What you have posed is an EBP PICO type of statement … please review my video

What you have posed is an EBP PICO type of statement … please review my video email and my announcement and repost a problem statement that identifies the gap in the literature . that gap will identify the variables you are interested in ex. follow up care and readmission. then please post a hypothesis about the relationship between those variables. there is no need to design a study at this point,, that will come later Proposed Research Problem Statement
To assess whether follow-up care from a hospital prevents readmission disparities compared to no-follow-up care in 30 days among Medicare advanced geriatric patients (65 years or older) (Anderson et al., 2018).
Hypothesis Tested
1. Whether follow-up care after discharge could reduce readmission risk
2. Whether follow-up care after discharge prevents readmission risk based on sociodemographic features (Figueroa et al., 2018).
Study Design
We would perform a retrospective cohort analysis with medicare beneficiaries for chronic diseases (Figueroa et al., 2018). The patients discharged from critical access care would be included in the study, and the participants would be divided into two parts: follow up-care after discharge (30 patients) to no-follow- care (30 patients) in 30 days. The study subjects would be monitored by the guidelines of HEDIS (Healthcare Effectiveness Data and Information Set) to assess office visits of the patients, telehealth, home visits of healthcare providers, and readmissions (Anderson et al., 2018).
The direct variables for the relevant hypothesis would include age (65 or older), chronic vulnerabilities (cardiac, renal, pulmonary, hepatic, gastrointestinal insufficiencies), and length of stay in the hospital (Carey & Lin, 2016). Various indirect variables would be sex, ethnicity, risk score, level of self-care, and socioeconomic preferences.
Ethical Considerations
We ensure to protect the confidential information of patients (name, age, sex, disease) and prevent discrimination based on these factors (Nastars et al., 2019).
Relation of Nursing Practice with the Proposed Study
Readmission is related to increased morbidities and fatalities, along with reduced patient satisfaction and outcome (Nastars et al., 2019). The proposed study focuses on decreasing admission rates with timely follow-up after discharge of the older population. Readmissions could be a penalty to the overall revenues and staff members, and lower rates are associated with positive nursing practice, a stress-free environment, low turnovers, high salaries and reimbursements, and less overload of work (Nastars et al., 2019).
Anderson, A., Mills, C.W., Willits, J., Lisk, C., Maksut, J.L., Khau, M.T., Scholle, S.H. (2018). Follow-up Post-discharge and Readmission Disparities Among Medicare Fee-for-Service Beneficiaries, J Gen Intern Med. 37(12):3020-3028. doi: 10.1007/s11606-022-07488-3. PMID: 35355202; PMCID: PMC8966846.
Carey, K., Lin, M.Y. (2016). Hospital Readmissions Reduction Program: safety-net hospitals show improvement, modifications to penalty formula still Needed. Health Aff. 35(10):1918–1923. doi: 10.1377/hlthaff.2016.0537. [PubMedLinks to an external site.] [CrossRefLinks to an external site.] [Google ScholarLinks to an external site.]
Figueroa, J.F., Zheng, J., Orav, E.J., Epstein, A.M., Jha, A.K. (2018). Medicare program associated with narrowing hospital readmission disparities between Black And White patients. Health Aff;37(4):654–661. doi: 10.1377/hlthaff.2017.1034. [PubMedLinks to an external site.] [CrossRefLinks to an external site.] [Google ScholarLinks to an external site.]
Nastars, D.R., Rojas, J.D., Ottenbacher, K.J., Graham, J. E. (2019). Race/ethnicity and 30-day readmission rates in Medicare beneficiaries with COPD. Respir Care. 64(8):931–936. doi: 10.4187/respcare.06475. [PubMedLinks to an external site.] [CrossRefLinks to an external site.] [Google ScholarLinks to an external site.]

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