FPX 4000 Assessment 2: Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you

FPX 4000 Assessment 2: Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you

FPX 4000 Assessment 2: Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you

Interdisciplinary transition care coordination strategies are critical approaches that allow healthcare organizations and providers to reduce hospital readmission in medical surgical units in acute care. Using five articles from the “Literature Evaluation Table” this paper provides an annotated bibliography of five quantitative articles that address the issue of interdisciplinary transition care coordination. The annotation provides a concise description about the quality, accuracy and relevance of each article to the PICOT-D.

PICOT-D Question: In a medical-surgical unit at an urban acute care hospital setting serving the adult population, does implementing interdisciplinary transition care coordination strategies from hospital to home reduce 30-day readmissions within eight weeks?

Kripalani, S., Chen, G., Ciampa, P., Theobald, C., Cao, A., McBride, M., Dittus, R. S., & Speroff, T. (2019). A transition care coordinator model reduces hospital readmissions and costs. Contemporary Clinical Trials, 81, 55–61. https://doi-org.lopes.idm.oclc.org/10.1016/j.cct.2019.04.014

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In this article, Kripalani et al. (2019) provide a model based on transition care coordination to reduce readmissions and costs. Using a quasi-experimental design, the researchers compared transition care coordinator (TCC) model of care to the standard or normal care. Despite the controls that they had, the study shows a positive correlation as it concludes that TCCCs lowered 30-and90-day readmissions and related costs.

The article is of high quality though under control and provides an accurate description of the effects of TCCs in reducing readmissions. The study is a controlled randomized trial implying that it is at level one on the evidence pyramid. The accuracy of the article is high given its level of evidence and allows practitioners to integrate these interventions to reduce readmissions. The article is relevant to the PICOT-D question since it shows that evidence-base practice models are effective in addressing the issue of readmission.

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., &

Leykum, L. (2021). Evidence based processes to prevent readmissions: more is better, a ten-site observational study. BMC Health Services Research, 21(1), 1–11. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-021-06193-x

In this article, Pugh et al. (2021) conducted a mixed method, multi-stepped observational study to assess the association between of evidence-based transitional procedures deployed and possibility of readmission rates. The researchers observe that facilities that use recommended care transition processes have increased chances of reducing the risk for readmission based on the (RSRR) model. The study observes that implementation variability and hurdles highlighted by provider to perform these interventions require the use of novel strategies to facilitate increased uptake of the model. Consistent use can help facilities that underutilize the processes and entail patient involvement and engagement in discharge planning as well as enhanced leveraging on community support.

The article demonstrates high quality evidence based on its level on evidence pyramid as it is at level III which gives evidence from well-designed controlled trials that have no randomization or quasi experimental approach. The article is relevant to the PICOT-D question as it shows that transition care coordination reduces the risk of readmissions in care facilities. The article also shows that effective care coordination requires the involvement of patients in their care plans.

Snyder, M. E., Krekeler, C. E., Jaynes, H. A., Davis, H. B., Lantaff, W. M., Mu Shan,

            Perkins, S. M., & Zillich, A. J. (2020). Evaluating the effects of a multidisciplinary

transition care management program on hospital readmissions. American Journal of Health-System Pharmacy, 77(12), 931–937. https://doi-org.lopes.idm.oclc.org/10.1093/ajhp/zxaa091

The article by Snyder et al. (2020) assesses the effects of a pharmacist-developed transition of care programs to reduce the rates of 30-day all-cause readmissions and follow-up. Using a retrospective cohort design, the study shows the effectiveness of a pharmacist-led TOC program to lower 30-day readmissions in the facility. The study demonstrates that having interventions that incorporate healthcare professionals like pharmacists is critical to attaining transition of care programs that address patient needs. The article is accurate since it is a cohort study where participants were followed for 90 days to see if the intervention is effective in addressing the issue of readmissions. The quality of the article is good since it falls under level IV on the evidence pyramid. Level IV contains articles that use well-designed case-control and cohort research. Further, the article supports the PICOT-D as it shows that health care professions can initiate programs that offer benefits not just to patients but also health care providers.

