Matrix Worksheet

Introduction
Template
Technology has been changing over the years with various fields adopting technology to make their operations more efficient. Healthcare has

also adopted technology to enhance service delivery (Fischer et al., 2017, p. 138). Example of technology adopted by healthcare includes Telehealth,

which allows patients to remotely access healthcare services from the comfort of their home and without necessarily traveling long distances to a

healthcare facility. This however has challenged the conventional approach of face-to-face visits in healthcare. Majority of healthcare workers

believe in face-to-face visits; however, telehealth is a great opportunity to improve nursing practice. This paper analyzes four peer reviewed journals

that support the adoption of telehealth in healthcare and the impact this has on clinical outcomes, patient satisfaction with the healthcare services that

were rendered, cost of care, hospital readmission after thirty days post visit to the emergency department and access to care.

Matrix Worksheet Template

Use this document to complete Part 2 of the Module 2 Assessment, Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry
and Part 2: Research Methodologies

Full citation of Article #1 Article #2 Article #3 Article #4

selected article Magnus, M., Sikka, N.,
Cherian, T., & Lew, S.
(2017). Satisfaction and
Improvements in
Peritoneal Dialysis
Outcomes Associated with
Telehealth. Applied
Clinical Informatics,
26(01), 214–225.
Sidhu, A., Chaparro, C., Chow,
C. ‐. W., Davies, M., & Singer,
L. G. (2019). Outcomes of
telehealth care for lung
transplant recipients. Clinical
Transplantation, 33(6), 16–156.
https://doi.org/10.1111/ctr.1358
0 multiple
© 2018 Laureate Education Inc.
Robb, J. F., Hyland, M. H.,
& Goldswain, P. (2019).
Goodman, A. D. (2019).
Comparison
of telemedicine versus in-
person
visits for persons with
sclerosis: A randomized
Lillicrap, L., Hunter, C., &
Improving geriatric care
and reducing
hospitalizations in regional
and
remote areas: The benefits
of
telehealth. Journal of
1
 https://doi.org/10.4338/aci
-2016-09-ra-0154
Why you chose this Selection of article:
article and/or how it I selected this article because it
relates to the analyzes satisfaction of patients
clinical issue of who have used telehealth. This
interest (include a relates to the clinical issue of
brief explanation of interest in the sense that
the ethics of satisfaction of patients will be a
research related to sign of its effectiveness. It
your clinical issue of analyzes the clinical outcomes,
interest) comprehension of kidney
diseases which the patients are
suffering from and emergency
room visits. Ethics of research
noted include informed consent,
autonomy and fair selection of
white and non-white
participants.
Brief description of The aim of this research is to
the aims of the analyze patient satisfaction and
research of each the outcomes that come along
peer-reviewed with the use of telehealth
article among peritoneal dialysis
patients.
Brief description of Research methodology:
the research Qualitative method using a
methodology used randomized control trial which
Be sure to identify if divided the patients into the
the methodology experimental group using
used was telehealth and the control group
Selection of article:
I selected this article because it
analyzes the outcomes of telehealth
for lung transplant patients. This
relates to the clinical issue of interest
because the study seeks to
understand the outcomes of telehealth
on patients with long term illnesses
therefore this article will provide the
relevant information. Ethics of the
research that was noted include
confidentiality, informed consent and
minimal risk of harm to the
participants.
The aim of this research study is to
compare the effects of telehealth with
face to face follow-up of lung
transplant recipients.
Research methodology:
Quantitative method using the cohort
study to perform a comparison
between effects of telehealth and in-
person visits.
© 2018 Laureate Education Inc.
crossover
study of feasibility, cost, and
satisfaction. Multiple
Sclerosis and
Related Disorders, 36,
101258.
https://doi.org/10.1111/ctr.1
3580
Selection of article:
I selected this article because it
contains information comparing
the feasibility, cost and
satisfaction of patients with
telehealth and in person office
visits. It relates with the
clinical issue because it
provides information on the
satisfaction level of patients
with telemedicine. The ethics of
research that has been noted
include autonomy and informed
consent.
The aim of this article is to
evaluate virtual house calls as
a part of telehealth compared
with in-clinic visits for patients
with multiple sclerosis.
Research methodology:
Quantitative method using
randomized control trial to
determine patients to
participate in telehealth and
face to face visit.
Telemedicine
and Telecare,
1357633X1988158.
https://doi.org/10.1177/135
7633x1
9881588
Selection of article:
The reason for choosing this
article is because It offers
information about the benefits
of telehealth when providing
geriatric care. This is in
relation to the clinical issue
because it advocates for the
adoption of telehealth into
clinical practice to enhance
efficiency. The ethics of
research that has been
noted is confidentiality.
The aim of this study is to do
a comparison on the
effectiveness of telehealth
geriatric health services and
the visiting geriatrician in
regional and remote
environments. Cost
effectiveness and the effect
of the health service used.
Research methodology:
Qualitative method using the
cohort study to analyze the
effectiveness of the tele
geriatric service and visiting
geriatrician.
2
qualitative, using face to face visit.
quantitative, or a
mixed-methods
approach. Be
specific.
A brief description of Strengths of methodology
the strengths of The strength in using a
each of the research qualitative research method
methodologies used, with a randomized controlled
including reliability trial design is that it is relatively
and validity of how easy to analyze data and the
the methodology data can be accurate and
was applied in each reliable (Sileyew, 2019, p. 5).
of the peer-reviewed The method of data collection
articles you using this method is cost
selected. efficient. Data obtained using
this method is competent and
can be used to refine
quantitative data.
Reliability of the study was
demonstrated by consistency in
the test scores. Validity of how
the methodology was applied
was demonstrated by the
research covering the construct
of interest which is telehealth.
67% out of the 300 participants
participated in the survey
providing at least one follow up
General assessment.
Notes/Comment
s telemedicine.
Strengths of methodology
The strength of the research
methodology is that the subjects in
each sample can be matched reducing
the influence of confusing results
(Grant & Booth, 2009, p. 4). This
method offers a high level of accuracy
of the data collected keeping in mind
the exposure, confounders and the
endpoint. It is easier to use because a
follow up activity will be difficult. The
research methodology allows one to
calculate incidence such as absolute
risk. The reliability of the study was
demonstrated by providing statistical
data regarding the progress of the
patients. Validity was demonstrated in
the research by covering the concept
of interest which is assessing the
outcomes of telehealth among patients
who have undergone surgery.
The number of participants was 204
with 119 being seen under telehealth.
97% of the patients rated telehealth to
be equal to or better than clinical visits.
© 2018 Laureate Education Inc.
Strength of methodology
The strength of the
methodology is that good
randomization minimizes
population biases (Hoare &
Hoe, 2013, p. 13). The
randomization reduces mix up
caused by unequal distribution
of forecasting factors. This
allows groups to be compared
using both known and
unknown factors. The reliability
of the research is
demonstrated by providing
statistical data. Validity was
demonstrated by the relevant
evidence including the
measure of reliability.
The sample size was 36
patients who completed both
study visits and the survey
after the visit. 97.1 % of the
patients said that they would
recommend the use of
Strength of methodology
The strength of this
methodology is that it makes
it possible to standardize the
criteria and it is easier than a
randomized control trial. This
research methodology
provides clarity of the
temporal sequence which is
between exposure and
outcome. A single cohort can
be used to analyze multiple
exposures and outcomes.
Reliability of the study was
demonstrated through
consistency in the data.
Validity as demonstrated in
the research by covering the
concepts of tele health
geriatric service.
The sample size was made
up of 84 patients using the
telegeriatric service and 124
patients using the visiting
geriatrician. The patient
characteristics were however
similar.
3
Conclusion

