Problem:
Locate evidence from appropriate evidence-based resources Recommend evidence-based resources to support clinical decision making You are a part of an inter-professional team working on an evidence-based practice project to look at falls in patients with dementia in the long-term care setting. The team was brought together in response to a noted increase in the incidence of falls in residents with dementia over the past three months. One of the recent changes prior to the increase in falls was a mandate to no longer use physical restraints on residents. In speaking with several staff members, they feel the use of restraints is a must, and they do not have time to keep up with using the restraint alternatives that have been suggested. They also feel they do not have enough time to continuously check on residents. This has caused major issues of concern and has compromised the quality and safety of the residents. As the team comes together to meet, one of the first items that is discussed is the clinical question. The team uses the PICO question format to develop the following question: In patients with a diagnosis of dementia in the long-term care setting (P), how does the use of a comprehensive falls assessment prevention plan that includes restraint alternatives (I) compare with the use of a fall prevention protocol that includes the use of restraints (C) affect the number of falls that occur (O)? address the following questions: Determine the best resources to use when conducting a search for evidence regarding this issue. Consider these questions: What databases would be most appropriate? Where would you locate clinical practice guidelines that could be utilized in the EBP process for this issue? Conduct a search using the resources that you identified above. What were the key terms that you used? From your search, identify at least three resources that you would consider using in an EBP project, such as the one described in the case scenario. If possible, suggest resources that meet the highest level (Level I) of evidence. Why would these sources be most appropriate in determining best practices and support clinical decision making for this issue? Cite all sources and references please