PARIHS Scenarios Framework

Improved Essays
A short literature review is included in the background section of the article, and it is relevant to the study. It provides information about the expenses related to readmission and the need of developing the interventions to reduce readmission rates. Poor communication, gaps in follow-up care, discharging patients with pending tests results, and inadequate patient education and discharge instructions have impacted the readmission rate. However, the authors of the article did not include any information about previous studies regarding the benefits of the NP’s involvement in patient care.
6b:
The primary sources of information were mostly used in the literature review. The authors used results from the cohort study done by Forster, Murff, Peterson, Gandhi, and
…show more content…
According to LoBiondo-Wood and Haber (2014), the situation specific theories “are narrow in scope, explain a small aspect of phenomena and processes of interest to nurses, and are usually limited to specific populations or field of practice (p. 82). The research and practice are closely connected in the situation-specific theory. In addition, I think that it would be appropriate to apply a broader framework to this presented article such as the Promoting Action on Research Implementation in Health Services Framework (PARIHS). The theory of the PARIHS framework is that the success of evidence implementation depends on three necessary elements: evidence, context, and facilitation. Ullrich, Sahay, and Stetler (2014) stated that “successful implementation is most likely to occur when (a) scientific evidence is viewed as aligning with professional and patient beliefs, (b) healthcare context is receptive to implementation, including supportive leadership, culture and evaluation systems, and (c) mechanisms are in place to facilitate implementation” (p.

Related Documents

  • Improved Essays

    EGT1 Task 3

    • 484 Words
    • 2 Pages

    Determining the strength of a nursing research study is a critical process that enhances the implementation of evidence-based practice. Determining the strength of a nursing research study ensures that the empirical knowledge developed through nursing research is useful in improving nursing care, the system of healthcare delivery, and patient outcomes. Additionally, nurses should use research findings when making clinical decisions on the best practice to use in order to deliver healthcare services that ensure all the patients receive safe and quality care (Melnyk et al. 2014). Therefore, determining the strength of a nursing research study helps to ensure the evidence is credible (valid and reliable) and is appropriate if incorporated into clinical practice.…

    • 484 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    John Hopkins Nursing Evidence- Based Practice Model: The used of evidence-based practice…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    EGT1 Task 3

    • 591 Words
    • 3 Pages

    The purpose of this post is to describe the role of nurse leaders in promoting evidence based practice. I will describe strategies used for implementation of change in evidence based practice; discuss the influences that are changing health care culture including current issues and trends, and compare the nursing work group culture with other organizational cultures. An important part of the nursing leader role is to influence the culture and climate in the department (Huber, 2014). Nurse leaders must have an accurate understanding of the culture and climate of their unit to be able to implement change effectively. A leader needs to create a vision that encourages and inspires nurses to take part in the evidence based change.…

    • 591 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    Title: Factors of readmissions and reducing unnecessary readmissions to provide a better health care service. Thesis: The health care organizations have big opportunity to improve their quality of healthcare as well as improve life quality of customers through reducing the avoidable readmissions. I. Introduction Thesis: The health care organizations have big opportunity to improve their quality of healthcare as well as improve life quality of customers through reducing the avoidable readmissions. II.…

    • 276 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Philadelphia, PA: Wolters Kluwer Health. Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.).…

    • 621 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In conclusion, I have combined together what binds these three articles, and the core focus and given valid points have concluded in identifying and resolving the problems of readmission risk within a hospital setting. As stated, preventing readmissions is imperative for the patient and the health care system, we have to acknowledge the significant problem of unnecessary complications and ultimately unwarranted morality. Moreover, all three articles established that readmission rates were well outside of the hospital hands and promoted that with a follow-up service after discharge a small to moderate improvement can result in positive patient outcomes. Through these articles, we have noted that health care organizations are sponsoring significant…

    • 159 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Readmissions can become costly for hospitals. According to Tahhan et. al, (2017) many vascular surgery readmissions transpire from medical comorbidities and the majority of these are not related to surgical complications. It is important that individuals are able to manage their chronic illness before undergoing any type of surgery. Many patients have a difficult time understanding how to care for a new illness and as nurses it is our job to give these people the skills and knowledge needed to care for themselves.…

    • 126 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Scenarios: A Case Study

    • 280 Words
    • 2 Pages

    SW: How was your relationship with your ex- girlfriend? VC: We had a normal relationship. We were together from 2014 to 2016.…

    • 280 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    4. Supporting argumentation for the proposed changes The barriers to action There used to be significant resistance and minimal incentive for preventing readmission in many layers of health care. It is now true that there has been more awareness and attention to the problems and issues regarding readmission to acute-care hospital, regardless of location of care such as ambulatory care or SNF. Therefore, it is also true that numerous researches and papers published to solve this issue by various interventions and programs reflect the significance of problems and emergent attention, especially administrative and management level that is more conscious about the potential financial impact from readmissions.…

    • 733 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Readmission In Nursing

    • 1737 Words
    • 7 Pages

    Readmission can bring about high yearly cost. One motivation behind why they have a tendency to readmit a patient after essential care may be because of a misconception or poor care given amid the main visit or an absence of administration. Lessening readmission can decrease the cost to the patient and healing center which can bring about less blunders with confirmation and help enhance tolerant result (Robert M. Mayberry, 2006). Initiatives While making quality initiatives for your gathering everything must go into thought.…

    • 1737 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Therefore, accurate documentation can aid in preventing readmission rates. With no accuracy in documentation, medical errors that may be prevented go undetected unless they were sufficient enough to impose readmission. Consequently, the authors concurred, with the assumption that if patients previously admitted have no intervention in post-acute care, will continue to be a high risk for readmission. (Robinson, Howie-Esquivel, &…

    • 1122 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    It is combined with clinical judgments and patient’ preferences to obtain an outcome which is the best quality cost -effectiveness of patient care. It is not only important for nurses to know the right thing to do but also to know why it is the right thing to do. For example some nurses know that a particular method must be implemented but ignore the scientific reasoning behind it, which means they don’t know what research support the method. Some nurses implement evidence based practice method without questioning the reason why are they putting it into practice. For nurses to get committed to evidence based practice they must know strategies to search for many relevant information from publications currently available.…

    • 1062 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    Critical Appraisal of Quantitative Research Introduction Abstract. The abstract consisted of one paragraph, total of ten sentences, which includes the purpose, design, sampling, and results. Researchers expanded on results but did not include conclusion.…

    • 1451 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Ebp Cultural Barriers

    • 149 Words
    • 1 Pages

    It is increasingly clear that the cultural barriers are as important as the organizational and personal factors to implementing evidence EBP. Most of the research demonstrated that the working culture within organizations stresses on the need to abide by hierarchy and to keep in harmony with others (Williams, Perillo and Brown,2015). On the other hand, nurses need to feel that they have the autonomy and power to enact change in the current practice within their organization (Karin et al, 2009). For instance, several case reports documented that nurses’ opinion and thoughts were not appreciated by doctors predisposing them to have negative thoughts toward utilizing EBP (Chang, Russell and Jones 2010). In fact, health care professionals must…

    • 149 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Implementation of evidence-based nursing practice: nurses’ personal and professional factors?. Journal of Advanced Nursing, 67, 1, 33-42. Retrieved from http://www.nurseone.ca/docs/NurseOne/KnowledgeFeature/EIDM/Implementation_of_evidence-based_nursing_practice-nurses%27_personal_and_professional_factors.pdf Guyatt, G, & Renee, D., (2002). Evidence-Based Medicine Working Group & American Medical Association.…

    • 1561 Words
    • 7 Pages
    Great Essays