Provencher, V., Clemson, L., Wales, K., Cameron, I. D., Gitlin, L. N., Grenier, A., &

Lannin, N. A. (2020). Supporting at-risk older adults transitioning from hospital to home: who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatrics, 20(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12877-020-1494-3

The article by Provencher et al. (2020) demonstrates for health care providers to support geriatric patients moving from hospital to home by using evidence-based patient-centric discharge planning strategies. Using randomized control approach, the study notes that hospitalized elderly suffering from moderate cognitive impairment can attain benefits from the home model. The approach entails preparation and after-charge support to mitigate and prevent possible unplanned readmissions. The authors record the need to have improved discharge outcomes among the at-risk subgroups after getting an expert-led interventions to enable best care services.

Finlayson, K., Chang, A. M., Courtney, M. D., Edwards, H. E., Parker, A. W., Hamilton, K., Pham, T. D. X., & O’Brien, J. (2018). Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults. BMC Health ServicesResearch, 18(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12913-018-3771-9

In their article Finlayson et al. (2018) assert that transitional care interventions are essential in reducing unplanned hospital readmissions at elevated risk older individuals. Using a randomized controlled model involving 222 subjects, the authors show that multifaceted transitional care strategies in different settings can lower readmissions within the first three months of implementation. Utilizing different interventions cohorts, the study demonstrates that transitional care interventions are a critical aspect of ensuring quality care and reducing the cost burden. The study is accurate based on the statistical aspects that it demonstrates and the outcome measures that it uses to evaluate the outcomes across the four cohorts that they use.

The quality of the article is good based on its level of evidence as depicted by the evidence level pyramid.  The article’s evidence level is II since it designed randomized control trials in different sites to evaluate the effects of different transitional care interventions on hospital readmissions. Imperatively, the article is relevant to the PICOT-D question as it demonstrates clear evidence that effective transitional care approaches can reduce hospital readmissions across care continuum and settings.

Conclusion

The annotated bibliography shows that effective transitional care interventions can reduce readmissions when adult patients are discharged from hospital to home within eight weeks. A host of the articles show that readmissions drastically decline when the transitional care involves an interdisciplinary team approach and patients. However, the articles are not explicit is such interventions also work effective in medical-surgical units.

FPX 4000 Assessment 2: Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you References

Finlayson, K., Chang, A. M., Courtney, M. D., Edwards, H. E., Parker, A. W., Hamilton, K.,

Pham, T. D. X., & O’Brien, J. (2018). Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults. BMC Health Services Research, 18(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12913-018-3771-9

Kripalani, S., Chen, G., Ciampa, P., Theobald, C., Cao, A., McBride, M., Dittus, R. S., &

Speroff, T. (2019). A transition care coordinator model reduces hospital readmissions and costs. Contemporary Clinical Trials, 81, 55–61. https://doi-org.lopes.idm.oclc.org/10.1016/j.cct.2019.04.014

Provencher, V., Clemson, L., Wales, K., Cameron, I. D., Gitlin, L. N., Grenier, A., & Lannin, N.

A. (2020). Supporting at-risk older adults transitioning from hospital to home: who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatrics, 20(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12877-020-1494-3

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., &

Leykum, L. (2021). Evidence based processes to prevent readmissions: more is better, a ten-site observational study. BMC Health Services Research, 21(1), 1–11. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-021-06193-x

Snyder, M. E., Krekeler, C. E., Jaynes, H. A., Davis, H. B., Lantaff, W. M., Mu Shan, Perkins, S.

