Discussion Question: Formulating The Research Questio 514819

Discussion Questionformulating The Research Question Problem Statemen

In the Week 1 discussion forum, you presented a potential problem and an innovative solution specific to your role specialization. You reviewed literature to identify qualitative and quantitative research articles and submitted annotated bibliographies supporting the problem. Now, based on feedback received, you will prepare your problem statement, research purpose, and research question. You should refine your problem and proposed solution accordingly. Next, develop a research question that addresses the problem, including components to focus your literature review: the PICOT framework consisting of Patient/Population/Problem, Intervention, Comparison, and Outcome. Ensure your research question is answerable, feasible, and clinically relevant. Additionally, discuss your library search strategies and summarize the literature that supports the existence of the problem. Include potential innovations to address this problem and cite sources in APA format.

Paper For Above instruction

The process of formulating a precise research question, coupled with a well-defined problem statement and research purpose, is foundational to conducting meaningful research in healthcare. The first step entails a thorough refinement of the initial problem identified during the Week 1 discussion, integrating insights derived from subsequent literature review and faculty feedback. This refined problem should highlight the core issues, their implications, and the need for targeted interventions within the specific population or setting.

For instance, suppose the initial problem centered around high readmission rates among elderly patients with congestive heart failure (CHF). After reviewing relevant literature, it may become evident that medication non-compliance, inadequate patient education, and insufficient follow-up contribute significantly to this issue. The proposed solution might involve implementing a comprehensive discharge planning intervention, including medication reconciliation and post-discharge patient education. Based on this, the refined problem statement would articulate the persistence of high readmission rates due to preventable factors, emphasizing the need for targeted interventions.

The research purpose statement should clarify the intent to evaluate the effectiveness of this intervention in reducing readmissions among the targeted population. It bridges the identified problem and the specific elements of the study, setting the stage for the research question. The problem statement and purpose should be crafted to guide the formulation of a PICOT-based research question, which provides structure and focus for the literature review and eventual study design.

In developing the PICOT question, clarity and specificity are paramount. The Patient/Population aspect specifies elderly patients with CHF within a particular healthcare setting. The Intervention involves implementing a discharge planning program that includes medication reconciliation and education. The Comparison might be usual care without the structured discharge program. The Outcome focuses on readmission rates within 30 days, morbidity, or other relevant clinical outcomes. The question should be answerable through feasible methods, such as retrospective chart reviews or prospective follow-up.

Furthermore, library search strategies form a crucial part of supporting the problem's existence. Conducting systematic searches in academic databases such as PubMed, CINAHL, and Cochrane is vital. Using keywords like "heart failure," "hospital readmission," "discharge planning," and "patient education," combined with Boolean operators, enhances search efficacy. The reviewed literature should include peer-reviewed journal articles, meta-analyses, and current clinical guidelines demonstrating the correlation between inadequate discharge procedures and high readmission rates. These sources substantiate the problem's prevalence and severity, providing evidence of the need for innovative solutions.

Potential innovations include the integration of technology, such as mobile health applications for follow-up, or the deployment of specialized case managers to coordinate care post-discharge. These strategies aim to bridge gaps identified in the literature, addressing social determinants and systemic barriers that contribute to adverse outcomes. By aligning the intervention with evidence-based practices, the study can contribute valuable insights into effective strategies for reducing readmissions and improving patient outcomes.

References

• Aldridge, M., et al. (2018). Effectiveness of discharge planning interventions on hospital readmission and emergency department visits: A systematic review. Journal of Health Services Research & Policy, 23(2), 77-85.
• Browne, K. J., et al. (2020). Improving transitions of care for heart failure patients: A systematic review. Nursing Research and Practice, 2020, 1-12.
• Hansen, L. O., et al. (2019). The impact of comprehensive discharge planning on readmission rates among patients with heart failure. American Journal of Managed Care, 25(5), 229-234.
• Krumholz, H. M. (2017). Post-hospital syndrome — An opportunity for improved patient care. The New England Journal of Medicine, 377, 100-102.
• Russell, G., et al. (2021). Use of mobile health technology to reduce hospital readmissions in chronic heart failure: A systematic review. JMIR mHealth and uHealth, 9(4), e25094.
• Schoenborn, N. L., et al. (2020). Discharge planning strategies for reducing readmission among elderly heart failure patients: A narrative review. Geriatric Nursing, 41(4), 443-453.
• Storrow, A. B., et al. (2019). Strategies to improve hospital-to-home transition in heart failure patients: A systematic review. Circulation: Heart Failure, 12(2), e005253.
• Wang, H., & Wang, Y. (2021). Evaluating the role of case management in reducing readmissions among heart failure patients. International Journal of Nursing Studies, 113, 103776.
• Williams, A. A., et al. (2019). Improving discharge processes to reduce readmission: A review of models and evidence. Healthcare Management Review, 44(2), 114–122.
• Ziaeian, B., & Fonarow, G. C. (2016). The prevention of hospital readmissions in heart failure. Progress in Cardiovascular Diseases, 59(4), 379-380.