Research based article - annotated bibliography, how to organize it

Hi,
I really could use some help organizing the bib and as per usual with the grammer please. I reaaly don't like this writing I've done I just need to know it flows!
thanks

Moore, K., & Haralambous, B. (2007). Barriers to reducing the use of restraints in residential elder care facilities. Journal of Advanced Nursing, 58(6), 532-540.

This research based article is a study to compare perspectives about barriers to reducing restraints. The study looks at barriers reported by staff, residents and family members of three different residential elder care facilities. One on One interviews were conducted with twelve residents, seventeen family members, and eighteen staff members including eight nurses, six personal care assistants, an activities co-coordinator, two general practitioners and a pharmacist. The intended audience of the study is anyone working or planning on working in the geriatric community. The study indicated that although participating facilities wanted to reduce the use of restraints, they were still being in all three facilities. Barriers included fear of resident injury, staff and resource limitations, lack of education and information about alternatives to restraints, environmental constraints, policy and management issues, beliefs and expectations, inadequate review practices and communication barriers. Staff reported more barriers that residents or family members. Family members put a lot of trust in staff to use restraints appropriately not realizing that staff was also lacking information. The study concludes that education and support for staff and family members was needed in order to provide minimal restraint use.
[indent][/indent]This article outlined researched based evidence justifying the need to reduce restraints, then providing barriers to reducing restraints this helped me understand why nurses are using restraints although the evidence proves contrary. It let me analyze if nursing is an evidence based practice then why nurses practice conflicting care, it gave me a different perspective on why nurses not so much ignore the evidence but rather have limitations that further prevent them from putting this evidence into practice. It influenced my practice as a nurse that now I know what barriers exist that refrain facilities from using minimal restraint use, therefore, now I know what to look for and can advocate for clients and can use least restraints in my own practice and can help other staff become drivers of change that move the facility towards least restraint use. What I learned about nursing in this article is that this profession is education focused. Continual education is the key to best practice care. Lack of education and resources can be the biggest barriers to providing efficient, autonomous, client centered care. Although the article clearly illustrates the studies point about barriers to reducing restraints, it does not explore many ways to reduce the barriers leaving the audience with many questions.

This article meets the criteria for a peer reviewed journal hence is a credible source. Compared to other articles cited in the study this article provides a new perspective and is relevant to the topic because although extensive research shows that restraint use should be minimized there is very little research showing why nurses have difficulty adopting the least restraint use policy. I would draw the same conclusions as the authors that restraints should be used minimally as possible and that barriers do exist that prevent this from happening. Limitations of this article are that they used a small sample size, no residents that had been in restraints were represented and respondents could have provided false information fearing about their jobs.

This research-based article is a study...

You know, some people actually do like this kind of writing! It is like a very sophisticated way of learning information.

One-on-one interviews were conducted with ...

Although the article clearly illustrates the study's point about barriers to reducing restraints, it does not ...

Wow, you must have a good teacher.. You did everything right! Explaining the article, telling strengths and weaknesses, etc... it is very thorough. Excellent.

COuld it not be I am a talented writer LOL!
Thank you very much for you help, I really appreciat it!

Not bad. Some suggestions for improvement:

"The study indicated that although participating facilities wanted to reduce the use of restraints, they were still being widely used in all three facilities."

"Staff reported more barriers than residents or family members."

"why nurses are using restraints although the evidence proves contrary" The evidence proves what to the contrary? It proves they are not using them? Or that using them is ineffective? Or that using them is unnecessary?

"It let me analyze if nursing is an evidence based practice then why nurses practice conflicting care, it gave me a different perspective on why nurses not so much ignore the evidence but rather have limitations that further prevent them from putting this evidence into practice." Try rewriting this sentence to conform with the rules of English grammar.

Thank You for all your suggestions, they are so helpful!
Heres the second part of the bibliography, i feel like my writing is really weak and i'm not really making sense, does it flow? can you undrestand it? thanks!

Janelli, L.M., Stamps, D., & Delles, L. (2006). Physical restraint use: A nursing perspective. MEDSURG Nursing, 15(3), 163-167.
This article is a descriptive study giving a nursing perspective on the use of physical restraints. 216 RN's completed a seventy item questionnaire regarding their knowledge, practice, and attitudes toward restraint usage. The intended audiences for this study are RN's and RN students. The study concluded that although nurse's knowledge on restraints was sufficient, there are still misconceptions regarding restraint use, such as acceptable alternatives to restraints, and rights of patients and families to refuse restraints. To rectify these misconceptions education should include risks and benefits, clarifying misconceptions, discussion regarding attitudes towards restraints, legal and ethical implications, and alternatives.
This article was helpful to me as it provided me with a nursing perspective on the topic. It let me see what nurse's think and feel about using restraints, it was surprising to read that nurses thought an alternative to physical restraints was a chemical restraint. I determined that there are many misconceptions about restraints even as to what constitutes as one. I realized that nurses have beliefs that can contribute to the use of improper restraint use, and although they scored well on the knowledge section it doesn't mean that the knowledge always traveled into practice. How this article influenced my practice is that it showed me how important value clarifications is in the nursing field. We all have values and beliefs, as nurses we must be aware of our belief system and we must ensure these do not transfer into our care. We must do what is in the best interest of the client free from personal biases. This article clarified a lot about what nurses know about restraints, how they practice restraint use, and what they feel about restraint use; however, it does not explore their implications, leaving the reader to wonder what all this data really means.
This article meets the criteria for a peer reviewed journal hence is a credible source. Compared to other articles cited in this study this article is a literature review, with the study presenting a new perspective on the topic. I would draw the same conclusions as the authors regarding that creative education methods are needed not only to provide knowledge but to change attitudes as well. The possible limitations of the article include a sampling bias as a small sample size was used, as well as with self report there is always the possibility of people giving socially desirable answers instead of the truth.

To rectify these misconceptions education should include risks and benefits, clarifying concepts, discussing regarding attitudes towards restraints, legal and ethical implications, and alternatives.

This article was helpful to me as it provided me with a nursing perspective on the topic. It let me see what nurses think and feel about using restraints, and it was surprising to read that

We all have values and beliefs; as nurses we must be aware of our belief system and we must ensure these do not transfer into our care.

I would draw the same conclusions as the authors regarding the fact that creative education methods are needed not only to provide knowledge but to change attitudes as well. The possible limitations of the article include a sampling bias (a small sample size was used) and limitations associated with the subjectivity of data (with self report there is always the possibility of people giving socially desirable answers instead of the truth). Now add one solid, reflective conclusion statement that gives closure to the essay.

:) good luck!

Thank You so much!