Library, 2019(1). https://doi.org/10.1002/14651858.cd012424.pub2

Taylor, L. M., Parsons, J., Moyes, S. A., Binns, E., Cavadino, A., Taylor, D., Lord, S., Del Din, S., Klenk, J., Rochester, L., & Kerse, N. (2024). Effects of an exercise program to reduce falls in older people living in Long-Term care: a randomized controlled trial. Journal of the American Medical Directors Association, 25(2), 201-208.e6. https://doi.org/10.1016/j.jamda.2023.10.022

Zhang, Q., Liu, Y., Li, D., Jia, Y., Zhang, W., Chen, B., & Wan, Z. (2021). Exercise intervention for the risk of falls in older adults. Medicine, 100(5), e24548. https://doi.org/10.1097/md.0000000000024548