NR449 Evidence Based Practice Group Project

Slide 1: Title Slide

• Title: NR449: Evidence-Based Practice Group Project
• Subtitle: Prevention of Early Hospital Readmissions
• Presented by: [Your Group Members’ Names]
• Date: [Date of Presentation]

Slide 2: Identification of the Problem

• Title: Understanding Early Hospital Readmissions
• Content:
  • Definition: A hospital readmission that occurs within 30 days of a patient’s original discharge date.
  • Impact on Patients: Disrupts recovery, increases risk of complications, and reduces quality of life.
  • Impact on Healthcare Facilities: Financial penalties under the Hospital Readmission Reduction Program (HRRP) of 2012, impacts hospital reputation and resource allocation.
  • At-Risk Population: Geriatric patients are especially vulnerable due to the prevalence of multiple chronic conditions (comorbidities).
  • Research Question: For geriatric populations, does ensuring appropriate follow-up care post-discharge reduce the risk of hospital readmission compared with providing discharge teaching alone?

Slide 3: Research Process – PICO Framework

• Title: Structuring the Research Question
• Content:
  • PICO Components:
    • Population (P): Older adults (geriatric population).
    • Intervention (I): Ensuring appropriate follow-up care after discharge.
    • Comparison (C): Standard discharge teaching alone without additional follow-up.
    • Outcome (O): Reduction in the rate of early hospital readmissions.

Slide 4: Research Process – Search Strategies

• Title: Conducting a Comprehensive Literature Search
• Content:
  • Access Point: Chamberlain University Library website.
  • Search Terms: Keywords related to early hospital readmissions, geriatric care, follow-up care, and discharge processes.
  • Filters Applied:
    • Publication Date: Focus on recent studies to ensure relevance.
    • Full Text Availability: Only include studies with accessible full texts online.
    • Peer-reviewed Journals: Ensuring credibility and reliability of the sources.

Slide 5: Barriers Encountered During Research

• Title: Challenges in the Research Process
• Content:
  • High Volume of Publications: Difficulty in narrowing down relevant studies due to the large number of available articles.
  • Complexity of Variables: A lack of studies focusing on single-variable analysis made it challenging to isolate the impact of follow-up care versus discharge teaching alone.
  • Overlapping Research: Many studies combined multiple interventions, complicating the analysis of specific outcomes.

Slide 6: Successes in the Research Process

• Title: What Worked Well
• Content:
  • Identifying Relevant Articles: Successful in locating key studies on follow-up care and its impact on readmission rates.
  • Effective Group Collaboration: Strong communication among group members facilitated the sharing of findings and ideas.
  • Database Utilization: Efficient use of academic databases helped streamline the search process and retrieve high-quality sources.

Slide 7: Information Still Needed

• Title: Gaps in the Current Research
• Content:
  • Further Evidence on Discharge Teaching: More studies are needed to evaluate the effectiveness of discharge teaching alone in preventing readmissions.
  • Longitudinal Data: Lack of long-term follow-up studies that track patient outcomes beyond 30 days post-discharge.
  • Comparison of Interventions: A need for more comparative studies that directly contrast follow-up care with discharge teaching.

Slide 8: Summary of Evidence – Qualitative Studies

• Title: Insights from Qualitative Research
• Content:
  • Article 1: Preventing Readmissions Through Transitional Care
    • Methodology: Case study approach, utilized a scholarly database for literature review.
    • Key Findings: Emphasized the role of transitional care in reducing readmission rates by addressing patient needs post-discharge.
  • Article 2: Impact of a Transition Nurse Program on 30-Day Hospital Readmissions of Elderly Patients
    • Methodology: Quasi-experimental, multicenter, stepped-wedge randomized trial.
    • Sample Size: 630 patients.
    • Key Findings: Demonstrated a significant reduction in readmissions through the implementation of a dedicated transition nurse program.
  • Article 3: Hospital Readmission Among Elderly Patients
    • Methodology: Focus group discussions.
    • Key Findings: Identified common challenges faced by elderly patients post-discharge, such as medication management and follow-up care.

Slide 9: Summary of Evidence – Qualitative Studies Continued

• Title: Additional Qualitative Evidence
• Content:
  • Article 4: Development of a Complex Intervention to Reduce Readmission Risk
    • Methodology: Focus groups, purposive sampling to maximize result accuracy.
    • Key Findings: Developed a multifaceted intervention plan aimed at reducing readmissions among elderly patients discharged from the emergency department.

Slide 10: Summary of Evidence – Quantitative Studies

• Title: Insights from Quantitative Research
• Content:
  • Article: Association of Vital Signs and Process Outcomes in Emergency Department Patients
    • Methodology: Psychometric data analysis.
    • Key Findings: Measured the probability of readmission based on vital signs and other process outcomes at the time of ED discharge. Identified vital signs as key indicators of potential readmission risk.

Slide 11: Summary of Evidence – Mixed Design Studies

• Title: Combining Qualitative and Quantitative Approaches
• Content:
  • Article: Causes and Correlates of 30-Day and 180-Day Readmission Following Discharge from Elderly Rehabilitation Units
    • Methodology: Mixed-design study, combining both qualitative interviews and quantitative data analysis.
    • Key Findings: Explored the complex interplay of factors contributing to short-term (30-day) and longer-term (180-day) readmissions, highlighting the importance of continuous care and monitoring.

Slide 12: Conclusion

• Title: Key Takeaways and Implications for Practice
• Content:
  • Importance of Follow-Up Care: Evidence strongly supports the role of comprehensive follow-up care in reducing early hospital readmissions among geriatric patients.
  • Need for Further Research: Identified gaps in current research, particularly regarding the effectiveness of discharge teaching alone.
  • Clinical Implications: Emphasizes the need for healthcare providers to integrate follow-up care as a standard practice for high-risk populations, particularly the elderly.

Slide 13: Questions and Discussion

• Title: Questions?
• Content:
  • Open the floor for questions and engage the audience in a discussion about the findings and their implications for nursing practice.