The question help hospital administrator to explore reasons why elderly patients have high rate of readmission. The factors related to patient context and capacity for self-care including the impact of comorbidities, functional status, caregiver capabilities, socioeconomic factors, potential for self- management and patient and caregiver goals of care (Leppin, A. L., Gionfriddo, M. R., Kessler, M., Brito, J. P., Mair, F. S., Gallacher, K., … Montori, V. M. 2014). Meta-analysis is a quantitative, formal, epidemiological study design used to systematically assess previous research studies to derive conclusions about that body of research. Outcomes from a meta- analysis may include a more precise estimate of the effect of treatment or risk factor for disease, or other outcomes, than any individual study contributing to the pooled analysis Haidich, A. B. (2010). Meta-analysis play important role in EBP. The result of multiple small studies is diverse and conflicting which makes the clinical decision making difficult. For example According to our lesson 2 stated: “Bedside nurses cannot do these types of searches to find best evidence. They need a way to get to the evidence quicker, and a systematic or meta-analysis can give much more information that has been analyzed already” The research gap is there is no validated scale exists to assess the potential of an intervention to impose patient workload or treatment affect a patient’s capacity for self-care. The judgment of impact on patient workload was less reliable. The experience of treatment burden is not constant between patients; an ideal analysis of its effects would be based on patient-reported assessments of intervention workload. References: Leppin, A. L., Gionfriddo, M. R., Kessler, M., Brito, J. P., Mair, F. S., Gallacher, K., … Montori, V. M. (2014). Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Internal Medicine, 174(7), 1095–1107. (Linksto an external site.Haidich, A. B. (2010). Meta-analysis in medical research. Hippokratia, 14(Suppl 1), 29–37. Chamberlain College of Nursing. (2017). NR 451 Capstone: Week 2 lesson. St. Louis, MO: Online Publication
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