Preventing Avoidable Readmission Assignment | Online Assignment

this work is still for the strict instructor please follow rubric. and I have attached my last week’s work that I did, I am not really good at writing but it is suppose to be follow that one.

Would your problem identified in the Unit 2 discussion question lend itself to a qualitative or quantitative design? What level of evidence (research design) would best address the problem? Explain your answer

Class, last week we identified research questions and problems. Now it is time to take the next step and look at the research out there on our problem (Houser, 2018). In this discussion thread please identify your research question, then identify if you would look for qualitative or quantitative research to answer your question. Let’s start off by identifying what qualitative and quantitative design means. How have you identified what type of research you have found? Then, identify the research design that would fit your topic best. Why do you need to identify a research design, why is that important?

Houser, J. (2018). Nursing research; reading, using, and creating evidence (4^th edition). Burlington, MA. Jones & Bartlett Learning

Examine the sources of knowledge that contribute to professional nursing practice. (PO 7) 1, 2, 4, 6

Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8) 2, 3, 4, 5, 6, 7

Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 and 8) 1, 3, 5, 7

Recognize the role of research findings in evidence-based practice. (POs 7 and 8) 1, 5, 8

Remember you can start posting on Sunday for this week.

MY LAST WEEK DISCUSSION to help guide you

My group and I will be working on preventing avoidable readmission. There are so many factors that contribute to patient readmission within thirty-days after discharge, most of which is very avoidable. Some issues that might cause a readmission might be medication errors due to lack of medication reconciliation, which is avoidable if properly done before discharge. Another aspect is patient education before discharge, I feel like if patients are properly thought about how to continue personal care at home, in their level of understanding, not using medical terminology that confuses the patient, that might help to reduce readmission. I remember being very confused after having my first baby because I did not understand half of the discharge teaching that I had, I went back to the emergency room fifteen days later because I did not properly carry out my discharge teaching.

The article I found that was written by international journal of nurses, which is also peered reviewed addresses somethings that can be done by nurses to reduce readmission. The method used in this article is intervention that consisted of somethings that can be done to reduce avoidable readmission. they mentioned that a proper assessment of patient’s overall situation before discharge is important. They also talked about the patient comprehension of discharge teachings and recommendations before discharge as being important also. This article also mentioned that a simple discharge letter targeting the individual patient’s health literacy and a follow-up telephone call 2 days post-discharge will all enhance in a better patient outcome and prevent readmission Lisby (2019).

These authors used a non-blinded randomized clinical trial strategy that consist of non-surgical patient 18+ with more than one contact to hospitals during the last 12 months and the result was that out of the 183 people they had, 4 people did not receive the full intervention, 86 people were in the intervention group, and 93 people were in the controlled group. At the end of 30 days, 22% in the intervention group had at least one readmission vs 19% in the controlled group.

The conclusion of this study is that nurse led discharge model is not enough to reduce readmission Lisby (2019). I believe this article will be helpful in my group’s upcoming assignment because it has all the component of the research requirement.

My PICOT question is: does patient comprehension of discharge teachings and recommendations help avoid readmission within 30 days of discharge?

PICOT component: P: medical surgical unit patients, I: intervention for preventing readmission through discharge teaching, C: through proper assessment of patient’s overall situation, O: seek to reduce avoidable readmission within 30 days of discharge, T: time will be patient readmission within 30 days of discharge.

Reference:

Lembeck, M. A., Thygesen, L. C., Sørensen, B. D., Rasmussen, L. L., & Holm, E. A. (2019). Effect of single follow-up home visit on readmission in a group of frail elderly patients – a Danish randomized clinical trial. BMC Health Services Research

Lisby, M., Klingenberg, M., Ahrensberg, J. M., Hoeyem, P. H., & Kirkegaard, H. (2019). Clinical impact of a comprehensive nurse-led discharge intervention on patients being discharged home from an acute medical unit: Randomised controlled trial. International Journal of Nursing Studies, 100

Houser, J. (2018). Nursing research; reading, using, and creating evidence (4^th edition). Burlington, MA. Jones & Bartlett Learning.