Verified Document

Systematic Review And Review Literature Review Chapter

¶ … EBP is to facilitate strategy to eradicate short cycle return to second readmission of psychiatric patients on hospital beds. Doing so will assist health care providers in addressing the issue of bed shortage. Reduction of readmission rates allows more space to be available for other patients and helps to cut costs as well as bring about better conformity with governmental regulations. Search Process

The search process used in this literature review began with searching key words in online databases such as Cochran Review, CINAHL, and other nursing research journal databases. Google Scholar was used as the primary search engine, with filters set to permit results from these particular databases. Key words used included "reducing readmission rates," "readmission psych," "causes of readmission psych hospital," "psych hospital readmission," "reduction of psych readmission," and other combinations of key words identified by relevant articles found after conducting these searches. More than a thousand articles were yielded in the various searches. These number were trimmed according to relevance and to year produced, with only the most recent studies being chosen for the final selection. Common key words among relevant articles were also used to conduct more searches until a collection of a 15 articles were gathered. The hierarchy of evidence was then used to select the strongest studies, including a systematic review and a randomized-control trial. Articles that were not selected included case editorials and studies where no clear conclusion was obtained by the researchers.

Critical Appraisal

The critical appraisal process utilized for this literature review included identifying the results of the studies, assessing the validity of the studies, determining whether the results of the studies would facilitate patient care, recognizing similarities between the subjects of the study and the patients who are the focus of this EBP, and whether the study was qualitative or quantitative in nature. Studies selected for this review were then ranked according to strength in terms of the hierarchy of evidence, with systematic reviews and meta-analyses ranking as the strongest at Level 1, randomized-controlled trials next at Level 2, and case reports last at Level 7.

The studies selected for this review were:

Burns, T., Rugkasa, J., Molodynski, A. et al. (2013). Community treatment orders for patients with psychosis (OCTET): A randomized controlled trial. The Lancet, 381(9878): 1627-1633. DOI: http://dx.doi.org/10.1016/S0140-6736(13)60107-5.

This study is randomized controlled trial of the second highest level of strength (with definitive results) according to the hierarchy of evidence (Level 2).

Kalseth, J., Lassemo, E., Wahlbeck, K., Haaramo, P., Magnussen, J. (2016). Psychiatric

readmissions...

BMC Psychiatry, 16: 376. DOI: 10.1186/s12888-016-1099-8.
This study was a systematic review and thus of the highest level of evidence at Level 1.

Kripalani, S., Theobald, C., Anctil, B., Vasilevskis, E. (2013). Reducing hospital readmission: Current strategies and future directions. Annual Review of Medicine, 65: 471-485. DOI: 10.1146/annurev-med-022613-090415

This study is another systematic review and thus at the highest level (1) of hierarchy of evidence.

Tulloch, A., David, A., Thornicroft, G. (2016). Exploring the predictors of early readmission to psychiatric hospital. Epidemiology and Psychiatric Sciences, 25(2): 181-193.

This study was a case control study (Level 5) in the hierarchy of evidence.

Vigod, S., Kurdyak, P, Dennis, C. et al. (2013). Transitional interventions to reduce early psychiatric readmissions in adults: Systematic review. The British Journal of Psychiatry, 202(3): 187-194. DOI: 10.1192/bjp.bp.112.115030.

This systematic review is another study at the highest level of strength in the hierarchy of evidence (Level 1).

Results of the Studies

The study by Kalseth et al. (2016) found that "the risk of readmission not only relates to patient characteristics but also to system and/or environmental factors that vary between areas." The researchers also acknowledged a lack of studies that analyze the relationship between payment model and readmissions and suggest that financing systems could be a major variable in readmission rates. This is applicable to the PICOT of the EBP because the Eric Coleman care transition model is based on the idea of utilizing services to ensure optimum communication and care for continual, safe, quality care through periods of transition for the patient so that readmission does not become an issue. As this study indicates, environmental factors are unique in many cases for patients and must be considered on a case by case basis. In other words, there is no one-size-fits-all patient approach for transitions: providers must assess each patient's needs individually in order to ensure a smooth transition and to mitigate the risk of readmission of patients.

