Evidence Based Practice change
For this week write your first draft of the literature review so you are prepared to write the planned change for the following week. Submit this assignment instead of “Recruiting participants for your EBP change”. For one thing, participants are not selected for EBP changes. EBP changes are designed for a specific group of patients. You may be working on a cardiac step-down unit and readmissions within 30 days are higher than the national average of 24%. The review of evidence would be for studies that tested interventions to reduce readmissions for HF patients. You should have eight studies or a combination of research studies and EBP/QI projects to guide your practice change. As part of writing up the review, you pay close attention to which studies/projects had the best results. Use the “effect size” to choose your planned change and how to implement it. Effect size refers to how strong or weak is the degree of change. Compare an intervention that led to a 40% decrease in readmissions compared to one that led to a 10% decrease. This means that you will be a week ahead of the assignments in the course.
Attached tot he other order is the outline for the paper. This is for the literature review part.
Below is directly from the outline on directions
Review of Literature
The review of literature includes studies conducted to prevent falls (or solutions for the problem you have selected). The goal is to synthesize the information from the studies to present the evidence for strategies that have been shown to be effective. The strategies that are supported by the findings are what you will be using for the next section.
There are two approaches to writing a review: summary or synthesis. Synthesis is the best approach but can only be used when the studies are very similar to each other related to variables: independent and dependent. For example, if your question is regarding the effectiveness of foam dressings to prevent pressure injuries (PIs) especially to the coccyx area then all will be experiments that use the same exact treatment for reducing PIs at the same body location. For such studies, a synthesis method is best. But when the studies are quite different from each other in design, how intervention is developed, and include more than one dependent variable, you may need to use the summary method: presenting each study one by one. I will provide you with two examples: one a synthesis and one a summary approach. There is NO one method to use. It depends on the studies. Once you submit the matrix with all of your studies included, I can provide a recommendation as to the method to use. Either way, you will need to use sub-headings to organize the review.


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