06 Oct support the investigation with other detail and in
support the investigation with other detail and investigation Mazurek Melnyk, & Fineout-Overholt (2014) a quantitative meta-analysis is “the statistical analysis of a large collection of analysis results from individual studies for the purpose of integrating the findings” (p.83). Some research methods, such as testing, generate primarily quantitative data; others, such as interviewing, may generate quantitative data, qualitative data, or both (Mazurek Melnyk, & Fineout-Overholt, 2014, p.207). PICOT: Does initiating a palliative care order set (PCOS), for end-of-life patients in an intensive care unit, increase patient comfort and quality of life resulting in family satisfaction, during the death of the patient? P- “end-of-life patients in an intensive care unit” I- Initiating a palliative care order set (PCOS), C- End-of-life ICU patients without PCOS O- Increase in patient comfort resulting in increase in family satisfaction T- during patient death? Article: Henderson, R., McCloskey, B., Walter, E., Rimar, J., Bai, M., & Moritz, E. (2017). Using the rothman index and length of stay as a trigger for palliative care in the medical intensive care unit and step-down units. Journal of Hospice and Palliative Care Nursing. 19(3), 232-237. DOI: 10.1097/NJH.0000000000000334 Article Evaluation of Effective Contribution: Henderson et al, 2017, is a quantitative study, and within this study were 96 patients, within a medical intensive care unit, with a length of stay (LOS) of 5 days of more and a Rothman Index (RI) score of or less. Patients receiving the palliative intervention had a decrease in the mean length of stay from 26.3 days for all other groups to 13.9 days. The odds ratio of a 30-day readmission for those patients without a palliative visit was 4.4. Those who were exposed to palliative care 100% died on hospice or as a DNR. In comparison, the patients with a hospitalist or private/specialist physician died with a DNR or on hospice 25% of the time. Limitations include, the study cannot account for the potential suffering and poor quality of life for those left living. Further investigation is necessary to determine the ramifications of living when very debilitated. Warm Regards, Morrisa Gibson Works Cited: Henderson, R., McCloskey, B., Walter, E., Rimar, J., Bai, M., & Moritz, E. (2017). Using the rothman index and length of stay as a trigger for palliative care in the medical intensive care unit and step-down units. Journal of Hospice and Palliative Care Nursing. 19(3), 232-237. DOI: 10.1097/NJH.0000000000000334 Mazurek Melnyk, B., & Fineout-Overholt, E. (2014). Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice (3rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins
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