Systematic review

Systematic review

1. What was the purpose of the systematic review?

A systematic review is aimed at determining if nursing interventions is in cooperation with selected health professionals, and are efficient in increasing medication treatment among inpatient or up to date discharged when compared with those receiving usual care. It also points to the usefulness of nurse-lead interventions to boost medication treatment in a wide range of patient groups, including home living patients who were discharged from the hospital.

2. In your own words, summarize how the search for studies was conducted.

Titles, full texts and abstracts were independently screened from literature review to ascertain their suitability. Full texts were found to be suitable when written in Germany, French or English. The study included controlled or randomized clinical trials. The study was also conducted among older adults and recently discharged adults. It resulted to medical adherence during the follow-up by use electronic monitors or even prescribed refills..

3. In your own words, describe how the studies to be included for analysis were selected.

Studies employed interventions like patient education and discharge planning to boost medication adherence. The precaution measures were carried out at patients’ home or in hospital. Patients and other healthcare professionals were integrated by the interventions through reminders, education sessions or even meetings. Nurse collaborative interventions also focused on clinic visits, comprehensive teachings by pharmacist and also through electronic devices to about the medication adherence by patients.

4. How many studies were included in the final analysis?

Studies employed patient education and discharge planning in final analysis to improve medication adherence. The studies were said to be multidimensional when collaborated with other healthcare professionals. Medication adjustment by pharmacist and healthcare feedback to other healthcare professionals were also applied in the study to improve medical adherence by patients and professionals as well.

5. What was the process for determining risk of bias in the studies?

Objective measures was used to determine risk of inclination in the studies. The measures determine intervention measures that affect investigators and accuracy who use of in-class set measures. Researchers also determine bias by designing studies that reduce possibility of bias and should represent their methods clearly. Systematic review should also be there to examine the outcomes of nurse interventions which benefit medication.

6. What conclusion did the authors draw on the quality of the studies?

The author concluded by saying that very few studies were of high quality thus reducing our trust in the true results of these interventions. Therefore, a more well designed study with adequate samples should be involved and at the same time using reliable tools like innovative e-health technologies. The author also noted that, the systematic review evaluated the outcomes of nurse-collaborative interventions to boost medical adherence within the discharged and home dwelling older adults.

7. How confident are the authors that nurse-led or –collaborative interventions to increase medication adherence really work? How does this affect whether or not you would use the findings of this study to change your practice? Why?

The collaborative intervention has increased medical adherence because the nurses have the adequate knowledge on how to implement the interventions. The author is now confidence because there will be sufficient medication among recently discharged inpatient. From the knowledge and findings acquired from the study, I will keep practicing being a nursing intervention to improve medication adherence.

References

Verloo, H., Chiolero, A., Kiszio, B., Kampel, T., & Santschi, V. (2017). Nurse interventions to improve medication adherence among discharged older adults: a systematic review. Age and ageing, 46(5), 747-754.