1. What was the main purpose of the study? (1 point)
The main purpose of this study was to evaluate the survival of chronically ill patients over the age 65 years in eastern Pennsylvania using the Health Quality Partner’s (HQP’s) community-based nursing intervention program versus regular care that is implemented in the Medicare Coordinated Care Demonstration (MCCD) (Coburn, Marcantonion, Lazansky, Keller, & Davis, 2012, p. 4). Secondly, the authors south to evaluate and determine if there would be “…intervention-associated reduction in all-cause mortality within the subroups…” (Coburn, et. al., 2012, p. 4)
2. Based upon the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal, what is the level of evidence provided in this study? (1 point)
Based upon the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal; the referenced article is considered a level one with strong evidence based practice due to the authors/researchers performing a meta-analysis of other various study trials similar to the referenced article and the participants being randomly assigned to a control or an experimental group with regards to individual participant levels (Coburn, et. al., 2012, p. 5).
2a. Was the group assignment blinded? (1point)
The participants were blinded with regards to what group (experimental or control) they were randomized to; however, participants were able to decipher which group they were in as one group (control group) would no longer have contact with HQP’s and the other group (experimental group) continued to have contact with HQP’s (Coburn, et. al., 2012, p. 5). With this said, the study group assignment was not blinded as the participants were able to decipher which group they were assig...
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...rom their evidence that community-based nurse care management corresponds to a decrease in all causes of mortality in older adults coping with a serious illness (2012, p. 7).
Works Cited
Coburn, K., Marcantonion, S., Lazansky, R., Keller, M., & Davis, N. (2012). Effect of a community-based nursing intervention on mortality in chronically ill older adults: A randomized controlled trial. PLoS Medicine, 9(7), e1001265.
Newhouse, R., Dearholt, S., Poe, S., Pugh, L., & White, K. (2007). Johns Hopkins nursing evidence-based practice: Model and guidelines. Indianapolis, IN: Sigma Theta Tau International. Retrieved from http://www.nursingknowledge.org/Portal/main.aspx?pageid=36&sku=111089
Polit, D. & Beck, C. (2012). Nursing research: Generating and assessing evidence for practice (9th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
Implications for nursing practice are as follows. First, the study indicated that additional medical intervention is not always supportive of positive patient outcomes. Instead, it
Evidence-Based Practice Preparation in Nursing Education: Recent BSN Graduates and Their Experience With Applying Evidence-Based Practice. Doctoral Dissertation (Doctoral Dissertation). Capella University. Retrieved from ProQuest Digital Dissertations. (3502734) http://search.proquest.com.ezp-02.lirn.net/pagepdf/993006005/Record/3CA1ED1ED991402DPQ/1?accountid=158614
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
LaMantia, M., Scheunemann, L., Viera, A., Busby-Whitehead, J., & Hanson, J. (2010). Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review. Journal of the American Geriatrics Society, 58(4), 777—82.
Miller, Carol A. (2012). Nursing for Wellness in Older Adults. (sixth edition). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
Yiu, L. (2012). Community care. In L. Stamler & L. Yiu (Eds.), Community health nursing: A Canadian perspective (3rd ed., p. 213, 219, 227). Toronto, Canada: Pearson Canada Inc.
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
Nies, M.A. & McEwan, M. (2015). Health a community view. In Community/public health nursing: promoting the health of populations (6th ed.) (p. 1). St. Louis, Missouri: Elsevier.
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
A key characteristic of Advanced Practice Nurses (APN) is to develop and refine the ability to generate and synthesize research and use this information to influence positive changes to everyday nursing practice (Burns & Quatrara, 2013). APNs are well placed as clinical leaders to facilitate for frontline nurses the links between practice and research. Stevens (2013) reminds us that evidence-base practice can result in improved care, positive patient outcomes and enhanced nursing satisfaction. Nurses are professionally obligated to ensure that the best evidence supports their nursing work, with the end goal being the delivery of the best care
The Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
Miller, C. A. & Co., Inc. (2009). The 'Standard' of the 'Standard'. Nursing for wellness in older adults: Theory and practice (5th ed.). Cleveland, Ohio: Lippincott Williams & Wilkins. National Institute of Neurological Disorders and Stroke (2011).
Polit, D. F., & Beck, C. T. (2010). Essentials of Nursing Research (7th ed): Lippincott, Williams & Wilkins.