Week 4 Literature review

2

The Process of Program Planning

Implementing Change through Planned Interventions

Diana Aranda

Denver College of Nursing

NUR695

Instructor’s Name: Sharon Bator

10/15/2023

The Process of Program Planning

Implementing Change through Planned Interventions

Introduction

The chosen topic for the scholarly paper is "Hospital readmission within 60 days after discharge to homecare,". This topic is a significant concern in nursing education and healthcare practice. Hospital readmissions affect patient well-being and healthcare expenditures, especially for senior chronic illness patients transferring to home care (Chen et al., 2020). We will discuss the research question, write a detailed summary statement, and choose a journal for manuscript submission.  

The research question is: "What factors contribute to hospital readmission within 60 days of discharging from the hospital to homecare services, and how can nursing interventions be optimized to reduce readmission rates among elderly patients with chronic illnesses in the homecare setting?" This well-structured research question addresses nursing education and patient care concerns. According to Lo et al. (2021), hospital readmission within a short time after discharge shows that the patient's health may have deteriorated, the initial discharge was early, or homecare may not have been enough to sustain health. This research question investigates hospital readmissions and recommends nursing interventions to reduce readmissions in vulnerable elderly patients with chronic illnesses getting home care.

Summary Statement

This research paper aims to investigate hospital readmission within 60 days after discharge and transition to homecare services. Hospital readmissions are essential to healthcare quality, patient outcomes, and system efficiency. This research focuses on older chronic illness patients with complex healthcare demands requiring ongoing attention. Hospital readmissions in this demographic can increase healthcare expenditures, patient dissatisfaction, and bad outcomes. This research seeks to explore the causes of hospital readmissions in this scenario. It investigates what causes these readmissions and, more importantly, how nursing interventions can be adjusted to reduce homecare readmission rates for this patient population.

The potential impact of this research is substantial. Addressing hospital readmission improves patient care and advances nurse education and practice. The findings of this study can help nursing educators, practitioners, and policymakers establish evidence-based practices and interventions. Health systems can save money, enhance patient outcomes, and improve care with these strategies. This article aims to help healthcare professionals, educators, and administrators enhance home care for older individuals with chronic conditions. This research could improve nursing education and practice, helping patients and the healthcare system.

Journal Selection

The ideal journal for submitting the hypothetical manuscript is "The Journal of Nursing Research." This nursing journal is known for publishing high-quality research. It is ideal for sharing nursing intervention findings, notably on patient readmissions. The journal's reputation and focus match this research's goals. The author's "The Journal of Nursing Research" rules will be strictly followed to guarantee that the paper meets the highest professional standards. These recommendations help communicate study findings and meet nursing research community expectations. Following these principles will assist in maintaining nursing research rigor and professionalism, even though the paper will not be published.

Conclusion

The issue of hospital readmission within 60 days of discharge to home care is a crucial concern in nursing education and healthcare practice. The well-structured study topic examines hospital readmission factors and nurse intervention optimization to reduce readmission rates, especially in older home care patients with chronic diseases. The summary statement describes the paper's goal and potential influence on nursing education and practice. The selected journal, "The Journal of Nursing Research," matches the research's topic and will guide paper submission. This research could improve patient care, healthcare quality, and nursing knowledge.

References

Chen, H., Cates, T., Taylor, M., & Cates, C. (2020). Improving the US hospital reimbursement: how patient satisfaction in HCAHPS reflects lower readmission. International Journal of Health Care Quality Assurance, ahead-of-print(ahead-of-print). https://doi.org/10.1108/ijhcqa-03-2019-0066

Lo, Y.-T., Chang, C.-M., Chen, M.-H., Hu, F.-W., & Lu, F.-H. (2021). Factors associated with early 14-day unplanned hospital readmission: a matched case–control study. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06902-6