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State the overall comparison research question(s) or research objective.
For example, you might summarize as follows: 5 studies were reviewed, 3 were descriptive and 2 were quasi-experimental. All studies were conducted in hospitals with elderly patients being treated for CHF. All studies had clear problem and purpose statements, however the research questions or hypothesis were missing from 3 of the articles. The overall research objective was to determine...
For example, 3 of the 5 studies used the self-care theory and one used adult learning theory to guide selection of instruments and select the target population of CHF patients requiring repeated Emergency Room visits. One study had no theory or conceptual framework ad therefore was not specific in questionnaires used or data gathered. Results from this study were too broad to be helpful.
For example, the descriptive studies were explanatory so that the age, education level and severity of disease could be corrected with the number of ER visits post discharge from the hospital. The experimental designs were both ex post facto and retrospective. Thus the number of ER visits of CHF patients prior to the interventions (1. nurse follow-up telephone calls and 2. Videotapes on home CHF care given at discharge). The ordinal data was not the correct one for the tests used in the experimental study. Note any probable sources of error that might influence the results.
For example, the descriptive studies provided evidence that CHF re-admissions are frequent and thus very costly; unfortunately, a limitation of was no cost data were collected. Both experimental studies had evidence that indicated nurses telephoning or providing videotape patient education guidance for self-care did decreased ER visits compared to control samples. The implications for nursing across all studies were that our profession needs to think in terms of populations of patients and what specific nursing intervention can contribute to improved outcomes including lower costs.
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