The Clinical Question and Systematic Reviews (graded) Your capstone change proje
ID: 82279 • Letter: T
Question
The Clinical Question and Systematic Reviews (graded)
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a list provided to you in Course Resources.
Choose a systematic review from the list of approved reviews In course resources or in the announcements based on your interests or your practice situation.
Reducing hospital readmissions
Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
Relate how you developed the question.
Describe the importance of this question to your clinical practice previously, currently, or in the future.
Describe what a research-practice gap is.
Explanation / Answer
Topic of systemic review: Reducing hospital readmissions
Research practice gap : "Oh, research is research, and practice is practice, and never the twain shall meet,", as quoted by Kipling is evident in the real world. A gap between research and practice occur due to various reasons, one being the researchers not thinking that the research done in a lab can be actually implemented- raising a deliberate gap. The second kind of gap being in the case where the research carried, at the time of implementation, is wrongly executed or messed up at the most critical steps. This is how the gap develops between research and practice.
clinical question: Has the discharge planning and post discharge support infrastructure improved significantly?
Thus topic is very much related to the review. Only with an improvement in the discharge planning and post discharge support infrastructure, there can be an improvement and reduction in hospital readmissions. This care can be in the form of increased patient - clinician communication followed by a proper follow up by the clinician. This can also be backed up by an in home facility or a skilled nursing facility or a home health agency and maybe a care manager, only with improvements in such care and facilities, can the readmissions be reduced. Thus, it is important to answer this question with every aspect in detail.