NUR 550 Topic 4 Assignment Benchmark Evidence-Based Practice Project PICOT Paper

NUR 550 Topic 4 Assignment Benchmark Evidence-Based Practice Project PICOT Paper

NUR 550 Topic 4 Assignment Benchmark Evidence-Based Practice Project PICOT Paper

The study is about the implementation of case management in the management of adult patients with chronic diseases. In other words, the objective of the study is to determine whether the implementation of case management in comparison to traditional discharge planning can aid in the reduction of length of stay, emergency visits, and readmissions over the course of 6-12 months.

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In this evidence-based practice project, quantitative design will be applied to collect data. There are several advantages to using a quantitative design in data collection. First, it allows one to measure specific variables and track changes over time. This makes it easier to isolate the effects of different factors on the outcome of interest. Second, a quantitative design usually provides a more accurate picture of what is happening in the population under study (Savela, 2018). This is because it uses random sampling rather than relying on self-selection or convenience sampling. Finally, by using statistical analysis, a quantitative design can help one identify patterns and relationships in the data that would otherwise be difficult to detect (Queirós et al., 2017). This can provide valuable insights for making informed decisions about the evidence-based practice project.

The evidence-based practice project proposal on the implementation of case management in the management of adult patients with chronic diseases can be effective in a number of ways. First, the adoption of case management can lead to the decreases in length of stay and resource utilization. Second, case management can be associated with improved quality of life for patients. Third, case management can result in higher rates of patient satisfaction. Finally, case management may lead to cost savings for both patients and the healthcare system.

In this evidence-based practice project, surveys will be used in the collection of data. There are a number of reasons why survey is considered the best method for collecting data for this evidence-based practice. First, surveys provide a way to collect data from large numbers of people quickly and efficiently (Nayak & Narayan, 2019). This is important when time is of the essence, as it often is in healthcare settings. Second, surveys can be designed to collect detailed information about individuals’ views, beliefs, and experiences. This allows for a more in-depth understanding of the issues at hand than would be possible through other methods such as interviews or focus groups.

References

Nayak, M. S. D. P., & Narayan, K. A. (2019). Strengths and weaknesses of online surveys. Technology, 6(7), 0837-2405053138. https://www.researchgate.net/profile/Mudavath-Nayak/publication/333207786_Strengths_and_Weakness_of_Online_Surveys/links/61176e5a0c2bfa282a42253b/Strengths-and-Weakness-of-Online-Surveys.pdf

Queirós, A., Faria, D., & Almeida, F. (2017). Strengths and limitations of qualitative and quantitative research methods. European journal of education studies. https://oapub.org/edu/index.php/ejes/article/view/1017

Savela, T. (2018). The advantages and disadvantages of quantitative methods in schoolscape research. Linguistics and Education, 44, 31-44. https://doi.org/10.1016/j.linged.2017.09.004

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PICOT Final
Name___Mary Nhar-DaSilva_______________

Complete your PICOT using your approved proposed nursing practice problem. If they were approved, you may use the population and intervention developed in your Topic 1 assignment. Include any necessary revisions in this submission. Refer to the “Example PICOT” below as needed for guidance on how to complete the PICOT.
PICOT Question
P Population Adults with chronic diseases who frequently use the emergency department or have frequent inpatient admissions
I Intervention Implement Case Management (CM) program
C Comparison Traditional discharge from hospital
O Outcome Reduced length of stay, emergency visits, and hospital admissions
T Timeframe 6-12 months
PICOT
Create a complete PICOT statement. In adult patients with chronic diseases (P) does the implementation of case management (CM) (I) in comparison to traditional discharge planning (C) help reduce length of stay, emergency visits, and readmissions (O) over the course of 6-12 months (T)?
Problem Statement
Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.
According to the World Health Organization (WHO) 38 million people worldwide die of chronic illnesses. Chronic illnesses make up 7 of the top ten causes of death in the world (Joo & Huber, 2019). They are linked with high rates of hospital utilization such as emergency department (ED) visits or unplanned admissions. The ED is currently overcrowded with lengthy wait times related to disproportionately rise in number of visits. Patients with chronic illnesses frequent the ED inappropriately with nonemergent needs (Di Mauro, Di Silvio, Bosco, Laqunita, & Galazzi, 2019). Could the implementation of case management (CM) programs be the solution to this problem? Hospitals and physician groups increasingly view CM as a vital field for investment and as a tactical approach for succeeding in a value-based environment (Marcotte & Liao, 2020). The inpatient CM creates a service provider-customer relationship between the CM and the patient. To be effective, inpatients requiring post-acute services work closely with the CM throughout their entire admission to construct and plan for a safe discharge. Family members involved in care for the patients are included. The face-to-face interaction between CM and patients is vital in the trust and relationship building component of CM services (Perera & Dabney, 2020). Some post acute services for patients with chronic illnesses include home care, durable medical equipment, care coordination, or even rehabilitation facilities. These services are placed according to the patients’ needs in efforts to reduce ED visits and unplanned hospitalizations. With a safe discharge and added support services, patients with chronic illnesses have the competence to better self manage their chronic illness symtpoms at home prior to seeking hospitalized care. This results in less cost for both patients and the hospitals.

References
Di Mauro, R., Di Silvio, V., Bosco, P., Laquintana, D., & Galazzi, A. (2019). Case management programs in emergency department to reduce frequent user visits: a systematic review. Acta bio-medica : Atenei Parmensis, 90(6-S), 34–40. https://doi.org/10.23750/abm.v90i6-S.8390
Joo, J. Y., & Huber, D. L. (2019). Case Management Effectiveness on Health Care Utilization Outcomes: A Systematic Review of Reviews. Western journal of nursing research, 41(1), 111–133. https://doi.org/10.1177/0193945918762135
Marcotte, L. M., & Liao, J. M. (2020). What we talk about when we talk about care management. The American journal of managed care, 26(6), 245–247. https://doi.org/10.37765/ajmc.2020.43486
Perera, S., & Dabney, B. W. (2020). Case management service quality and patient-centered care. Journal of health organization and management, ahead-of-print(ahead-of-print), 10.1108/JHOM-12-2019-0347. https://doi.org/10.1108/JHOM-12-2019-0347