Reviewing your literature when developing evidence-based practice and quality improvement projects is an important. It is also important to incorporate a theoretical framework as well. As part of a quality improvement team on a busy medical-surgical floor, you are in charge of decreasing hospital admission for heart failure patients. What are some steps you could take to conduct a literature review and which theoretical framework could you use to help guide your case and why? THE ANSWER
steps you could take to conduct a literature review and which theoretical framework you could use to help guide your case:
Define the purpose of your literature review. What are you hoping to learn from the literature? Are you looking for specific interventions that have been shown to be effective in reducing hospital admissions for heart failure patients? Or are you looking for a more general understanding of the factors that contribute to hospital admissions for this population?
Identify key terms and concepts. What are the key terms and concepts that you will need to search for in the literature? This will help you to narrow down your search and find the most relevant articles.
Conduct a search of the literature. There are a number of different databases that you can search for literature, such as PubMed, CINAHL, and Medline. Be sure to use the key terms and concepts that you identified in step 2.
Screen the articles that you find. Once you have found a number of articles, you will need to screen them to determine which ones are most relevant to your research question. This involves reading the abstracts and, in some cases, the full text of the articles.
Evaluate the quality of the articles. Once you have identified a few articles that are relevant to your research question, you will need to evaluate their quality. This involves considering the methodology used in the study, the results of the study, and the limitations of the study.
Synthesize the findings of the literature. Once you have evaluated the quality of the articles, you will need to synthesize the findings of the literature. This involves drawing conclusions about what the literature says about the effectiveness of different interventions for reducing hospital admissions for heart failure patients.
There are a number of different theoretical frameworks that you could use to help guide your case. One possibility is to use the social-ecological model. This model views health as being influenced by a complex interplay of factors, including individual, interpersonal, community, and environmental factors. The social-ecological model could be used to help you identify the factors that contribute to hospital admissions for heart failure patients and to develop interventions that target these factors.
Another possibility is to use the transtheoretical model of change. This model describes the stages that people go through as they make changes in their behavior. The transtheoretical model could be used to help you understand the stage of readiness for change that heart failure patients are in and to develop interventions that are tailored to their specific needs.
The theoretical framework that you choose should be appropriate for the specific case that you are working on. It should also be supported by the evidence in the literature.
Steps you could take to conduct a literature review and which theoretical framework could you use to help guide your case and why?
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