Appraisal of the Hallas, Banner and Wray's Study of the Psychological Experience of Patients during and after Mechanical Cardiac Support

Individuals who have encountered an event of a heart attack, angina, heart failure, stroke, coronary artery bypass graft, or heart valve surgery experience multiple unfavourable healthcare outcomes. Cardiac health conditions are an enduring healthcare concern with alarming associated complications and risks. These lifelong chronic conditions affect both patient and family’s quality of life, ultimately, requiring ongoing management for cardiac patients to live longer and healthier lives. Cardiac rehabilitation programs reduce mortality and morbidity rates (Dalal, Doherty & Taylor, 2015). These programs are medically controlled cardiac programs which will modify a patient’s wellbeing and lifestyle, by implementing new lifestyle skills to

When nursing any patient with heart failure it is important to have an understanding of how the heart should work to understand how it stops working correctly. This knowledge is important as writtler (2006) (cited in Jones) feels that district nurses have little knowledge when it comes to heart failure. Patient, Writler (2006) feels that by understanding how the heart works and how it is damaged we, as district nurses will be able to recognise the signs of heart failure earlier7a?.

In addition, the researchers conducted a chart review of each participant 's medical record. In this study the results showed that “compared with men, women used more evasive and supportive coping and rated psychologic aspects of the heart disease as more problematic to manage. More women perceived available support from friends and grandchildren, and more men perceived available support from their partner. Women rated lower levels in physical and psychologic dimensions of quality of life” (Kristofferzon et al., 2005, p. 39).

Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the

Working on a cardiac unit for seven years has given me the opportunity to become familiar with congestive heart failure. This is a complicated condition that is sometimes difficult to manage. Your first questions is an excellent question, one that is extremely important when caring for these individuals with congestive heart failure. Without complete understanding of congestion heart failure, patients are frequently readmitted due to poor medical management. Caring for these individuals usually focus on treatments including the delicate balance of intake and output, medications and diagnostic testing. Your question regarding how CHF has impacted a person’s life focuses on the psychological aspect of this condition. Although

Evaluation is the final and often the most critical step in evidence based research and practice. Evaluation of evidence based practice follows a pathway beginning with the selection of the area for improvement, synthesizing the research into a process improvement activity and evaluating both the implementation of the process improvement as well and the outcomes of the intervention (Titler, 2008). To measure the results of process change in the management of heart failure patients a retrospective analysis will be conducted comparing the readmission rates of a pilot and control population over a 6-month period. The pilot population will be evaluated with the LACE index readmission risk assessment upon admission and subsequently receive the recommended interventions based on the risk stratification. In comparison, the control group will receive the current process of telephonic contact only. The pilot group will include patients over the age of 18 residing in zip-codes 45402 and 45403,

What was the research question? (Some authors are more general and state only a “purpose” for the research study. If so, indicate the

Heart failure (HF) is a debilitating condition that has become a public health problem. There are many debilitating effects of HF for many people that have to live with this disease. According to Hardin and Hussey (2003), recognize inadequate patient education, poor symptom control, and insufficient social support as factors that contribute to preventable HF related hospitalizations (p.p.74). Many people are frequently hospitalized because of HF exacerbation related to lack of knowledge, poor quality of life and medication non adherence. This research proposal determines the effect of Advance Practice Nurse led telephone intervention in the community and how their phone calls would improve the outcomes of patients with Heart Failure. This proposal identifies variables and measurement levels, research methodology and conclusion. The results of the research studies will support the idea that Advanced practice nurses has a positive impact on patients with HF, decreasing HF related hospital admissions and improving their quality of life.

established the clinical problem that heart failure is associated with high morbidity and poor prognosis (Hobbs, et al., 2007). She further added that it decreases patients’ quality of life as it places a heavy burden on them, as well as their families, as well as the huge negative impact on health care resources (Iqbal, et al, 2010), contributing to lost productivity from unplanned hospital admissions. The authors presented the research problem strongly, stating that there is a limited study of the role of specialized heart failure nurses in the multidisciplinary team in managing heart failure patients, thus warranting a further investigation to be conducted. Special nurses, as defined by Glogowska et al, are experienced senior nurses who are involved in providing medical, psychological and emotional support that begins at the initial diagnosis of heart failure and continues onward. They provide transitional care in assisting patients manage their heart failure. The research article focus on the experiences and perceptions of clinicians in managing heart failure patients, and it aims to understand the special role of specialized heart failure nurses in the interdisciplinary team. The authors designed to answer the following questions when conducting this study:

Review the article, “A qualitative study of the psychological experience of patients during and after mechanical cardiac support” from the Journal of Cardiovascular Nursing. Using the worksheet provided, complete a critique of the qualitative research. Each question was worth 1.5 points with a total point value of 240 points. As with every assignment we are to utilize spelling and grammar check to minimize errors, and it should be in APA formatting and citation.

The objectives of heart failure and cardiomyopathy education training are to help patients and their families get the learning, aptitudes, methodologies, critical thinking capacities, and inspiration vital for adherence to the treatment arrangement and support in self-care (American Heart Association, 2011). Moreover, the education will include recognition of signs and symptoms of heart failure, activity and exercise recommendations, compliance with medications, daily weight monitoring, and specific diet

with advancing heart failure based in a North West hospital. In order to abide by the Nursing Midwifery Councils Code of Conduct (NMC), throughout this assignment the patient will be referred to as ‘Patient Y’ this is ensure that her true identity remains private. The assignment will begin by giving a brief overview of the patients past medical history, including biological and psychological factors that could have exacerbated the illness, it will then conclude by explaining the condition in further depth, incorporating all relevant details to the case.

What was the research question? (Some authors are more general and state only a purpose for the research study. If so, indicate the purpose.)

This course is a heart failure education and learning program that aims to provide standardized patient education. It also aims to reduce hospital admissions, reduce patient and family anxiety, reduce primary care visits, and promote self-care and self-management. Patients felt that could commit better to a one day course than a course offered weekly. At the end of the course patients received an individualized management plan. Therefore, the hope is that this course will promote patient responsibility, which will increase the prescription of heart failure medications (Briggs, 2012).

Over the years, a supporting research base has been established for cardiac rehabilitation (CR). As a result, the National Institute for Health Care and Excellence (NICE) has developed guidelines to ensure CR is included as part of the care plan for all acute coronary syndromes (NICE, 2013). Qualitative research methods are particularly suited to understand patient’s personal feelings, experiences and reasoning for a particular action (Keegan, 2009). This qualitative research paper is called “Exercise motives of long-term phase IV cardiac rehabilitation participants” (Thow, Rafferty & Kelly, 2008). The authors aimed to identify specific motivational factors for exercise in CR and to identify any gender