Vigod et al. (2013) found that "effective intervention components were: pre- and post-discharge patient psychoeducation, structured needs assessments, medication reconciliation/education, transition managers and in-patient/out-patient provider communication."…

Sources used in this document:
References

Burns, T., Rugkasa, J., Molodynski, A. et al. (2013). Community treatment orders for patients with psychosis (OCTET): A randomized controlled trial. The Lancet, 381(9878): 1627-1633. DOI: http://dx.doi.org/10.1016/S0140-6736(13)60107-5.

Kalseth, J., Lassemo, E., Wahlbeck, K., Haaramo, P., Magnussen, J. (2016). Psychiatric

readmissions and their association with environmental and health system characteristics: a systematic review of the literature. BMC Psychiatry, 16: 376. DOI: 10.1186/s12888-016-1099-8.

Kripalani, S., Theobald, C., Anctil, B., Vasilevskis, E. (2013). Reducing hospital readmission: Current strategies and future directions. Annual Review of Medicine, 65: 471-485. DOI: 10.1146/annurev-med-022613-090415
Cite this Document:
Copy Bibliography Citation

Related Documents

Systematic Review of Isolation Policies in the
Words: 544 Length: 2 Document Type: Essay

Systematic review of isolation policies in the hospital management of methicillin-Resistant Staphylococcus aureus: A review of the literature with epidemiological and economic modelling The rise of MRSA (methicillin-resistant Staphylococcus aureus) continues to be a problem in hospitals throughout the world. In the article entitled "Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus" Cooper (et al. 2003) conducted a literature review of various containment efforts in the

Systematic Review
Words: 2235 Length: 6 Document Type: Essay

With the rapid increase in the research conducted on health sciences, there is difficulty for researchers and clinicians to be up-to-date with the studies. Therefore, reviews that give a summary of the impact of different intervention experiments are a greatly efficient way to come up with a conclusion of what is effective and what isn't. Systematic reviews are different from the traditional kind in many ways. According to Petticrew and

Systematic Review of Effectiveness of Group-Based Antenatal Education...
Words: 18363 Length: 67 Document Type: Dissertation

Antenatal Education Systematic Review Antenatal education programms In pregnant women, how does group antenatal education compare to no antenatal education or individual antenatal education for improving outcomes of childbirth and parenting? In pregnant women, how does group antenatal education compare to no antenatal education or individual antenatal education for improving outcomes of childbirth and parenting? Antenatal education programs are key in improving maternal health all over the world. They have been widely embraced in

Systematic Review and Interventions
Words: 2552 Length: 8 Document Type: Literature Review Chapter

Evidence-Based Practice Project: Reducing Rate of Psychiatric Readmission The purpose of the evidence-based practice project is to examine ways to eliminate psychiatric readmissions. More specifically, literature is reviewed to examine evidence supporting the effectiveness of care transition interventions in preventing re-hospitalization amongst adult patients with severe mental illness. In this chapter, the search process is first described. Next, the identified literature is summarized and synthesized, clearly evaluating the relevance of the

Systematic Review and Ptsd
Words: 1686 Length: 6 Document Type: Research Proposal

Post-Traumatic Stress Disorder (PTSD) is a commonly occurring mental health problem facing military personnel and veterans. The constant problems that plague those with PTSD can cause them to lead a lower quality of life with potential development of depression and anxiety commonly prevalent in those with the mental disorder. This qualitative study aims to research ways to provide positive pathways to care for members of the UK Armed Forces receiving

Systematic Review and Medication
Words: 6195 Length: 25 Document Type: Capstone Project

Evidence-Based Project Proposal Graduate Project in Nursing The incidence of sexually transmitted diseases has been increasing among adolescents in countries around the world, but there remains a dearth of timely and relevant studies concerning salient differences in knowledge level and attitudes between different cultures and ethnic populations. One common factor that has been consistently demonstrated in improving the effectiveness of treatments for sexually transmitted diseases is promoting adherence to treatment regimens, most

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now