Nursing
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.
The assignment will be used to develop a written implementation plan.
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For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
ANSWER
Literature Evaluation Table
Student Name:
Change Topic: Patient Education and Care to the Elderly People: Los Angeles, California (CA).The focus of the EBP is to change the care provision approach to meet the needs of the growing number of elderly population through coordinated professional care.
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 | |||||
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Jack, Kinloch and O’Brien
https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.14786 |
Heydari, Sharifi and Moghaddam
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986530/ |
Karimi, Amir and Mirhaghi
https://pubmed.ncbi.nlm.nih.gov/28569983/ |
Kruse, Fohn, Wilson, Patlan, Zipp and Mileski
https://pubmed.ncbi.nlm.nih.gov/32784177/ |
|||||
| Article Title and Year Published
|
Teaching Nurses to Teach: A Qualitative Study on Nurses Perceptions of the Impact of Education and Skills Training to Prepare them to Teach End-of-life-care. (2019) | Challenge and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research. (2019) | Patient Education Among nurses: brining evidence into clinical applicability in Iran (2016) | Utilization Barriers and Medical Outcomes Commensurate with the Use of Telehealth Among Older Adults. (2020) | |||||
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What is the impact of programs deigned to trained nurses to teach end of life care? | What are the most challenging experiences by the ICU staff in the care of elderly adult? | What are the barriers and facilitators of patient education in clinical applicability of patient education? | What are the barriers that prevent ubiquitous use of telehealth and ways in which it improves the quality of life indicators and health outcomes for older adults? | |||||
| Purposes/Aim of Study | To explore the perception of nurses on the impact of a programme designed to train to teach end of life care. | To examine the most challenging encounters by the ICU staff especially the nurses in the care of elderly patients. | To explore the facilitators and barriers of patient education as viewed by Iranian nurses to explain the clinical applicability of patient education. | To examine the barriers that prevent the ubiquitous use of telehealth in improving health outcomes and quality of life indicators for the elderly. | |||||
| Design (Type of Quantitative, or Type of Qualitative)
|
Focus Group design | Qualitative Interviews | Systematic Literature Review | Systematic Literature Review | |||||
| Setting/Sample
|
Three hospice education centers in North West England | Two ICUs of Emam-Reza hospital northeast Iran | International databases including Scopus, PubMed, Google Scholar and Science Direct | PubMed, CINAHL, and Science Direct. | |||||
| Methods: Intervention/Instruments
|
A qualitative program evaluation methodology | Semi-structured Interviews | Systematic reviews | Systematic reviews and meta analyses. | |||||
| Analysis
|
Thematic Analysis | Verbatim transcription, conventional content analysis | Thematic analysis | Narrative Analysis | |||||
| Key Findings
|
Two major themes were recognized learning to teach and build skills that will change the teaching practice and participants feeling better prepared and confident to teach. | Three main categories and 12 subcategories were identified. The main categories include factors linked to nurses’ attitude in elderly care, system of care and model of patient care delivery. | The main themes were identified as the main influential barriers and perceived facilitators such as nurse related factors, organizational related factors and patient related factors. | Some of the barriers to telehealth interventions include lack of desire, technical literacy and cost occurrences | |||||
| Recommendations
|
Healthcare facilities should focus on nursing education to improve the quality of care. | The provision of effective and quality care among the elderly patients should focus on improving nurses’ attitude in elderly care, system of care and model of patient care delivery. | In order to promote patient education among nurses there is need to create a supportive setting and rely on effective strategies that will improve the progress of patient education by nurses. | Facilities should improve the utilization of telehealth through eliminating barriers that will increase the use of telehealth among older adults. | |||||
| Explanation of How the Article Supports EBP/Capstone Project
|
The provision of quality care is possible if the specialists are equipped with education to deliver quality care. | The EBP focuses on barriers to patient education of the elderly extensively induces enormous adverse effects on the nursing practice and care for senior citizens. The article identifies several obstacles that were linked to the provision of quality care among elderly patients. | The EBP focuses on patient education which has been supported by this article through identification of barriers and facilitators of patient education by nurses. | Telehealth has been used in patient education since it supports health information through the computer based programs. Telehealth could be an effective way to eliminate the barriers to patient education among nurses since it allows online peer support and a learner centered approach in care among elderly | |||||
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 | |||||
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Kim and Oh
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558471/ |
Maria, Suzzane, Mark, Kelly, Amy, David and Peter
https://link.springer.com/article/10.1007/s11136-017-1775-2 |
Caroline, Esther, Gisselle and Lynda
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2182-2 |
Ruiz-Pellón, Sarabia-Cobo, Amo-Setién, Fernández-Peña, Abajas, R., Martín and Ortego-Mate
https://pubmed.ncbi.nlm.nih.gov/32353644/ |
|||||
| Article Title and Year Published
|
Nurses’ Perspectives on Health Education and Health Literacy of Older Patients | Effect of Health Literacy on the quality of life of older patients with long term conditions.
