Level of evidence grid - Assignment Example

LEVEL OF EVIDENCE GRID ASSIGNMENT Citation(APA)PurposeSampleDesignMeasurementResults/ConclusionsRankingsEdmiaston, J., Connor, L. T., Loehr, L., & Nassief, A. (2010). Validation of a dysphagia screening tool in acute stroke patients. American Journal of Critical Care, 19(4), 357-364.Kirsh, S. R., Lawrence, R. H., & Aron, D. C. (2008). Tailoring an intervention to the context and system redesign related to the intervention: A case study of implementing shared medical appointments for diabetes.

Implementation Science, 3(1), 34.The purpose of the study was to innovate and implement effective screening tools to be utilised by health practitioners to detect dysphagia in patients before they are taken to Emergency Rooms.The purpose of the study was to equip medical practitioners with the relevant skills required to diagnose dyspagia. N=300A sample of 300 patients diagnosed with stroke was used to test the effectiveness of a new tool developed to diagnose dysphagia in stroke patients. N=1, representing a clinic.

Randomized controlled trialsEvidence from single descriptive studyNurses examined the 300 patients using the new equipment.Analysis of skills and equipment used for screening in the clinic.The average time taken to book a patient and scanning using the new equipment was 8 hours.The new tool known as the Acute Stroke Dysphagia is an effective equipment that should be used in hospitals.Trained experts needed to be hired to help improve the screening process.26Aboelela, S. W., Stone, P. W., & Larson, E. L. (2007).

Effectiveness of bundled behavioural interventions to control healthcare-associated infections: a systematic review of the literature. Journal of Hospital Infection, 66(2), 101-108.To investigate the attitudes of nurses towards conducting screening of stroke patients.N=33, research work.Evidence from systematic reviews of descriptive and qualitative studies.5 research workIt was established that he attitudes of nurses and other health workers greatly affected the screening of strake patients to establish whether they experiencedDysphagia.

5Hinchey, J. A., Shepherd, T., Tonn, S. T., Ruthazer, R., Hermann, R. C., Selker, H. P., & Kent, D. M. (2010). The Stroke Practice Improvement Network: a quasi experimental trial of a multifaceted intervention to improve quality. Journal of Stroke and Cerebrovascular Diseases, 19(2), 130-137.To establish efforts directed early detection of dysphagia are futile and ways to enhance to mandatory screening of patients.N=7, representing the number of hospitals that were used.Evidence from single descriptive reviewsQuestionnairesHospitals were not keen in implementing measures that could enable them detect dysphagia.7Power, M. L.

, Cross, S. P., Roberts, S., & Tyrrell, P. J. (2007). Evaluation of a service development to implement the top three process indicators for quality stroke care. Journal of evaluation in clinical practice, 13(1), 90-94.To establish the high number of deaths caused by stroke.N=1, hospitalControlled trials without randomizationEvaluation of the medication process30% of the patients had been screened for dysphagia.Drugs were administered out of the stipulated time leading to cases of death3Lakshminarayan, K., Tsai, A. W., Tong, X., Vazquez, G.

, Peacock, J. M., George, M. G., & Anderson, D. C. (2010). Utility of dysphagia screening results in predicting post stroke pneumonia. Stroke, 41(12), 2849-2854.Establishing the positive impacts Dysphagia screening in stroke patients.N=18,017, stroke patients who had been discharged.Systematic reviewsClassification of patients according to their status of screening.25% were not screened, 45% were screened and passed the test, whereas 28 % were screened but failed the test.1Daniels, S., Anderson, J.

, & Wilson. (2012). Valid items for screening dysphagia risk in patients with stroke: a systematic review, Stroke, vol. 43(3).Adoption of systems which would ensure screening of patients before they undergo any medication.N=278, representing patients who had stroke symptomsCase control studiesScreening of the 278 patients.It was essential for nurses to screen stroke patients to establish whether they had dyspagia because it affected the outcome of their treatment.ReferencesAboelela, S. W., Stone, P. W., & Larson, E. L. (2007).

Effectiveness of bundled behavioural interventions to control healthcare-associated infections: a systematic review of the literature. Journal of Hospital Infection, 66(2), 101-108.Daniels, S., Anderson, J., & Wilson. (2012). valid items for screening dysphagia risk in patients with stroke: a systematic review, Stroke, vol. 43(3).Edmiaston, J., Connor, L. T., Loehr, L., & Nassief, A. (2010). Validation of a dysphagia screening tool in acute stroke patients. American Journal of Critical Care, 19(4), 357-364.

Hinchey, J. A., Shepherd, T., Tonn, S. T., Ruthazer, R., Hermann, R. C., Selker, H. P., & Kent, D. M. (2010). The Stroke Practice Improvement Network: a quasi experimental trial of a multifaceted intervention to improve quality. Journal of Stroke and Cerebrovascular Diseases, 19(2), 130-137.Kirsh, S. R., Lawrence, R. H., & Aron, D. C. (2008). Tailoring an intervention to the context and system redesign related to the intervention: A case study of implementing shared medical appointments for diabetes.

Implementation Science, 3(1), 34.Lakshminarayan, K., Tsai, A. W., Tong, X., Vazquez, G., Peacock, J. M., George, M. G., & Anderson, D. C. (2010). Utility of dysphagia screening results in predicting post stroke pneumonia. Stroke, 41(12), 2849-2854.Power, M. L., Cross, S. P., Roberts, S., & Tyrrell, P. J. (2007). Evaluation of a service development to implement the top three process indicators for quality stroke care. Journal of evaluation in clinical practice, 13(1), 90-94.