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I only have a some what of a PICO question, please free to adjust or fix it as you see fit.

PICO question: In patients 65 and older how does the use of independent personal assistive (canes, walkers ect) devices affect reduction in fall rate on a medical surgical unit within their admission time.
The purpose of this assignment is to help you learn about evidence-based practice (and to have some fun while doing this) by applying what you learn in assigned readings and through independent literature searches to a hypothetical situation. 

Your paper should include the following sections:

1) Abstract (20)

2) Background and Significance (27)

3) PICO/PICo Question (27)

4) Purpose/Aim (27)

5) Methodology (27)

6) Results (27)

7) Discussion (27)

8) Conclusion (27)

Note: The clinical practice you recommend should be an autonomous (or relatively autonomous) nursing action (e.g., an assessment or an intervention). This does not include delegated interventions such as administering medication or a provider’s decision such as giving a medicine versus counseling. i.e. Collaborating with physicians to initiate physician orders such as removal of a urinary catheter.

1) Adhere to strict APA guidelines (20pts, more than 5 errors 0 pts)
2) This paper should be 10-15 pages long (Not including Title Page, Abstract, Reference Page(s). and must be an explanation and synthesis of the literature.  (10pts)

3) This Paper must have at least 5 references.  (10pts)

Before final Submission of your paper 2 of your peers must review it.  A copy of your peers comments must accompany the final submission.

The rubric in effect will be the Practice Guideline Rubric with the points adjusted to 210 for level 5 then – 12.5pts for each level down with a 0 being awarded for level 0.

NUR 447 Practice Guidelines
NUR 447 Practice Guidelines
Criteria    Ratings    Pts
This criterion is linked to a Learning OutcomePractice Guidelines
50 pts
Level 4
Summary of guidelines is complete and thorough.
37.5 pts
Level 3
Summary of guidelines is complete with minimal detail or clarity missing.
25 pts
Level 2
Summary of guidelines is lacking some detail or clarity on needed change/improvement
12.5 pts
Level 1
Summary of guidelines is lacking significant detail or clarity on change/improvement
0 pts
Level 0
Summary of guidelines is wholly incomplete or absent
50 pts
This criterion is linked to a Learning OutcomeRationale
50 pts
Level 4
Rationale is thorough with evidence-based references in expert detail.
37.5 pts
Level 3
Rationale has evidenced-based references with minimal detail absent
25 pts
Level 2
Rationale has some evidenced-based references with moderate detail absent.
12.5 pts
Level 1
Rationale has few evidenced-based references. Significant detail or clarity is missing.
0 pts
Level 0
Rationale is wholly incomplete or does not have any evidenced-based references
50 pts
Total Points: 100