Audio Transcript Auto-generated
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Hello. I'm Hayley and I'm Amber.
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And today we're gonna be talking about our module
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eight think tank answers to the chapter 21 questions.
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Introduction.
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Susan and advanced practice registered nurse is working on a
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congestive heart failure clinic within a hospital and has noticed
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a recurrence of elderly patients having questions regarding their medications
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even though they have received verbal or written instructions.
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The purpose of this assignment is to showcase the cells within the evidence based
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evidence based process Kristen took to address
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this issue within the elderly population.
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Along the way we'll be answering questions pertinent to the
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assignment to help the reviewer better understand our thought process.
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This presentation will include the evidence based process
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development of PICO questions and the use of the I. P. A. R. A. H. S. Framework.
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Okay so question one is this chapter's clinical story presented
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the problem of elderly patients not understanding medication instructions.
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What steps of the evidence based process
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were used to address the identified problem.
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So the first step would be to identify the problem
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and that is difficulty using and understanding printed health information.
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The second step will be asking specific questions.
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So we'll have broad what are the best types of
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printed medication information materials to use with elderly patients narrow?
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What is the best way to format written medication information material that can
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best be understood by elderly patients? And our PICO?
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Where is the effectiveness of using easy
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to read written medication information materials compared with
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standard written medication informational information materials on
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knowledge and understanding among elderly hospitalized patients.
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And the third step would be to acquire evidence.
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So the task force meets with the hospital librarian
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to develop a plan to search for the evidence.
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Using the hierarchy of evidence,
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the task force begins searching for evidence
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that is already pre appraised and synthesized
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to locate guidelines.
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The task force searches the websites of government groups
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such as the Agency for Healthcare Research and Quality,
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the C.
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D. C. National
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Organization and literacy
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literacy organizations
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Task Force. The task force finds and
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Agency for Healthcare Research and Quality literacy.
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Universal precautions toolkit within the toolkit,
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the task force located a publication demonstrating how using
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the toolkit might improve the quality of patient materials.
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After reviewing the publications,
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the committee decides to continue to search for additional sources.
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The task force searches the JB. I.
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Evidence synthesis along with its best practice information sheet.
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They also searched the Cochrane database for synthesized evidence.
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The Cochran
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database has a systematic review that addresses
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the impact of written information about medications.
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However, the focus of this review does not fully address the task force's questions
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and the task force was also not able to locate a systematic review in the JBl library.
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The task force meets again with the library and to ask for help with MEDLINE and C. I.
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N. A H. L. Search within both databases. She performs a refined search.
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She gives a list of publication titles
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and accompanying abstracts to the evidence based practices
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committee task force.
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After reviewing the abstracts the task force asked the
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librarian to receive full text versions of several articles.
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The task force identifies publications that relate to the
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PICO question and decides to focus on the toolkit
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along with a systematic review into primary research articles.
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The next step is appraising evidence for its quality.
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The task force appraises the toolkit by asking the following questions.
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one, what population the Toolkit was focused on. two.
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How did the toolkit authors developed a toolkit and three.
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How much of an impact the toolkit had on the quality of health education material.
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The task force recognizes the purpose of the toolkit was clear
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stakeholders were involved and the toolkit was user friendly and the developers
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pilot tested it with stakeholders who provided positive feedback.
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The task force uses the critical appraisal skills pro program or
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cast tool to evaluate the quality of the systematic review.
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The task force decides to pair the recommendations found with the levels
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of evidence corresponding with the JB evidence rating systems for studies of
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effectiveness.