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Related Concept Videos

Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Related Experiment Video

Updated: Jul 24, 2025

A Modified Lean and Release Technique to Emphasize Response Inhibition and Action Selection in Reactive Balance
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A Process Evaluation of a Fall Prevention Intervention Using the RE-AIM Framework.

Emily Somerville1, Yan Yan1, Susan Stark1

  • 1Washington University in St. Louis, MO, USA.

OTJR : Occupation, Participation and Health
|July 4, 2023
PubMed
Summary
This summary is machine-generated.

Home hazard removal programs effectively reduce falls in older adults. The Home Hazard Removal Program (HARP) demonstrated good reach, effectiveness, and long-term use, proving to be a cost-effective intervention.

Keywords:
environmentevidence-based practiceinterventionoccupational therapyolder adults

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Area of Science:

  • Gerontology
  • Public Health
  • Occupational Therapy

Background:

  • Home hazard removal programs are proven effective for reducing falls in older adults.
  • Current delivery of these programs in the United States is limited, indicating a need for wider implementation.

Purpose of the Study:

  • To conduct a process evaluation of the Home Hazard Removal Program (HARP).
  • To assess HARP's outcomes using the RE-AIM framework: reach, effectiveness, adoption, implementation, and maintenance.

Main Methods:

  • Utilized descriptive statistics and frequency distribution to analyze RE-AIM framework outcomes.
  • Employed Pearson correlation coefficients and two-sample t-tests to examine differences between covariates.

Main Results:

  • Achieved 79.1% participation among eligible older adults (reach).
  • Demonstrated a 38% reduction in fall rates (effectiveness).
  • Reported high adherence: 90% of recommended strategies completed (adoption), 99% of intervention elements delivered (implementation), and 91% of strategies maintained at 12 months (maintenance).

Conclusions:

  • The Home Hazard Removal Program (HARP) exhibits strong reach, effectiveness, adherence, implementation, and maintenance.
  • HARP is identified as a low-cost and effective intervention for reducing falls in older adults.