Predicting Discharge Placement ✓ Solved

Predicting Discharge Placement

The research paper will focus on the understanding of the terms and conditions in which to discharge a patient after a lumbar spine laminectomy. The surgery is major and thus requires an individual to receive proper care even after surgery to guarantee full recovery; thus, it is essential to come to the positive terms, such as the inclusion of skilled nurses in taking care of the patients.

Current practice: I practice nursing in the field of registered nurse (RN) and do cut across most of the other fields of nursing. However, as an RN, I deal with coordination of patient care, provision of emotional support and advice to patients and their families, and educating the public and patients on health needs. The study will focus on the coordination of patient care in the health institution to ensure that they understand the significance of health.

PICOT question: In patients from the home nursing service (P), postoperative care and attention at home to patients with laminectomy (I) compared to patients who do not receive nursing care at home (C) reduces the risk of related complications leading to the best home care (O) within the first five weeks of care (T).

Purpose of the project: The project will seek to understand the significance of an RN to a patient who opts for homecare after lumbar spine laminectomy surgery, which is essential to assure them full recovery.

Body: The research studies are relevant to the study because they help bring in new information that supports existing knowledge. The fact that there is numerous contradicting information on the treatment and recovery of lumbar spine laminectomy patients becomes easier with the research studies that provide guidance and clarity into the information (Kanaan et al., 2014).

Identify how similar methods can be applied to their project: The incorporation of relevant research studies will help boost the project’s outcomes. The measures will help minimize the way that they manage interactions on a standard basis.

Who will be involved in the study? The healthcare institution's management, the patients, the doctors, their families, and home health care companies will take part in the study.

What is the process for getting this project/study approved for implementation? The methods will involve preparing the infrastructure, coordinating with the involved organizations, implementing training, installing the production solution, converting the data, performing final verifications, implementing new procedures and processes, and finally monitoring the solution.

Who would need to know about the project? The management of the healthcare institution, the patients, the doctors in charge of the patients, and their families will be aware of the research. The research will be reviewed by the Institutional Review Board (IRB) to address the ethical concerns. The people involved will be informed formally from the start to demonstrate the seriousness of the research.

Process for including stakeholders: The process for engaging stakeholders includes involving them from the start and throughout the entire process, focusing on shared insights, challenging assumptions, using the participants' words instead of paraphrasing, and engaging stakeholders in a broader perspective.

Baseline data collection sources, methods, and measures: Collection sources will include various means, primarily the patients, doctors, and previous patients who have undergone similar treatment methods and their success. It is important to engage external sources that will help improve interactions. The methods will include electronic health records, surveys, observations, questionnaires, and medical research.

The evaluation method will comprise an outcome evaluation that seeks to prove the potential of the outcomes necessary for shaping future results. The study will involve various parties that will help ensure participants can easily adapt to changes in the direction of results.

Define the post-project outcome indicator of a successful project: The success of the project will depend on the satisfaction of stakeholders, such as patients and doctors. Improvement in patient health will help confirm the project outcome is successful. Since the health interventions will last over a study period of five weeks, it will be sufficient to wait for this duration to elapse before drawing conclusions.

Summarize the proposed project/study: Patients discharged from lumbar spine laminectomy do require additional health services that will enhance their healthcare interactions. The research will emphasize understanding the need for supplementary healthcare that improves patient health engagement. It is crucial to recognize that patients often experience poor health conditions, necessitating affirmative approaches to health information processing.

The research will involve hospital management, physicians, patients, and their families who are invested and engaged in the patients' healthcare. It is vital to involve an RN who will provide care and emotional support to both patients and their families.

Paper For Above Instructions

The recovery process following lumbar spine laminectomy is a critical juncture where appropriate discharge planning and postoperative care are essential to optimize patient outcomes. An effective discharge strategy involves delineating clear roles for healthcare providers, especially registered nurses (RNs), who play a vital role in patient transition from hospital to home care settings.

Research indicates that patients who receive coordinated postoperative care between healthcare providers and home health aides experience lower complication rates and enhanced recovery experiences (Kanaan et al., 2014). This highlights the importance of integrating evidence-based practices in discharge planning to facilitate safe transitions. Effective communication between RNs and home healthcare teams is paramount to ensuring that discharge instructions are clearly understood and followed by patients.

Furthermore, stakeholder engagement is a significant factor for a successful discharge process. By involving managers, healthcare professionals, and even patients' families in discharge planning, healthcare institutions can create customized transition plans that reflect individual patient needs and preferences. This collaborative approach not only fosters a sense of community support but also empowers patients in their recovery journey (Walker et al., 2007).

Alongside caregiver intervention, employing data collection methodologies, such as patient surveys and healthcare records, allows institutions to monitor patient progress and modify care plans as necessary. Implementing these structured data collection strategies can reveal patterns and potential areas of concern, enabling practitioners to intervene before complications arise.

The role of the IRB is crucial in maintaining the ethical rigor of any research study by ensuring that patient rights and welfare are prioritized (Pluye et al., 2017). This oversight provides an added layer of confidence to health professionals and patients alike that the research undertaken is responsible and committed to improving care standards.

Evidence-based recommendations suggest that homecare support, especially in the first weeks following discharge, significantly reduces readmission rates and enhances satisfaction levels among patients (Sufrin, 2017). Engaging an RN for periodic home visits can afford patients comprehensive care, alleviating fears and fostering a positive recovery atmosphere.

Successful outcomes of the proposed project can be measured through patient satisfaction rates, adherence to care plans, and health improvement metrics. By utilizing the PICOT framework, the anticipated results can be evaluated systematically. Furthermore, integrating various data sources will ensure the reliability of the outcomes and inform best practices in discharge placement and postoperative care.

References

• Kanaan, S. F., Yeh, H. W., Waitman, R. L., Burton, D. C., Arnold, P. M., & Sharma, N. K. (2014). Predicting discharge placement and health care needs after lumbar spine laminectomy. Journal of Allied Health, 43(2), 88–97.
• Kierans, C. (2020). Brokering Healthcare: Paper-work, Negotiation, and the Strategies of Navigation. In Chronic Failures: Kidneys, Regimes of Care, and the Mexican State (pp. 75-92). Rutgers University Press.
• Pluye, P., Grad, R., & Barlow, J. (2017). The Hidden Problem of Health Literacy. In Look It Up!: What Patients, Doctors, Nurses, and Pharmacists Need to Know about the Internet and Primary Health Care. McGill-Queen's University Press.
• Ritch, A. (2019). Medical Therapies. In Sickness in the Workhouse: Poor Law Medical Care in Provincial England. Boydell & Brewer.
• Sufrin, C. (2017). The Clinic Routine: Contradictions as Care. In Jailcare: Finding the Safety Net for Women behind Bars. University of California Press.
• Walker, C., Hogstel, M., & Curry, L. (2007). For CE Credit: Hospital Discharge of Older Adults. The American Journal of Nursing, 107(6), 60-71.
• Ritch, A. (2019). “Every Care and Kindness”: The Standard of Workhouse Medicine. In Sickness in the Workhouse: Poor Law Medical Care in Provincial England.