I attched all the detail instructions to help write the paper along with rubric, matrix table, 1 of my research article and sample paper.

CochraneDatabaseof SystematicReviews

Dischargeplanning from hospital (Review)

Gonçalves-Bradley DC, Lannin NA, Clemson LM,Cameron ID, Shepperd S

Gonçalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID,Shepperd S.

Discharge planning from hospital.

CochraneDatabaseof SystematicReviews 2016, Issue1. Art. No.: CD000313.

DOI: 10.1002/14651858.CD000313.pub5.

www.cochranelibrary.com

Discharge planning fromhospital (Review)

Copyright © 2016The CochraneCollaboration. Published by John Wiley & Sons,Ltd.

T A B L E O F C O N T E N T S

1HEADER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2PLAIN LANGUAGE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3SUMMARY OF FINDINGS FOR THE MAIN COMPARISON . . . . . . . . . . . . . . . . . . .

6BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7METHODS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Figure 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Figure 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

16DISCUSSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18AUTHORS’ CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25CHARACTERISTICS OF STUDIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

67DATA AND ANALYSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Analysis 1.1. Comparison 1 Effect of discharge planning on hospital length of stay, Outcome 1 Hospital length of stay –

older patients with a medical condition. . . . . . . . . . . . . . . . . . . . . . . . . . 71

Analysis 1.2. Comparison 1 Effect of discharge planning on hospital length of stay, Outcome 2 Sensitivity analysis imputing

missing SD for Kennedy trial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Analysis 1.3. Comparison 1 Effect of discharge planning on hospital length of stay, Outcome 3 Hospital length of stay –

older surgical patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Ana

NR449 Evidence Based Practice

Required Uniform Assignment: Analyzing Published Research

Purpose

The purpose of this paper is to interpret the two articles identified as most important to the group topic.

COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs #4
and #8)

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence- based
practice. (POs #4 and #8)

DUE DATE
Refer to the course calendar for due date information. The college’s Late Assignment policy applies to this
activity.

TOTAL POINTS POSSIBLE: 200 POINTS

REQUIREMENTS

The paper will include the following.
1. Clinical question

a. Description of problem
b. Significance of problem
c. Purpose of paper

2. Description of findings
a. Summarize basics in the Matrix Table as found in Assignment Documents in

e-College.
b. Describe

i. Concepts
ii. Methods used

iii. Participants
iv. Instruments including reliability and

validity
v. Answer to “Purpose” question

vi. Identify next step for group
3. Conclusion of paper
4. Format

a. Correct grammar and spelling
b. Use of headings for each section

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NR449 Evidence Based Practice

NR449 RUA Analyzing Published Research.docx Revised 07/25/2016 2

c. Use of APA format (sixth

edition)

d. Page length: three pages

PREPARING THE PAPER
1. Please make sure you do not duplicate articles within your group.
2. Paper should include a title page and a reference page.

DIRECTIONS AND ASSIGNMENT CRITERIA

Assignment
Criteria

Points % Description

Problem 30

15%

1. Problem is described: What is the focus of your group’s work?
2. Significance of the problem is described: What health outcomes result

from your problem? Or what statistics document this is a problem?
You may find support on websites for government or professional
organizations.

3. Purpose of your paper: What will your paper do or describe? “The
purpose of this paper is to . . .”

**Please note that although most of these questions are the same as

you addressed in paper 1, the purpose of this paper is different. You

can use your work from paper 1 for items 1 and 2 above, including

any suggestions for improvement provide

Please Follow the Rubric to write this paper.

· You can use at least 1 additional professional references, but my articles (references) are priority for this paper because it is based on my group topic.

· This paper is continuation from the first paper you wrote for me last week, which I also attached for you to use as a reference for question 1 and 2 under clinical question (Problem).

· The purpose of analyzing published research assignment is to interpret the two articles identified as most important to the group topic.

Paper length: Three pages for body of paper, excluding title, matrix table, and references page.

Do not use the sample paper as a template to write paper (it’s used to give you an idea)

Please answer each question on the rubric very carefully.

My Group Topic is: Discharge Planning- from acute care to next level-Nurses role in discharge planning and how this impacts patient outcomes

My PICOT Question for my paper is: Can discharge planning reduce readmission and the costs of health care for clients?

The two articles (references) I will be using for my paper are:

· Graham, J., Gallagher, R., & Bothe, J. (2013). Nurses’ discharge planning and risk assessment: behaviours, understanding and barriers. Journal of clinical nursing22(15-16), 2338-2346.

· Gonçalves‐Bradley, D. C., Lannin, N. A., Clemson, L. M., Cameron, I. D., & Shepperd, S. (2016). Discharge planning from hospital. The Cochrane Library.

I attached one of the article that I will be using for my paper. Please include both article within the research paper.