(2018) |
An Education Intervention to Improve the Health Literacy and Decision Making about Self-care among Old Australians. | Experiences of Nursing Students in Participating in End of Life Education Programs | |||||
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What are the nurses’ perspectives on the education of older patients and their health literacy? | What is the effect of health literacy on the quality of life of elderly patients with long term conditions? | The primary hypothesis was that receiving a DVD/web plus booklet intervention compared to booklet intervention only will show an increase in decision self-efficacy. | What are the experiences of nursing students that participate in end of life education programs? | |||||
| Purposes/Aim of Study | To understand the perspective of nurses on education of older patients and their health literacy as frontline providers of care to elderly patients. | To explore the impact of health literacy on quality of life among elderly patients. | To examine the active role of education on health literacy and decision making among elderly patients. | To explore the encounters of nursing students that partake end of life education programs | |||||
| Design (Type of Quantitative, or Type of Qualitative) | Interviews | Prospective Cohort Study | Randomized Controlled Trial | Systematic Review | |||||
| Setting/Sample
|
Clinical Settings in Korea | Community settings with groups based in Sydney, Australia. | Electronic Databases: Scopus, Dialnet Plus, Web of Science, CINAHL Plus, Cuiden Plus and Medline. | ||||||
| Methods: Intervention/Instruments
|
Audio recorded Interview | Multivariate linear regressions | Intervention trials; web intervention, booklet intervention | Evaluation and synthesis of studies using meta aggregation | |||||
| Analysis
|
Thematic analysis | Descriptive statistics- Multivariate multiple regression analyses | Statistical analysis | Thematic analysis | |||||
| Key Findings
|
The study findings revealed that participants perceived older patients had varying conditions that hindered effective education thus lowering their health literacy. The study identified five themes; attitude to change, cognitive and physical functional barriers to comprehending teaching materials, family care givers, major contexts and strategies to enhance health literacy and teaching effectiveness. | The findings indicated that poor health literacy is linked to poor quality of life and declines in psychological, physical and environmental factors. Therefore, health literacy impacts the quality of life in older people with long term conditions. | The intervention trials show that learning is enhanced when the material is presented with an audio-visual rather than a visual or text format alone. | End of life programs generally enabled students to learn concepts, acquire communication skills and improve administration of end of life care. | |||||
| Recommendations
|
Clinical settings should focus on eliminating the barriers in the context of patient education to improve health literacy. | There is need to develop policies that will address health literacy challenges that are encountered by ageing population. | Education intervention to boost health literacy should rely on educational resources with audiovisual elements that improve health literacy and self-efficacy among old patients. | Clinical settings and educational facilities need to focus on educating nursing students on different care concepts to support the effectiveness of nursing practice in care provision. | |||||
| Explanation of How the Article Supports EBP/Capstone
|
The article supports the EBP since it focus on barriers of health education among nurses through a perception of nurses regarding to health literacy and education of older patients. | The article focuses on the impacts of health literacy among old patients which underscores the importance of the EBP. | The randomized controlled trials on education resources show that education interventions have the potential to improve health literacy among elderly population. Education interventions can reduce the barriers to patient education which will improve the quality of health care provision among elderly. | According to the EBP, the barriers towards nursing practice and patient education for the elderly have existed for long. A need for diversification and change in approach would be vital in the system of care delivery among the elderly population. The article supports education intervention to improve nursing practice and patient care. | |||||
