\n\n What is the practice i<\/strong>ssue<\/strong> you have identified related to the topic you have chosen<\/strong>?<\/strong><\/p>\nThe rehospitalization trend after discharge on grounds of the same illnes<\/span>s which prompts the hospital personal to come up with procedures that would help reduce such occurrences<\/span>.<\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n\n\n Define the scope of the practice i<\/strong>ssue:<\/strong><\/p>\nThe clinical issue in this case is the worrying trend in readmissions from diagnoses such as tracheostomy.<\/span> It is a<\/span> common issue in several facilities that deal in inpatient and outpatient facilities<\/span>.<\/span>In this case, it is limited to the recurring and heightened cases of children rehospitalization for respiratory illnesses that they had already been diagnosed and treated for. The scope of time is 60 days and the various interventions proposed are with regards to amending the discharge plans appropriately.<\/span><\/span><\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n\n\n What is the practice area?<\/strong><\/p>\n___ Clinical<\/span><\/p>\n___ Education<\/span><\/p>\n___ Administration<\/span><\/p>\n___ Other (List): <\/span><\/p>\n<\/td>\n<\/tr>\n\n\n How was the practice issue identified?<\/strong>(check all that apply)<\/span><\/p>\n___ Safety\/risk management concerns<\/span><\/p>\n<\/p>\n ___ Unsatisfactory patient outcomes<\/span><\/p>\n___ Wide variations in practice<\/span><\/p>\n___ Significant financial concerns<\/span><\/p>\n<\/td>\n \n ___ Difference between hospital and community practice<\/span><\/p>\n___ Clinical practice issue is a concern<\/span><\/p>\n___ Procedure or process is a time waster<\/span><\/p>\n___ Clinical practice issue has no scientific base<\/span><\/p>\n__ Other:<\/span><\/p>\n<\/td>\n<\/tr>\n\n\n Describe the rational<\/span>e<\/span> for your checked selections:<\/span><\/p>\nThe issue of readmissions after a diagnosis and discharge can be noted through management<\/span>concerns since they are in a position to monitor patient activity and take note of repeat<\/span> patients. In addition, the very fact that there was a large number of readmissions in the Unite demonstrated that the outcomes of these treatments were unsatisfactory and the patients themselves were not impressed that they had to return for the same procedures to conducted when they had already paid for such services. Finally<\/span>, the manner<\/span> in which the patients were discharged<\/span> was wanting. They were not educated in detail over what their treatment would look like after leaving<\/span> the facility. No detailed<\/span>descriptions<\/span> of warning signs were offered, this in itself was a point of concern.<\/span> The remedy was focused on discharge procedures because it is at this point that the patient\u2019s<\/span> seem to get lost and lose contact with the facilty<\/span>.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n\n\n What evidence must be gathered?<\/strong> (check all that apply)<\/span><\/p>\n<\/td>\n<\/tr>\n\n\n <\/p>\n ___ Literature search<\/span><\/p>\n<\/p>\n ___ Guidelines<\/span><\/p>\n<\/p>\n ___ Expert Opinion<\/span><\/p>\n___ Patient Preferences<\/span><\/p>\n<\/span><\/td>\n | \n <\/p>\n ___ Clinical Expertise<\/span><\/p>\n<\/p>\n ___ Financial Analysis<\/span><\/p>\n___ Standards (Regulatory, professional, community)<\/span><\/p>\n___ Other<\/span><\/p>\n<\/td>\n<\/tr>\n\n\n Describe the rational<\/span>e<\/span> for your checked selections: <\/span><\/p>\nLiterature<\/span> research is essential in gathering data on the various trends that have been observed by other scholars in the rates of readmission on hospitals and specifically to certain diseases.<\/span>Additionally, guidelines from scholars and approved manuals are important as they demonstrate what is considered the best practice in such cases.<\/span> Expert opinion would be gathered from hospital management, nurses and doctors, it would ne invaluable in giving a localized view of the issue at the hospital level. Experts are often at par with current research and have first hand experience in the field.<\/span> My clinical expertise within the duration I was at the facility as well as that of fellow staff members is important as well. It may not be documented but it can shed a light on how things are implemented on the ground with regards to diagnoses, discharge procedures and readmission rates. Regulatory standards and legal provisions are paramount in this research since they show the direction that facilities<\/span> are expected to turn in case of certain cases. They could demonstrate weakness in facility practices or they themselves could have fundamental flaws. The regulations that are relevant are those that pertain to hospital discharge procedures and cases of return patients. These regulations<\/span> and procedures<\/span> can be from the government or industrial bodies and<\/span> policies.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/a>Evidence <\/strong>Summary<\/strong> Worksheet <\/strong><\/p>\nDirections<\/strong>: Please type your answers directly into the worksheet.<\/span><\/p>\n\n\n\n\n Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:<\/span><\/p>\nThe practice problem is rehospitalization for the same diagnosis<\/span> within two<\/span> months. The patients (<\/span>children<\/span>) with chronic respiratory conditions have been noted to return to the facility<\/span>after 60 days<\/span> of discharge. This is a significant problem since over 60% of the patients are affected. This is a problem that has had the registered nurse\u2019s attention and they have hypothesized on some of the possible causes that may contribute to this phenomenon.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n\n\n Type<\/span> the complete APA reference for the systematic review article you chose from the list provided, It<\/span> must be<\/span> relevant to the practice issue<\/span> you described above.<\/span><\/span><\/span><\/p>\nHall, K. K., Chang, A. B., & O’Grady, K.F. (2016). Discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness (Protocol). Cochrane Database of Systematic Reviews<\/em>, Issue 8. Art. No.: CD012315. DOI: 10.1002\/14651858.CD012315.<\/span><\/span><\/p>\nChamberlain Library Permalink:<\/span><\/p>\n<\/u><\/a>http:\/\/onlinelibrary.wiley.com.chamberlainuniversi…<\/a><\/u><\/p>\n<\/td>\n<\/tr>\n\n\n Identify the objective<\/span>s of the article.<\/span><\/span><\/p>\nThe article is a protocol that evaluates the effectiveness of discharge plans that are assigned to individual case workers<\/span> and non-caseworker<\/span> plans as far as prevention<\/span> of hospitalization<\/span> of children with chronic respiratory<\/span> diseases<\/span> are concerned<\/span>, in particular, | | | | | | | | | | | |