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20:51 X Self-Assessment Quiz: Is it Resea... Reade the following excerpt from Hobbs, Escutia, Harrison, Moore, and Sarpong (2012) The ACA penalizes hospitals with a high rate of patient readmission within 30 days of discharge (Cykert, 2012). Adult patients admitted to the hospital with a diagnosis of HF are at risk for readmission within 30 days for a potentially preventable condition. Research concerning post-discharge telephone calls demonstrated lowered rates of readmission to the hospital within 30 days (Copeland, Berg, Johnson, & Bauer, 2010; Melton, Foreman, Scott, McGinnis, & Cousins, 2012). A systematic review of the literature was completed to answer the following question: In adult patients with HF, do post-discharge telephone calls reduce the rate of avoidable hospital readmissions within 30 days when compared to no post-discharge telephone calls? Is this research? Reference Hobbs, J., Escutia, D., Harrisonm, H., Moore, A., & Sarpong, E. (2016). Reducing hospital readmission rates in patients with heart failure. MedSurg Nursing. 25(3), 145-152. O of 8 completed Save for Later Submit
20:51 X Self-Assessment Quiz: Is it Resea... Question 6 --/12.5 Reade the following excerpt from an abstract A quantitative study was completed to determine whether complementary techniques provide pain relief and comfort in patients with chronic pain. Subjects participated in sessions including aromatherapy and music therapy, Massage or cranial still point induction was randomly assigned. Statistically significant improvement in pain and comfort was noted in both groups (Townshend et al., 2014). Is this research? Reference Townsend, C., Bonham, E., Chase, L., Dunscomb, J., & McAlister, S. (2014). A comparison of stillpoint induction therapy to massage therapy in reducing pain and increasing comfort in chronic pain, Holistic Nursing Practice, 28(2), 78-84 This is a research article This is not a research article O of 8 completed Save for Later Submit
20:51 X Self-Assessment Quiz: Is it Resea... Read the abstract from Stewart et al. (2016): In patients with type 1 diabetes who are not pregnant, closed-loop (automated) insulin delivery can provide better glycemic control than sensor-augmented pump therapy, but data are lacking on the efficacy, safety, and feasibility of closed-loop therapy during pregnancy. We performed an open-label, randomized, crossover study comparing overnight closed-loop therapy with sensor-augmented pump therapy, followed by a continuation phase in which the closed-loop system was used day and night. Sixteen pregnant women with type 1 diabetes completed 4 weeks of closed-loop pump therapy intervention) and sensor-augmented pump therapy (control) in random order. During the continuation phase, 14 of the participants used the closed-loop system day and night until delivery. The primary outcome was the percentage of time that overnight glucose levels were within the target range (63 to 140 mg per deciliter (3.5 to 7.8 mmol per liter]). The percentage of time that overnight glucose levels were in the target range was higher during closed-loop therapy than during control therapy (74.7% vs. 59.5%; absolute difference, 15.2 percentage points; 95% confidence interval, 6.1 to 24.2; P=0.002). The overnight mean glucose level was lower during closed-loop therapy than during control therapy (119 vs. 133 mg per deciliter [6.6 vs. 7.4 mmol per liter), P=0.009). There were no significant 0 of 8 completed Save for Later Submit
20:51 X Self-Assessment Quiz: Is it Resea... therapy (19 vs. 133 mg per decinter 0.6 Vs. 12 mmol per liter], P-0.009). There were no significant differences between closed-loop and control therapy in the percentage of time in which glucose levels were below the target range (1.3% and 1.9%, respectively; P=0.28), in insulin doses, or in adverseevent rates. During the continuation phase (up to 14.6 additional weeks, including antenatal hospitalizations, labor, and delivery), glucose levels were in the target range 68.7% of the time; the mean glucose level was 126 mg per deciliter (7.0 mmol per liter). No episodes of severe hypoglycemia requiring third-party assistance occurred during either phase. Overnight closed-loop therapy resulted in better glucose control than sensor-augmented pump therapy in pregnant women with type 1 diabetes. Women receiving day-and-night closed-loop therapy maintained glycemic control during a high proportion of the time in a period that encompassed antenatal hospital admission, labor, and delivery. Is this research? Reference Stewart, Z., Wilinska, M., Hartnell, S., Temple, R., Rayman, G., Stanley, K., Simmons, D... Murphy, H. (2016). Closed loop insulin delivery during pregnancy in women with type 2 diabetes, New England Journal of Medicine, 375, 644-654. 0 of 8 completed Save for Later Submit
20:51 X Self-Assessment Quiz: Is it Resea... Copy of Read the first paragraph from Herron-Foster and Bustos (2014): Due to a steadily growing population of older adults with Down syndrome (DS), health care professionals are seeing more individuals with this condition in the inpatient and outpatient arenas than in years past. The increase in population for adults with Down syndrome is reflective of medical advancements over the last 30 years (Holland & Benton, 2008). Health prevention strategies, along with improved techniques for early diagnosis and intervention, have given many adults with DS an opportunity to achieve old age (National Down Syndrome Society (NDSS), 2012a). Nurses who are unfamiliar with this syndrome may compromise the health of people with DS inadvertently. To help in the provision of better care, a typical head-to-toe assessment will be used to illustrate the anatomical characteristics of Down syndrome, the trajectory of illness of the older adult with DS will be discussed, and nursing management based on the specialized needs of patients with DS will be described Is this research? 0 of 8 completed Save for Later Submit
20:52 X Self-Assessment Quiz: Is it Resea... diagnosis and intervention, have given many adults with DS an opportunity to achieve old age (National Down Syndrome Society [NDSS], 2012a). Nurses who are unfamiliar with this syndrome may compromise the health of people with DS inadvertently. To help in the provision of better care, a typical head-to-toe assessment will be used to illustrate the anatomical characteristics of Down syndrome, the trajectory of illness of the older adult i with DS will be discussed, and nursing management based on the specialized needs of patients with DS will be described Is this research? Reference Herron-Foster, B., & Bustos, J. (2014). Special needs: Caring for the older adult with Down Syndrome. MedSurg Nursing, 23(4), 225-231. Yes, this is research. No, this is not research. 0 of 8 completed Save for Later Submit