In conclusion, the articles selected are in support of the adoption of telehealth into healthcare. There are many benefits associated with the

adoption of telehealth which include access of care by people in remote areas, reduced cost of healthcare, and improved self-care and better

outcomes. The articles indicate that the patients who have used telehealth are contented with the services that are rendered and they have shown

significant improvement in their health. Research methodologies have been used to analyze reliability and validity of the studies. This has shown that

the information in the studies is reliable hence valid to support the clinical question.

© 2018 Laureate Education Inc. 4

 References

Fischer, A. J., Clark, R., Askings, D., & Lehman, E. (2017). Technology and Telehealth Applications. Applied Behavior Analysis

Advanced Guidebook, 135–163. https://doi.org/10.1016/b978-0-12-811122-2.00007-3

Grant, M. J., & Booth, A. (2009). A typology of reviews: an analysis of 14 review types and associated methodologies. Health

Information & Libraries Journal, 26(2), 91–108. https://doi-org.ezp.waldenulibrary.org/10.1111/j.1471-1842.2009.00848.x

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research, part 2. Nursing Standard, 27(18), 48.

Sileyew, K. J. (2019). Research Design and Methodology. Cyberspace. IntechOpen. doi: 10.5772/intechopen.85731

© 2018 Laureate Education Inc. 5