M., & Zillich, A. J. (2020). Evaluating the effects of a multidisciplinary transition care management program on hospital readmissions. American Journal of Health-System Pharmacy, 77(12), 931–937. https://doi-org.lopes.idm.oclc.org/10.1093/ajhp/zxaa091

Assessment 2: Applying Research Skills

  • Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.IntroductionIn your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research, which will be a current health care problem or issue faced by a health care organization that is of interest to you.InstructionsNote: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 4. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.
    1. View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
      • Summarize the health care problem or issue.
      • Describe your interest in the topic.
      • Describe any professional experience you have with this topic.
    2. Identify peer-reviewed articles relevant to health care issue or problem.
      • Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
      • Use keywords related to the health care problem or issue you are researching to select relevant articles.
    3. Assess the credibility and explain relevance of the information sources you find.
      • Determine if the source is from an academic peer-reviewed journal.
      • Determine if the publication is current.
      • Determine if information in the academic peer-reviewed journal article is still relevant.
    4. Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
      • Identify the purpose of the article.
      • Summarize the information.
      • Provide rationale for inclusion of each article.
      • Include the conclusions and findings of the article.
      • Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
      • List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
      • Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
    5. Summarize what you have learned from developing an annotated bibliography.
      • Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
      • List the main points you learned from your research.
      • Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.
    Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Additional RequirementsYour assessment should also meet the following requirements:
    • Length: 2–4 typed, double-spaced pages, not including the title page and reference page.
    • Font and font size: Times New Roman, 12 point.
    • APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
    • Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
    • Content: Provide a title page and reference page following APA style.
    • References: Use at least four scholarly or academic peer-reviewed journal articles.
    • APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
    Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
    • Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
      • Assess the credibility and relevance of information sources.
      • Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
      • Summarize what was learned from developing an annotated bibliography.
    • Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
      • Apply academic peer reviewed journal articles relevant to the health care problem or issue being researched.
      • Produce text with minimal grammatical, usage, spelling, and mechanical errors.
      • Integrate into text appropriate use of scholarly sources, evidence, and citation style.
  • SCORING GUIDEUse the scoring guide to understand how your assessment will be evaluated.

FPX 4000 Assessment 2: Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you Scoring Guide

CRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHED
Apply academic peer reviewed journal articles relevant to the health care problem or issue being researched.Does not describe academic peer reviewed journal articles related to the health care problem or issue being researched.Describes academic peer reviewed journal articles related to the health care problem or issue being researched.Applies academic peer reviewed journal articles relevant to the health care problem or issue being researched.Applies academic peer reviewed journal articles relevant to the health care problem or issue being researched, including why the chosen articles are relevant to the topic.
Assess the credibility of information and explain the relevance of the information sources.Does not describe origin of information or relevant aspects of the information sources.Describes a few of the origins of the information and relevant aspects of the information sources.Assess the credibility of information and explain the relevance of the information sources.Assesses the credibility of information, explaining the process used for determining the sources’ credibility, and explains the relevance of the information sources, providing the reasons for considering the sources relevant to the topic.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.Does not analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.Analyzes academic peer-reviewed journal articles but fails to use the annotated bibliography format effectively.Analyzes academic peer-reviewed journal articles using the annotated bibliography organizational format.Analyzes academic peer-reviewed journal articles using the annotated bibliography organizational format, and provides rationale for inclusion of each selected article.
Summarize what was learned from developing an annotated bibliography.Does not describe what was learned from developing the annotated bibliography.Describes a portion of what was learned from developing the annotated bibliography.Summarizes what was learned from developing an annotated bibliography.Summarizes what was learned from developing the annotated bibliography, including examples.
Produce text with minimal grammatical, usage, spelling, and mechanical errors.Produces text with significant grammatical, usage, spelling, and mechanical errors, making text difficult to follow.Produces text with some grammatical, usage, spelling, and mechanical errors, making text difficult to follow at times.Produces text with minimal grammatical, usage, spelling, and mechanical errors.Produces text free of grammatical, usage, spelling, and mechanical errors.
Integrate into text appropriate use of scholarly sources, evidence, and citation style.Does not integrate into text appropriate use of scholarly sources, evidence, and citation style.Integrates into text mostly appropriate use of scholarly sources, evidence, and citation style, but there are lapses in style use.Integrates into text appropriate use of scholarly sources, evidence, and citation style.Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources.

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