Advanced Levels of Clinical Inquiry and Systematic Reviews

Advanced Levels of Clinical Inquiry and Systematic Reviews

Identification & Description of Clinical Issue of Interest-Heart Failure Readmissions

vHeart failure (HF) as a global health burden

vIncreased prevalence of the readmissions among patients over 65 years

vIncrease in rates of readmissions within 30-day period

vNeed for nurse-led educational interventional programs to reduce readmissions

 

Development of the PICOT Question

vEvidence-Based Practice Research implores one to formulate PICOT Question for their identified clinical problem or topic

vPICOT is an acronym that Stands for

P- Population, Patient, or Problem

I- Intervention or Issue

C-Comparison

O- Outcome

T-Time

• PICOT Question: In heart failure patients (HF) above 65 years and discharged from health facilities (P), does multidisciplinary nurse-led education provision and team (I) compared to usual care (C) reduce the rate of readmission (O) within 30 days after their discharge?

Advantages of Using Systematic Reviews & Meta-Analyses

vReduce Prejudices and bias

vMore reliable and useful than single study

vSummarize findings from multiple studies

vGive direction on how effective findings can be used in daily practice

vIdentification of Knowledge gaps for further research