1. Post an explanation of the results of your literature review and the connection to your practice problem. Then, explain your synthesis of evidence on which to base a practice change, and the need for a practice change initiative. Be specific and provide examples.

Read a selection of your colleagues’ posts. 2. Reply to this discussion

To synthesize is to combine independent elements and form a cohesive whole. The literature review should integrate the sources, Identify patterns, and discuss the strengths and weaknesses of sources or the field. Compare and contrast methods, approaches, and findings of authors. Evaluate and interpret what is known in your field and what, if anything, is missing (Walden (n.d.). The literature synthesis is intended to provide a detailed analysis and yield conclusions about the current state of science and the knowledge gaps about the topic of interest (Westlake, 2012).

A literature synthesis may be needed to answer a clinical question for implementation in practice (Westlake, 2012). As a Doctor of Nursing Practice (DNP) provider, it is paramount to understand how to synthesize literature to create evidence-based practices and interventions that aim to promote patient safety and health outcomes. Studies have emphasized the importance of translating evidence into practice, improving safety and quality of patient care. Nurses who are integral point-of-care providers are charged with improving healthcare. Therefore, they should embrace the efforts of generating new evidence and translate it into practice effectively (White et al., 2019).

There is a gap between new developments increasing attention to reducing restraints in hospital settings and a lack of evidence-based practice for using restraints. I conducted a literature review of available data on the beneficial and adverse effects of using restraints in hospital settings. Data search was through a systematic search of the comprehensive index of Nursing and Allied Health Literature (CINAHL) database and a systematic search of PubMed database, Google Scholar, and websites of healthcare organizations by typing keywords from the subject, Boolean operators “AND and “OR” were also used. A literature search was limited to literature published in English publication between 2019 -2023. Ten articles were selected and read for the review. This was achieved by refining the research question to what factors for reducing restraints in the hospital setting