06 Oct Question what to do in assignm
Question what to do in assignment is uploaded below
also the last two articles from picot questions are uploaded below HAS TO BE TWO DIFFERENT RESEARCH ARTICLES FOR PICOT QUESTIONS ON HOSPITAL READMISSION FOR ELDERLY PATIENTS
RAPID CRITICAL appraisal checklist uploaded below must be done too
PICOT QUESTIONS ARE UPLOADED BELOW AS WELL
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2
Hospital Readmissions
Hospital Readmissions
First Article
The type of research which was carried out by Nguyen et al. (2021) is quantitative. The researchers used the retrospective cohort design based on adult patient data discharged from fifteen hospitals in Southern California. The study's research question is; what are the effects of clinic and telephone follow-ups that had been carried out fully within seven days on readmission, and do the effects vary with the age and service line? The sample of the study consisted of adult patients. The study's sample size consisted of 212,513 grown-up patients who had been discharged from fifteen different hospitals located in Southern California hospitals (Nguyen et al., 2021). The sample attributes are that it was the first hospitalization, they were discharged from the hospital alive, and the patients remained enrolled in the health plan for a minimum of thirty days after being released by the hospitals. The participants also had to be discharged from the hospitals between January 2017 to December 2019. The setting of the study was in Southern California in the Kaiser Permanente healthcare facilities. The study found that completing clinic or telephone follow-up visits within seven days of hospital discharge reduced hospital readmission rates.
Second Article
The study carried out by Benjenk & Chen (2018) is qualitative and uses a descriptive research design. Can interventions designed to treat mental health symptoms be used to reduce the readmission risks on patients who have been hospitalized for physical health conditions? The sample used for the study is peer-reviewed articles obtained from PubMed and Google Scholar. The sample size consisted of eighty-one full-text peer-reviewed articles. The attributes of the articles are that they had to be published between January 2010 and June 2018, had to be peer-reviewed, and were limited to English-language articles (by Benjenk & Chen, 2018). The studies used for the study also involved mental health-related intervention and had to measure the total rate of readmissions as an outcome. The authors of the study did not discuss the setting of the study. The study found out that the use of mental health strategies can help reduce hospital readmission rates. The strategies identified include routine monitoring of symptoms and monitoring of medication adherence.
References
Benjenk, I., & Chen, J. (2018). Effective mental health interventions to reduce hospital readmission rates: a systematic review. Journal of hospital management and health policy, 2.
Nguyen, H. Q., Baecker, A., Ho, T., Huynh, D. N., Watson, H. L., Li, J., & Shen, E. (2021). Association between post-hospital clinic and telephone follow-up provider visits with 30-day readmission risk in an integrated health system. BMC Health Services Research, 21(1), 1-10.
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NR350 Research in Nursing
Literature Search, Rapid Critical Appraisal, and Summary
Rapid Critical Appraisal Checklist
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Article |
References |
Purpose Hypothesis Study Question(s) |
Variables Independent(I) Dependent(D) if Applicable |
Study Design /Methods |
Sample Size & Selection |
Data Collection Methods |
Major Finding(s) |
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1 (SAMPLE ARTICLE) |
Smith, Lewis (2013), What should I eat? A focus for those living with diabetes. Journal of Nursing Education, 1 (4) 111-112. |
How do educational support groups effect dietary modifications in patients with diabetes? |
D-Dietary modifications I-Education |
Quantitative |
N- 18 Convenience sample-selected from local support group in Pittsburgh, PA |
Focus Groups |
Support and education improved compliance with dietary modifications. |
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For this assignment, you will locate two research studies related to the topic and PICOT questions that you developed in Week 2. The articles must be current (within the last five years), and one article must be quantitative, and one article must be qualitative. For this assignment all articles must be related to the field of nursing.
Article choice is very important, therefore:
· Articles used for this assignment cannot be used for the other assignments. The selected articles should be original research studies. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review articles should not be used.
· Mixed-methods studies should not be used.
There are two parts to this assignment.
Part 1: Complete a Rapid Critical Appraisal Checklist
· Select one each: qualitative and quantitative research articles.
· Create a Rapid Critical Appraisal Checklist for the two research articles (one column per article).
· Complete with brief, concise, summarized information.
Part II: Write a summary (one- to two- pages)
· Identify differences between quantitative and qualitative designs and research methods.
· Describe the differences in your article's quantitative and qualitative designs and methods. Carefully review the rubric before you submit. This summary is using your own words to examine the differences specifically between your articles.
· Use current APA Style for your summary paper and to cite your sources.
· Submit the checklist and summary.
· PICOT TOPICS ARE LOADED IN PDF
· THE TWO ARTICLES FROM LAST ASSIGNMENT IS UPLOADED BELOW IN SEPARATE PDF
· HAS TWO BE TWO DIFFERENT RESEARCH ARTICLES FOR PICOT QUESTIONS THEN FROM LAST PAPER WILL BE SHOWN BELOW****
· RAPID CHECKLIST IN WORD PDF BELOW MUST DO!
