Literature Evaluation Student Name Institution Instructors Name Due Date Literature Evaluation Measurable Outcomes 1. 80% of patients will report an increased understandi

Literature Evaluation   

Student Name 

Institution

Instructors Name 

Due Date

Literature Evaluation     

Measurable Outcomes 

1.     80% of patients will report an increased understanding of their diagnosis and treatment plan as measured by a post-education survey. Targeted patient education aims to improve patient knowledge and engagement in care decisions.

2.     Nurses will score an average of 85% or higher on a post-intervention knowledge assessment about the latest evidence-based guidelines. Ensuring nurses have the most updated evidence helps improve the standard of care and patient outcomes.

3.     There will be a 25% reduction in 30-day hospital readmission rates for patients with heart failure compared to previous rates. Readmission rates indicate quality of care and self-management abilities - reducing them shows patients are getting the support needed to stay healthy at home.

4.     As a post-intervention survey indicates, 90% of patients will report satisfaction with the support for symptom management and lifestyle changes. Positive patient experience feedback helps evaluate if the intervention adequately addressed patients' needs and preferences. 

Literature Evaluation Table

Criteria 

Article 1 

Article 2 

Article 3 

Author, Journal (PeerReviewed), and

Permalink or Working

Link to Access Article

Yadav, A. K., Budhathoki, S. S., Paudel, M., Chaudhary, R., Shrivastav, V. K., & Malla, G. B. (2019). Patients understanding of their diagnosis and treatment plans during discharge in emergency ward in a tertiary care centre: a qualitative study. JNMA: Journal of the Nepal Medical Association, 57(219), 357. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580442/

Lukewich, J., Martin-Misener, R., Norful, A. A., Poitras, M. E., Bryant-Lukosius, D., Asghari, S., ... & Tranmer, J. (2022). Effectiveness of registered nurses on patient outcomes in primary care: a systematic review. BMC health services research, 22(1), 1-34. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-07866-x

Schultz, B. E., Corbett, C. F., Hughes, R. G., & Bell, N. (2022). Scoping review: Social support impacts hospital readmission rates. Journal of Clinical Nursing, 31(19-20), 2691-2705. https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.16143

Article Title and Year

Published

Patients Understanding of their Diagnosis and Treatment Plans During Discharge in Emergency Ward in a Tertiary Care Centre: A Qualitative Study (2019)

Effectiveness of registered nurses on patient outcomes in primary care: a systematic review (2022)

Scoping review: Social support impacts hospital readmission rates (2022)

Research Questions

(Qualitative)/Hypothesis

(Quantitative)

What are patients' understanding and areas of confusion regarding emergency care, diagnosis, treatment plans and discharge instructions?

What is the effect of primary care registered nurse-led interventions on patient-reported outcomes, health behaviors, and clinical biomarkers compared to usual care or care led by other providers?

What types of social support do patients perceive as most beneficial during the transition from hospital to home following discharge?

Purposes/Aim of Study

To identify and describe areas of patients' understanding and confusion about emergency care, diagnosis, treatment plans and discharge instructions.

To summarize evidence examining primary care RNs’ impact on patient outcomes, including physiologic changes (via biomarkers), PREMs, PROMs, and health behaviors.

To review and synthesize the current literature on social support and hospital readmission rates.

Design (Type of

Quantitative, or Type of

Qualitative)

Qualitative study using semi-structured questionnaires

Systematic review using Joanna Briggs Institute methodology and narrative synthesis approach

Scoping review following PRISMA-ScR guidelines

Setting/Sample

426 patients discharged from the emergency unit of BPKIHS tertiary hospital in Nepal

23 studies conducted in primary care settings across multiple countries published between 1996-2021

Studies assessing adult medical/surgical populations discussing social support and readmission

Methods: Intervention/

Instruments

Semi-structured questionnaire

Database search, study screening and selection, data extraction, quality appraisal, narrative synthesis of patient outcome results across studies. Outcomes categorized using PaRIS framework.

