Total Points Possible: 200 Points
Requirements
Find and review ten (10) scholarly, peer-reviewed research articles, systematic reviews, or CPGs in support of the practice change intervention. Complete the Research Summary Worksheet table for each article.
- State the PICOT question
- For each article, supply the following:
- The complete reference for the article in current APA format
- Description of the purpose of the study/review/practice guideline
- Description of the evidence type
- Research article/systematic review/CPG
- If a source is a research article
- Is the study quantitative, qualitative, or mixed methods?
- Is the study experimental, quasi-experimental, or descriptive?
- Description of the sample, sample size, and setting (not used for CPG)
- Discussion of the data collection methods used (not used for CPG)
- Discussion of the study findings or CPG content
- Assessment of the limitations of the study (not used for CPG)
- Discussion of the relevance the study to the PICOT question and advanced practice nursing
Preparing the Assignment:
- Use the designated worksheet to supply the required information.
- All scholarly, peer-reviewed research articles must be current – within a 5-year time frame – unless a valid rationale is provided, and the instructor has approved the use of an older reference.
- Use APA formatting for references
Solution:
PICOT Question:
Write out in the PICOT question sentence format.
In heart failure patients (P), does a multidisciplinary team (I) in comparison to standard care (C) affect readmission rates (O) within 60 days of discharge? (T)
Article 1
| Full reference for article (APA Format) | Chava, R., Karki, N., Ketlogetswe, K., & Ayala, T. (2019). Multidisciplinary rounds in the prevention of 30-day readmissions and decreasing length of stay in heart failure patients: A community hospital-based retrospective study. Medicine, 98(27). https://doi.org/10.1097/MD.0000000000016233 |
| Purpose | The researchers aimed to examine the effects of multidisciplinary rounds (MDR) on reducing 30-days readmission as well as the length of hospital stay in patients with heart failure |
| Evidence Type | Retrospective chart review in which patients between 2012 and 2013 before multidisciplinary rounds were compared with those from 2015-2016 after multidisciplinary rounds |
| Sample, Sample Size, and Setting | Patient in the control groups were 80 while those in the intervention group were 181/ the study was conducted in a community-based hospital |
| Data Collection | Data was collected from the patients records such as electronic health records |
| Study Findings | The researcher found that multidisciplinary rounds reduced the 30 days readmission from 27.6% to 17.22% while the hospital stay decreased from 5.7 days to 5 days |
| Limitations (State why the limitations) | The study was limited by the research design, the retrospective study meaning that they relied on data that was not collected for the research hence possible incompleteness. |
| Relevance to the PICOT and Implications for Advanced Nursing Practice | The findings support the PICOT question on the efficacy of multidisciplinary teams in reducing readmission rates in heart failure patients.
The implication of Advanced nursing practice includes advocating and supporting the implementation of multidisciplinary rounds as they can reduce readmission, length of hospital stay, improve the quality of life, and reduce the financial burden. |
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