Evaluation Of Adult Gerontological APRN Research Discussion
Evaluation Of Adult Gerontological APRN Research Discussion
The article, “The effect of a gerontology nurse specialist for high needs older people in the community on healthcare utilization: a controlled before-after study” investigated the impact of a Gerontology Nurse Specialist’s application of systemic case finding to determine older people at high risk of illnesses and prepare a comprehensive evaluation and care coordination intervention on healthcare outcomes. The research utilized a controlled before-after design to examine the effect of the intervention on the study group. 517 older people formed the intervention group while the control group comprised 883 participants (King et al., 2018)Evaluation Of Adult Gerontological APRN Research Discussion. The findings revealed no statistical variations in the two groups in terms of length of stay in the hospital, hospital admissions, residential care admission, hospital readmissions, or presentations in the emergency department. However, the application of community physiotherapy produced improved outcomes for the intervention group. Lastly, non-significant results showed a lower risk of needing residential care and a reduced rate of hospital re-admissions among the participants in the intervention group.
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Strengths and Weaknesses of the Study
| Strengths | Weaknesses |
| The study has a clear and well-defined title that describes the research purpose. The abstract section provides a concise overview of the research including the background, methods, results, and conclusion. | Since two healthcare providers volunteered to adopt the proposed model of care, it was impossible to randomize the healthcare practices. |
| The study utilized an adequate sample size that warranted the generalization of research findings. A total of 1400 older people participated in the study. The inclusion and exclusion criteria were clearly defined. | Lack of randomization would make it hard to generalize the findings to diverse populations (Stuart et al., 2018)Evaluation Of Adult Gerontological APRN Research Discussion. |
| The study integrated all ethical considerations into the research process (Zolkefli, 2021). The researchers obtained ethical approval from the Northern X Regional New Zealand Health and Disability Ethics Committee. Furthermore, all participants provided written consent to take part in the research. Also, healthcare providers gave written consent for the utilization of participants’ data from the electronic records system. | The use of a single GNS limited the ability of all high-risk people to receive the CGA and participate in the study. |
Next Steps
Research in the future should utilize more than one GNS to establish variations in the findings. Second, the research should use multiple healthcare providers to allow for sampling. Randomized sampling enables researchers to duplicate findings on more diverse populations. Based on the research findings, healthcare providers need to embrace new models that address gerontology-specific needs to promote health among the aging population. One such model entails the use of a specialist gerontology nurse to identify those at high risk, and the application of a coordinated care approach to achieve positive health outcomes (King et al., 2018)Evaluation Of Adult Gerontological APRN Research Discussion. The model has proven to enhance service delivery and competency among healthcare professionals.
References
King, A. I. I., Boyd, M. L., Raphael, D. L., & Jull, A. (2018). The effect of a gerontology nurse specialist for high needs older people in the community on healthcare utilization: a controlled before-after study. BMC geriatrics, 18(1), 1-9. https://doi.org/10.1186%2Fs12877-018-0717-3
King, A. I., Boyd, M. L., Dagley, L., & Raphael, D. L. (2018). Implementation of a gerontology nurse specialist role in primary health care: health professional and older adult perspectives. Journal of Clinical Nursing, 27(3-4), 807-818. https://doi.org/10.1111/jocn.14110
Stuart, E. A., Ackerman, B., & Westreich, D. (2018)Evaluation Of Adult Gerontological APRN Research Discussion. Generalizability of randomized trial results to target populations: design and analysis possibilities. Research on social work practice, 28(5), 532-537. https://doi.org/10.1177%2F1049731517720730
Zolkefli, Y. (2021). Ethical Considerations in Nursing Research. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 4(Supplementary 1), 101-102. Evaluation Of Adult Gerontological APRN Research Discussion