This is intended to be a working tool to assist you with organization of evidence for the Capstone Narrative Paper. Do not use Systematic Reviews or Meta-analysis studies for this assignment. Only primary research should be entered on this grid. Only a typed document will be accepted.
Citation (APA)
Purpose
Sample
Design
Measurement
Results/Conclusions
Proposal Contribution
Ranking
Boden-Albala, B., Goldmann, E., Parikh, N. S., Carman, H., Roberts, E. T., Lord, A. S., Torrico, V., Appleton, N., Birkemeir, J., Parides, M., & Quarles, M. (2018). Efficacy of a discharge educational strategy versus standard discharge care on reduction of vascular risk in patients with stroke and transient ischemic attacks: The DESERVE randomized controlled trial. JAMA Neurology, 76(1), 20-27.
The study sought to assess the efficacy of a skill-based, culturally-tailored discharge education program with telephone follow-up vis--vis standard discharge care in reducing the risk of systolic blood pressure among patients with transient ischemic attack and stroke.
The sample comprised of 1,083 patients selected randomly, and visiting four medical centers in New York City with transient ischemic attacks or mild to moderate stroke
Randomized controlled trial (RCT) with 1 year follow-up
IV: Discharge educational strategy, Standard discharge care
DV: vascular risk
Participants in the intervention group were exposed to an interactive patient education at discharge that was facilitated by a community health nurse. Participants were given a patient video and workbook emphasizing the need for three skills: risk-reduction, medication adherence, and physician-patient communication. The intervention group also received follow-up phone calls from the community health nurse 72 hours, 1 month, and 3 months after discharge. The control group received standard discharge care that included receiving stroke pamphlets by the American Heart Association to minimize their exposure to vascular risk. Vascular risk was measured at baseline, 6months and 12 months using systolic blood pressure. Linear regression and analysis of variance (ANOVA) were used to test for relationships and associations between variables.
Results showed clinically significant differences in systolic blood pressure reduction between the intervention and control groups. The authors concluded that culturally-tailored, skill-based discharge education significantly reduced the risk of vascular disease among patients at 1-year follow-up
This study supports my proposal by lending credence to the effectiveness of enhanced discharge education programs in improving patient health outcomes, thus reducing the risk of revisits and readmissions that would increase wait times. The study also provides adequate insights on how to design a skill-based discharge education strategy for at-risk patients
VII.
deJong, N. A., Kimple, K., Morreale, M., Han, S., Davis, D., & Steiner, M. J. (2020). A quality improvement intervention bundle to reduce 30-day pediatric readmissions. Pediatr Qual Saf., 5(2), e264.
The study sought to determine the effectiveness of a quality improvement bundle aimed at reducing the readmission rates...
…samples were selected randomly from patients visiting the ED of a California-based level 1trauma center serving an average of 260 patients dailyA quality improvement longitudinal design was implemented comparing patient satisfaction rates before the QI intervention (training of clinical staff on the teach-back method) and after implementation.
IV: the teach-back method used to educate patients at the time of discharge
DV: patient satisfaction
The level of patient satisfaction was measured using a standardized 16-item survey developed by the National Research Institute. The survey required users to indicate their level of agreement or disagreement with provided statements on a four-point Likert scale. Patient satisfaction was calculated as a percentage from their responses and the percentages compared pre and post-implementation
61% of patients reported that they were satisfied with the discharge education offered post-intervention as compared to 59% in the pre-intervention phase. However, no significant variations were present in the two sets of data, leading the authors to conclude that the teach-back method may improve patient satisfaction when used for discharge education.
This study supports my proposal by introducing the teach-back concept, which is the strategy that the clinical staff in the capstone project use to deliver discharge education to patients. The capstone project will adopt the methodology used in this study to test the effectiveness of its discharge education program in reducing overall revisits…
Patient Satisfaction in Quality of Managed Care Aspect to be compared Gender and Patient Satisfaction in Managed Care, etc. Stakeholder Perceptions of Quality in Managed Care Plans Two Steps to Enhance Managed Care Quality Author(s)/Date Emily Weisman, MS Martha Romans Jacobs Institute of Women's Health Washington, DC Carolyn M. Clancy, MD Paul L. Grimaldi, Ph.D. To determine what the differences are and what variables might affect women patients' perceptions of the quality of managed care To find out what attributes three different health care
Patients in hospitals often complain of pain regardless of the diagnosis. Several activities in a patient's life contribute to pain. Some of the activities include amount of sleep, daily chores and quality of life (Alaloul, Williams, Myers, Jones, & Logdson, 2015). While health care expenses have increased significantly over the years, there have been great improvements in increasing both family and patient involvement in medical care. Hourly care is one
Inpatient Whiteboards This study is a theoretical framework exploring whiteboard use preferences and recommendations for patient-centered care and communication through whiteboard use. This study is a theoretical framework exploring whiteboard use, script-based communication, and hourly rounding to evaluate effectiveness of care associated with pain management and patient satisfaction. The study utilizes a conceptual framework. This article uses a conceptual framework that provides a literature review Conceptual framework Conceptual Framework Conceptual Framework A 3-week pilot involving multidisciplinary whiteboard
diagnoses, pain is a common complaint among inpatients. In the U.S. alone, approximately 100 million patients experience chronic pain (Alaloul et al., 2015). Pain negatively affects numerous aspects of an individual's life, such as sleep, quality of life, and physical functioning. Pain is also associated with negative psychological outcomes like depression, extended hospitalization, and a huge economic burden. In the U.S., for instance, pain imposes an estimated cost of
setting, definition Sample/Setting Conclusions (Appraisal) Level of Evidence (Flagg, 2015) Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients A healthcare organization with nursing staff on twelve-hour schedules Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5. Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory,
size is an important step in the sample selection process. In Negarandeh, Bahabadi & Mamaghani's (2014) study, the procedure used to determine the sample size is clearly described. Following a pilot study, using the sample size formula, and based on the population of the hospital in which the trial was carried out, the authors estimated the sample size at 100 participants (50 participants in each group). Revealing how the
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