The assignment should be between 5 to 8 pages. 5 pages will suffice. They were no set amount of references, i just chose 4. The professor says the paper should be written like a research article’s introduction where supporting reference papers are all intertwined within the body of the literature review paper with proper citations. Last day to hand the paper in is May 4 before midnight. There is a rubric i have pasted below along with a picot question paper i had initally done on this same topic if it helps our cause.
Category Score of 10 guideline
1. Identifies a problem in nursing practice and uses the PICOT format to articulate the problem
2. Submits a written problem statement and research question
3. Submits reflective writings on 6 articles, mixture of quantitative and qualitative research summarizing the major tenets of research in each article
That is the grading rubric for the assignment. Now i will attach the paper o had written if it helps with anything:
Among hospitalized patients who are post-op total knee arthroplasty (population), what is the effect of an in-patient rehabilitation (intervention), in comparison to home-based rehabilitation (comparison) on better range of motion (outcome)?
Patients who decide to undergo total knee arthroplasty (TKA) are often advised by medical providers to keep that option for last resort after having tried other options. These patients are in excruciating pain with minor activity such as walking. Psychological issues such as depression begin to manifest because quality of life has become compromised. In this paper, two articles will be discussed referencing the outcome on range of motion between an in-patient rehabilitation facility in comparison to home-based rehabilitation on patients that underwent total knee arthroplasty.
The first article by the journal of arthroplasty (Padgett et al, 2017) conducted a study on the outcome of in-patient rehabilitation on patients following TKA. The purpose of this study was to determine if in-patient rehabilitation improved function and patient-reported outcomes after TKA. They chose patients from the agency for healthcare research. From the selected patients, 4477 were discharged to an in-patient rehabilitation while 3011 were discharged home. To avoid selection bias a propensity score matching was done to adjust for differences in baseline characteristics between the groups. Parameters used for this research include, length of stay, need for manipulation, 6-month complications, lower extremity activity scale, a 12-item short form health survey and hospital for special surgery knee expectations survey. The results showed patients discharged to a rehabilitation facility were found to have shorter hospital length of stay. On the other hand, patients discharged home experienced more fractures at 6 months post operatively.
The second article by Buhagiar; et al (2017) conducted a research on the effect of in-patient rehabilitation versus a monitored home-base program. The aim of the study was to measure mobility, function and quality of life in both groups after 10days. 165 patients were involved in this study where 81 were discharged to an in-patient hospital rehabilitation while 84 home with monitored rehabilitation. Parameters measured include; 6-minute walk test, oxford knee score and EuroQol group 5-dimension self report questionnaire visual analog scale. Results shows the number of post discharge complications for the inpatient group was 12 versus 9 among the home group. In essence, the use of an in-patient rehabilitation in comparison to a monitored home-base rehabilitation program.
In summation, both articles hold very strong evidence about the studies conducted. My understanding from these studies brings light to the conclusion that an in-patient rehabilitation facility in comparison to a monitored home-based rehabilitation are equally effective for good patient outcomes depending on what option is best suited for individual patients.
Buhagiar MA, Naylor JM, Harris IA, et al. Effect of Inpatient Rehabilitation vs a Monitored Home-Based Program on Mobility in Patients With Total Knee Arthroplasty: The HIHO Randomized Clinical Trial. JAMA.2017;317(10):1037–1046. doi:10.1001/jama.2017.1224
Padgett, D. E., Christ, A. B., Joseph, A. D., Lee, Y.-Y., Haas, S. B., & Lyman, S. (2018). Discharge to Inpatient Rehab Does Not Result in Improved Functional Outcomes Following Primary Total Knee Arthroplasty. The Journal of Arthroplasty, 33(6), 1663–1667. doi: 10.1016/j.arth.2017.12.033