Referring back to the Rubric, you will notice under the Problem:



**Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your work from paper 1 for items 1 and 2 above. Please do not copy and paste from my first paper. You must paraphrase question 1 and 2 from previous work, including any suggestions for improvement provided as feedback. Item 3 above should be specific to this paper.

· I also attached a sample paper by another student to give you an ideal how the professor wants the research paper to be written. Please follow the Rubric and sample paper carefully. No Plagiarism.

Description of Findings: Summary (Heading)

· Summarize the basics of each article in a matrix table that appears in the appendix.

I attached a sample of the matrix table that

Running head: APPRASING THE EVIDENCE 1

9


Permission was received by student to share this paper on July 15th, 2015 –NG

Kangaroo Care vs. Infant Warmers in Reducing Mortality in Low Birth Weight Infants

XXXXXXXXXXXX

Chamberlain College of Nursing

NR 449: Evidence Based Practice

May, 2015

Kangaroo Care vs. Infant Warmers in Reducing Mortality in Low Birth Weight Infants

Clinical Question

The specific clinical question guiding the search for a quantitative article is: In low birth weight babies, does kangaroo mother care improve heart rate, oxygen saturation, respiration, and temperature?

The specific clinical question guiding the search for a qualitative article is: In mothers of premature infants in the NICU, what is the experience of kangaroo holding.

Problem

The problem this paper addresses is whether kangaroo care is an effective measure in increasing thermoregulation among low birth weight infants, thus reducing infant mortality. The significance of this problem is that low birth weight infants are less likely to achieve thermoregulation on their own and require specific interventions in regulating their body temperature. The World Health Organization (WHO) supported a study in Nepal in which an increased mortality was noted across all grades of hypothermia, and the risk was twelve times higher among preterm babies (Bera, et al., 2014). Interventions that may help reduce infant mortality related to ineffective thermoregulation include kangaroo care or infant warmers. According to Nimbalkar, et al. (2014), early skin to skin contact (SSC) can reduce the incidence of hypothermia in newborns within the first 48 hours of life and can contribute in the reduction of neonatal mortality due to hypothermia. The major pathophysiology of hypothermia in the newborn is the disturbance of its regulated temperature inside the womb to the sudden exposure to the colder environment outside the mother’s womb. At birth, newborns have limited control over regulating their own body temperature and require assistance through other means to help keep their body temperature up. The first 24 to 48 hours of life, especially in low birth weight infants, is the most crucial in preventing hypothermia, thus reducing the possibility of death.  

The purpose of this paper is to interpret the quantitative and qualitative articles identified to see whether they are or are not important to our group topic. The paper will compare and contrast the main components of the matrix table.

Description of Findings

Concepts

The independent variable studied betw

Running head: DISCHARGE PLANNING AND HOW THIS IMPACTS PATIENT OUTCOME 1

DISCHARGE PLANNING AND HOW THIS IMPACTS PATIENT OUTCOME

Discharge Planning and How This Impacts Patient’s Outcome

NR449: Evidence-Based Practice

May 2017

Clinical Question

This paper addresses the problem where patients are discharged only to be readmitted back to the hospital. Determining how discharge planning can help to reduce the cases of readmission, which tends to contribute to reducing the cost the clients incur. Avoidance of hospital readmission is one of the vital effects that help guarantee patient safety and quality concerns. Readmission within a short period after a patient has been discharged is very common and cost effective when it comes patients who are chronically ill (Graham, et al., 2013). Statistics that were analyzed between 2013 to 2015 showed that 19.6% of Medicare beneficiaries were readmitted to the hospital within 30 days after they were discharged. On the other hand, 34% of the patients were readmitted within a 90 days period (Hansen, et al., 2013). Medical and surgical patients were the most affected. Furthermore, the medical patients were the ones with the highest readmission rates, 21.1% compared to 15.6% surgical patients. Also, a 30-day readmission was observed among patients with heart failure accounting for 26.9%. Followed by mental health patients at 24.6%, then patients who had had vascular surgery at 23.9%. Close to this were patients with chronic obstructive pulmonary disease at 22.6% and lastly pneumonia at 20.1% (Hansen, et al., 2013).

The significance of this problem is that proper planning before discharge will help in reducing the rate of readmission among clients. A very close review has been done in efforts to reduce the rates of readmission of clients that were discharged earlier (Graham, et al., 2013). Recent studies have also, been done on how to reduce the readmission of hospitalized patients (Graham, et al., 2013). One is the improvement of patient safety when the patient is being discharged from the hospital (Gonçalves‐Bradley, et al., 2016). Also, enhancing a medication reconciliation (Gonçalves‐Bradley, et al., 2016). Moreover improving on the handing over of a patient from being an inpatient to an outpatient (Graham, et al., 2013). Further publications are also in place highlighting the role that is played by the ambulatory care that helps in fostering transitions that are more efficient in providing care to a client.

The PICOT question in support of my group topic is: Can discharge planning from acute care compared with the lack of discharge planning reduce readmission and the costs of health care for clients?

Population-Acute care patients