Why Is The Best Evidence Based Nursing Practice For Patients With Chronic Heart Failure Patients? Essay

In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

The author undertook an electronic search were used to collect the literature. Three electronic databases were used; Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and PsychInfo. These three databases were chosen as they are often used by nurses, allied health professionals, researchers, students and nurse educators to research their subject area (Aveyard, 2014).

Lecturer in Nursing, School of Nursing and Midwifery, University College Dublin, National University of Ireland, Dublin, Republic of Ireland

Hospital readmissions are potentially harmful, costly and often times an avoidable event. Between the provisions set forth under the Affordable Care Act and the penalties authorized by the Centers of Medicare and Medicaid Services, hospitals are forced to shift their focus towards the development of strategies to reduce and prevent avoidable hospital readmissions related to heart failure. It is estimated that of the 6 million individuals within the United States diagnosed with heart failure, 1 million of them are hospitalized each year with a primary diagnosis of heart failure, accounting for $17 billion dollars of Medicare expenditures (Sales et al, 2013). What is worse is the death rate associated with heart failure each year, accounting

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) core measures in relation to Heart Failure (HF) was examined using empirical-based nursing research. Findings suggest that lack of understanding by nurses contributes significantly to the privation of core measure implementation. A significant number of Americans suffer from HF, so patient quality of care assessment was necessitated. Identifying factors were: nurse-patient education resulting in follow-up appointments, left ventricular performance or left ventricular systolic (LVS) function, treatment medications, and smoking cessation programs. Nurses provide an important role in the education of patients with HF. The Nurse is integral in providing documentation in relation to LVS. Nurses play an important role in the administration of HF medication. Smoking, a major cause of HF, requires special nursing intervention. Nursing results in improved quality of care if HF core measures are implemented properly. Additionally, Orem’s universal requisites are fundamental in the nursing process.

PICOT question: In elderly patient with congestive heart failure, how adequate multidisciplinary education compare with lack of education could reduce hospital readmission rates over a 6-month period? The research questions are: Does multidisciplinary education help elderly patient with CHF to adequately manage the disease at home? Does improve knowledge in the disease could decrease hospital readmissions in CHF patient? The hypothesis states that multidisciplinary approach and proper patient education will decrease readmission rate in elderly patients with CHF. The purpose of the study seeks to articulate the problem of lack of education for older patients with congestive heart failure regarding how to manage

School of Nursing and Midwifery and Women Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

For the literature review an electronic search was undertaken of articles published in English using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed and Cochrane databases from 2009 to 2013 were searched for medical subject heading terms, both individual terms and combination of the following

The qualitative research article that I chose is "Managing Patients With Heart Failure: A Qualitative Study of Multidisciplinary Teams with Specialist Heart Failure Nurses" conducted by Glogowska et al. (2015). This study utilized an ethnographic research which explored the perceptions and experiences of 24 health care practitioners working with heart failure nurse specialists and their impact on decreasing unplanned readmissions and improving patient outcomes. A qualitative in-depth interview was conducted across primary, secondary and community care with difficult to manage heart failure patients in 3 different locations in England.

Heart failure is a prevalent condition that is characterized by the inability of the heart to pump sufficient amount of blood that meets the requirement of the various body organs. In a nutshell, the heart fails to pump blood to the rest of the body with the necessary force. Apparently, the increased number of recurrent hospitalizations is posing a threat to the quality of care that is being delivered in various health care facilities. In fact, recurrent hospitalizations are the causative reason for increased health care spending, deterioration of the quality of health of patients,

Congestive heart failure (CHF) readmissions are associated with financial penalties for organizations. You chose such a vital problem for acute care facilities. Unfortunately, few interventions have been identified that effectively decrease hospital readmission rates. One intervention the hospital I work for recently implemented is an Interprofessional approach. Physicians, nurses and the pharmacy department collaborated to improve our discharge process with primary diagnosis CHF. We now have a pharmacist counsel the patient prior to discharge on their medications. I do not have empirical data to provide, however, I think this has helped our patients somewhat. Another strategy our cardiologists are promoting with our hospitalist

Nurses have the power to increase positive patient outcomes by implementing changes in their practice based on the evidence found in the nursing literature. Utilizing evidence-based practice (EBP) increases nurses job satisfaction, increases communication across the interdisciplinary team, enables nurses to provide their patients with high-quality care and decreases health care cost. The purpose of this paper is to describe why readmissions from nursing homes (NHs) is a nurse practice problem, nurse practice changes to reduce hospitalizations in NHs, evidence found in the nursing literature

The National Council of State Boards of Nursing (NCSBN) is the organization that creates the examination that is required to obtain a nursing license. The NCSBN categorizes the content of the examination into four different categories: assurance of a safe and effective care environment, health promotion and maintenance of health, preservation of patient psychosocial and physiological health (National Council of State Boards of Nursing, 2015). Health promotion and maintenance includes subcategories of growth and development, disease and illness prevention and early detection, and includes strategies to improve or optimize health. The purpose of this paper is to research current evidence based practices for treating and

I agree with your statement that “self-care and outpatient treatment will reduce hospitalization for patients” with heart failure. When I worked as a manager at Sub-acute rehab, I encountered many patients with a diagnosis of heart failure that were lacking self-care and outpatient treatment. In that circumstance, they were re-admitted to the hospital multiple times when they went into heart failure exacerbation. At home they had difficulty breathing, their lower extremities were so swollen that they couldn’t put their shoes on and they were scared. After acute care they were referred to my unit for a rehab and in that case, I placed a referral to a Palliative Care team for a chronic disease management and comfort care. According to “Palliative

Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant