Essay Example on Discharge Planning Clinical Question









Discharge Planning Clinical Question In order to ensure proper discharge planning has been implemented properly the use of teach back method is vital A literature review revealed that the teach back method has helped reduce complications in patients that they have experienced along with decreasing hospital readmissions The issue with discharge planning is nurses may explain instructions once in result for information not being retainable Insufficient discharge planning can lead to negative patient outcomes According to the National Quality Forum indicates that utilizing teach back method is one of 34 safe practices hence why the implementation of this particular method during discharge planning can drastically help reduce errors Jager Wynia 2012 Not only is teach back method determines patient understanding it also reinforce information already given The purpose of this paper is to discuss how utilizing the teach back method during discharge planning impacts patient outcomes This published research can be more focused based on the PICOT pneumonic Population Acute care families and patients ready for discharge Intervention Using teach back method with patients when creating a standardized checklist to reduce hospital readmission Comparison Patients who do not use teach back method when creating discharge checklist Outcome patient readmission is significantly reduced when patient s and family members involved with verbalizing checklist needs Time 

No readmission for 30 days PICOT question Is patient discharge planning compromised when nurses do not use teach back method in comparison to the one who utilize this method Levels of Evidence For the research project it is vital to present evidence that lay out results in the studies In addition using a quantitative research is appropriate because it will help show the impact on patients utilizing the teach back method A level I evidence allows the reader to fully understand the concern as well as quantitative method of research which focuses on efforts the author has made to ensure credibility and trustworthiness Houser 2018 The American Medical Association has recommended that hospital personnel use plain language and visual aids keep focus on the most vital aspects of discharge teaching then ask the patients to repeat the information or teach back what the staff has taught them to ensure understanding Jager Wynia 2012 How long should a nurse spend time with a patient to truly know if they retain instructions Patient education should be completed in small blocks of time to prevent overwhelming the patient with information and periodically checked for understanding Kornburger et al 2013 Those patients who have poor health literacy may find discharge planning confusing and overwhelming which leads to noncompliance with discharge teaching Kornburger et al 2013 First and foremost determining the appropriate level of services required is highly significant In addition at the time of discharge the patient ought to be provided with documents that incorporate language and literacy appropriate instructions and patient education to help in successful transition from the hospital

With proper communication discharge planning and health literacy will have a greater effect and lighten a portion of the readmission issues It takes communication to make sense of the level of health literacy that the patient can fully comprehend it A naturalistic approach to research in which the focus is on understanding the meaning of an experience from the individual's perspective Houser 2018 To get first hand evidence is to directly go to the source in which patient is experiencing Search Study A credible resource is keen when conducting research based study as they are backed by evidence and peer reviewed Thus CINAHL was utilized to find the resources CINAHL database allows users to choose in each criteria to best suite the research For instance date can be adjusted to find current articles utilizing meticulous keywords aided in filtering unwanted articles At first when searching for discharge planning 500 articles had appeared then by entering the keywords teach back method and discharge planning the articles filtered down to 20 which made it easier to read through 

Utilizing keywords from the PICOT question had also filtered out many the options from the 20 articles Narrowing down the articles to 5 specific articles which would aid in the problematic topic at hand The two most relevant and helpful articles were TeachBack to Promote a Safe Transition From Hospital to Home An Evidence Based Approach to Improving the Discharge Process by Kornburger et al 2013 and Who gets a teach back Patient reported incidence of experiencing a teach back By Jager A Wynia M 2012 These two articles are important because they utilize qualitative approach of study which would be beneficial because it allows the researcher to utilize first hand experience and also uses secondary method of research by including data analysis which include statistical value and allowing readers to view as a whole rather than one way of research Conclusion In conclusion every research requires a different method of approach For some research qualitative study works rather than quantitative and for some both methods are just as important Evidence based practice research is performed to ensure that the research conducted is unbiased trustworthy and true to the viewers and to better enhance quality of work and patient care especially by nursing staff worldwide As a nurse it is our duty to not just protect our patient but also to be the voice of one another Research can be daunting but working with the right search strategy can make it simpler and to the point

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