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Hospital Readmission Rates
Kaylee Chauvin
West Coast University
NURS 350: Research in Nursing
Mrs. Sandy Daisley
September 5th, 2021
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Hospital Readmission Rates
Hospital readmission is characterized as an emergency clinic affirmation that happens
inside a predefined time after release from the principal confirmation. The re-hospitalization rate
was considered a sign of the eminence of the hospital's clinic and was displayed to reflect a
measure of patient attention. Re-hospitalization results in longer hospital stays and more
emergency clinic resource use. An increase in readmission rates and increasing the use of
innovation, leads to increased incomes, even if the consideration may mean that it may not be
effective. Re-hospitalization is an exorbitant cost for the clinic. Rather than spending money on
complex systems and high-severity patients, clinics can level assets by providing more start-up
confirmations for low-severity patients, or with appropriate release programs. You can invest in
reducing readmissions. Various procedures are used to solve the readmission rate problem, as
outlined in the PICOT question. It is used to determine best practices for working on results
within a month.
Description and background information
Once patients are released from the medical clinic, they imagine going through their days
recovering a lot at home until they improve (Upadhyay et al., 2019). Lamentably, for some
elderly patients, that does not occur. Medical clinic readmission for elderly patients is not just
distressing; however, it can likewise negatively affect a patient's general well-being. The
additional time a patient is in a clinic, the more probable they are to create genuine, conceivably
hazardous diseases, for example, medical clinic procured pneumonia. Finding a way ways to
decrease clinic readmissions in the elderly is fundamental. In addition to the fact that it protects
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the clinic from potential Medicare fines, however, it helps keep probably the weakest individuals
from the community (the elderly) strong and healthy.
Various strategies are used to address the issue of readmission rates. Framing partnership
with nearby medical clinics and different suppliers, helps make the recuperation interaction
simpler for elderly patients. At the point when they are released from the clinic, they're ready to
rapidly and easily find doctors, home medical care groups, and emergency clinics that not
exclusively will give quality therapy however that approach all past clinical records and
important data. Elderly patients can without much of a stretch become overpowered when given
a lengthy discharge document (Bjorvatn, 2013). HCPs should attempt to keep release guidelines
simple to peruse and clear. Neglecting to plan follow-up arrangements or introductory meetings
with experts can prompt emergency clinic readmissions in the elderly. Before releasing a patient
from the emergency clinic, work with them to get them booked for a follow-up arrangement or
an underlying meeting with a subject matter expert. Patients, particularly the elderly, will be
bound to follow through and get the medical services they need to try not to be readmitted to the
emergency clinic if the arrangements are now made for them. Patients will in any case require
itemized follow-up that incorporates guidelines for post-medical clinic care, layouts of any vital
tests that should be performed and subtleties on when to plan any meetings with subject matter
experts or an essential consideration doctor. This is through effective communication.
Significance of the topic to nursing practice
In the hospital setting, the mortality rate of readmission patients is higher than that of
non-rehospitalized patients. Various experts argue that readmission to the hospital leads to longer
hospital stays and more emergency clinic resources. Candidate about the nature of care
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information obtained through assessment and decomposition is a new issue for clinics and
welfare management associations. The Hospital Readmission Reduction Program (HRRP) was
planned as a Medicare-based procurement program that unilaterally reduces clinic premiums
with high readmission rates (McIlvennan et al., 2015). The candidate strengthens responsibility
and gives patients an understanding of a wide range of medical services in the clinic. Accepting
responsibility can put pressure on hospital leaders to lessen re-hospitalization rates, but
decreasing readmissions by releasing patient’s early means that these patients must return to the
clinic. If you do, you may not be able to save money or make a profit. Ordinarily, the subject will
be fundamental in nursing practice, as it will support reducing readmission rates, which is a
perspective, utilized in the positioning of Health Care Facilities. Readmission is an unfavorable
proportion of outcome measurement.
PICOT Questions
I. In elderly patients (P), how does virtual follow up (I) compared to _no follow up (C)
influence the rate of readmissions (O) over one month after discharge (T)?
II. In elderly outpatients (p) how does physical follow up (i) compare to virtual follow up(c )
influence readmission rates( o) over one month after discharge (t)
III. In elderly patients (p) how does effective communication systems with patients (I)
compare to physical follow up (c ) influence readmission rates (o) over one month after
discharges (T)
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Reference
Bjorvatn, A. (2013). Hospital readmission among elderly patients. The European Journal of
Health Economics, 14(5), 809-820.
McIlvennan, C. K., Eapen, Z. J., & Allen, L. A. (2015). Hospital readmissions reduction
program. Circulation, 131(20), 1796-1803.
Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on
hospital financial performance: a study of Washington hospitals. INQUIRY: The Journal
of Health Care Organization, Provision, and Financing, 56, 0046958019860386.
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