Database search, removing duplicates, content review for inclusion criteria, synthesizing findings

Analysis 

Thematic analysis of questionnaire responses

Narrative synthesis of findings due to heterogeneity across studies

Narrative synthesis

Key Findings

Majority of patients did not understand treatment plans including names/dosages of medications or side effects.

Primary care RN interventions improved outcomes related to weight/glycemic control, pelvic floor health, BP, tobacco cessation, physical activity, diet, and patient satisfaction/experience.

Instrumental social support needed most post-discharge. Lack of adequate social support increased readmission risk.

Recommendation

Further explore factors influencing understanding and improve health literacy through targeted patient education interventions.

Ongoing evaluation of primary care RN role emphasizing patient-centered outcomes.

Assess social support needs and availability to decrease readmission risk.

Explanation of How the

Article Supports EBP/

Capstone Project

Identifies a need to improve patient understanding, which is a goal/outcome of my capstone project on a patient education intervention.

Provides evidence that primary care RNs can effectively improve important patient outcomes. Supports expanding RN roles in primary care and further research on their impact which is the focus of my capstone project.

Identifies social factors that impact readmissions, which is the focus of my capstone on a post-discharge support program.

Criteria 

Article 4 

Author, Journal (PeerReviewed), and

Permalink or Working

Link to Access Article

Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PloS one, 14(8), e0220116. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0220116

Article Title and Year Published

"Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice." (2019)

Research Questions (Qualitative)/Hypothesis (Quantitative)

(1) To examine self-management support interventions in primary care on health outcomes for a wide range of diseases compared to usual standard of care; and (2) To identify the effective strategies that facilitate positive clinical and humanistic outcomes in this setting.

Purposes/Aim of Study

To examine self-management support interventions in primary care on health outcomes compared to usual care; and (2) To identify effective strategies that facilitate positive outcomes

Design (Type of Quantitative, or Type of Qualitative)

Systematic review of randomized controlled trials

Setting/Sample

Published literature systematically searched from inception to June 2019 in PubMed, Scopus and Web of Science. Eligible studies assessed effectiveness of individualized interventions with follow-up, delivered face-to-face to adult patients with any condition in primary care, compared with usual standard of care.

Methods: Intervention/ Instruments

Search strategy and data extraction. Matrices mapped evidence and components for each intervention. Methodological quality appraised using risk of bias tool.

Analysis

Qualitative synthesis due to heterogeneity. Outcome measures categorized and tabulated.

Key Findings

Effective SMS requires structured patient-provider exchange including consultation, follow up and materials. Interventions should be tailored and include strategies like condition education, symptom monitoring, action plans, coping strategies. Positive outcomes include improved clinical measures, quality of life and self-efficacy.

Recommendations

Provides strategies for primary care providers to deliver SMS in practice. Future research should build on findings for optimal SMS service design and provider training.

Explanation of How the Article Supports EBP/Capstone Project

Identifies evidence-based strategies for delivering SMS interventions, which is relevant for the capstone project focused on developing and evaluating a SMS program.

References   

Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PloS one, 14(8), e0220116. 

Lukewich, J., Martin-Misener, R., Norful, A. A., Poitras, M. E., Bryant-Lukosius, D., Asghari, S., ... & Tranmer, J. (2022). Effectiveness of registered nurses on patient outcomes in primary care: a systematic review. BMC health services research, 22(1), 1-34.   

Schultz, B. E., Corbett, C. F., Hughes, R. G., & Bell, N. (2022). Scoping review: Social support impacts hospital readmission rates. Journal of Clinical Nursing, 31(19-20), 2691-2705. 

Yadav, A. K., Budhathoki, S. S., Paudel, M., Chaudhary, R., Shrivastav, V. K., & Malla, G. B. (2019). Patients understanding of their diagnosis and treatment plans during discharge in emergency ward in a tertiary care centre: a qualitative study. JNMA: Journal of the Nepal Medical Association, 57(219), 357.