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Pages:
6 pages/β‰ˆ1650 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
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Date:
Total cost:
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Topic:

Nursing Practice Problem and PICOT Question

Essay Instructions:

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Refer to "Research Critiques and PICOT Guidelines - Final Draft." Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
General Requirements
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Essay Sample Content Preview:

Research Critiques and PICOT Statement Final Draft
Name
Institution
Nursing Practice Problem and PICOT Question
The use of electronic health records plays a significant role in enhancing diagnosis and patient outcomes. As a health worker, proper documentation improves diagnosis, reduces medical errors, and facilitates positive patient outcomes. Hospitals rely on medical information and patient's personal information to deliver treatment. Lack of proper sharing and recording information would lead to medical errors, prompting patient readmission. PICOT question: In a population of patients treated in hospitals (P) with Electronic Health Records (HER) (I) compared to non-HER hospitals (C), what is the prevalence of readmission rates (O) measured over one year period (T).
Quantitative Studies
Background
The first study of the quantitative research appraisal, A Public-Private Partnership Develops and Externally Validates A 30-Day Hospital Readmission Risk Prediction Model. In the Online Journal of Public Health Informatics, the researchers assessed the efficiency of electronic health records in predicting readmission risk. The research was carried out by advocate health care in Chicago and Cerner. The researchers conducted a systematic review to evaluate the performance of prediction models used to assess hospital readmission risk. The problem to be solved was the poor performance of prediction models for hospital readmission risk (Chaudhry, Li, Davis, Erdmann, Sikka & Sutariya, 2013). The research focused on establishing effective hospital readmission risk prediction models for admission and before discharge.
Moreover, the study also aimed at assessing the performance of prediction models using key metrics. The research question was, How efficient are the prediction models used in hospital readmission risk? (Chaudhry et al., 2013). The research question is significant to nursing since it helps identify gaps within the management of population risk. Integration of effective prediction models in EHR's is a step towards ensuring low readmission rates.
In the second quantitative study, Relationship Between Hospital Performance Measures and 30-Day Readmission Rates, the research focused on "Examining the relationship between computerized physician order entry scores medication reconciliation scores and 30-day readmission rates" (Carter, 2016). Therefore, the research aimed to investigate whether the use of EHR impacted medication reconciliation and readmission rates. The research problem was the occurrence of medical errors during prescription, which lead to patient readmission within 30 days of discharge. The research question was, "What is the relationship between computerized physician order entry scores, medication reconciliation scores, and 30-day readmission rates? (Carter, 2016)" The research question related to the study's problem was essential to help hospital leaders improve business performance and mitigate financial losses.
Article Support
In the first article, the quantitative study relates to the PICOT question. It applies readmission models to identify patients eligible for interventional measures; hence reducing readmission rates proves that EHRs are useful. In the second article, the qu...
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