Choose a problem or issue that you anticipate within your future advanced nursing role. Describe the problem in approximately five sentences. An…
Question 1. Choose a problem or issue that you anticipate within your futureadvanced nursing role. Describe the problem in approximately five sentences. An issue that I anticipate within my future as a Family Nurse Practitioner is hospital readmissions within the heart failure population. The readmission of heart failure patients is high, resulting in a public health and economic burden (Su et al., 2019). Perhaps the reason for this is inadequate teaching by hospital staff. This is an area where caregivers can positively impact patient outcomes. Educating patients about their disease and the different ways they can manage their health is vital. By doing this, hospital readmissions can be greatly decreased. 2. Next, based on the problem described in question one, formulate a clinical/practice question using the “Population, Intervention, Comparison, Outcome, Time (PICOT)” format. This question will drive the literature search for your issue. In patients with heart failure, is there evidence that suggests educating the patients before discharge, compared to not educating, will improve 30-day hospital readmission? 3. To support and assist in choosing and writing your PICOT in question one (#1) of this discussion board, a minimum of 6-10 articles with at least one article being a quantitative design should have been reviewed. List the articles here as a response to this question three (#3). The articles should be in alphabetical order and each article should be listed as a full reference using the APA (2020) format. Banoff, K. M., Milner, K., Rimar, J., Greer, A. E., & Canavan, M. (2016). Assessment of a Novel Tool for Identifying Hospitalized Patients with Heart Failure At Risk for 30-Day Readmission, High Cost, And Longer Length of Stay. Nursing Economic$, 34(4), 172-181. Botha, A. (2020). Care of patients with chronic heart failure: registered nurses’ role. Professional Nursing Today, 24(3), 5-10 Charais, C. , Bowers, M. , Do, O. O. & Smallheer, B. (2020). Implementation of a Disease Management Program in Adult Patients With Heart Failure. Professional Case Management, 25(6), 312-323. doi: 10.1097/NCM.0000000000000413. Elkhateeb, O., & Salem, K. (2018). Patient and caregiver education levels and readmission and mortality rates of congestive heart failure patients. Eastern Mediterranean Health Journal, 24(4), 345-350. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.26719/2018.24.4.345 Ma, C. (2019). Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study. Journal of Clinical Nursing (John Wiley & Sons, Inc.), 28(13/14), 2526. Santos, G. C., Liljeroos, M., Dwyer, A. A., Jaques, C., Girard, J., Strömberg, A., Hullin, R., & Schäfer-Keller, P. (2020). Symptom perception in heart failure – Interventions and outcomes: A scoping review. International Journal of Nursing Studies. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.1016/j.ijnurstu.2020.103524 Su, A., M.D., Al’Aref, S. J., MD, Beecy, A. N., M.D., Min, J. K., M.D., & Karas, M. G., M.D. (2019). Clinical and Socioeconomic Predictors of Heart Failure Readmissions: A Review of Contemporary Literature. Mayo Clinic Proceedings, 94(7), 1304-1320. http://dx.doi.org.northernkentuckyuniversity.idm.oclc.org/10.1016/j.mayocp.2019.01.017Verdu-Rotellar, J. M., Vaillant-Roussel, H., Abellana, R., Jevsek, L. G., Assenova, R., Lazic, D. K., Torsza, P., Glynn, L. G., Lingner, H., Demurtas, J., Borgström, B., Gibot-Boeuf, S., & Muñoz, M. A. (2020). Precipitating factors of heart failure decompensation, short-term morbidity and mortality in patients attended in primary care. Scandinavian Journal of Primary Health Care, 38(4), 473-480. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.1080/02813432.2020.1844387 4. Choose one of the articles cited in question three (#3) of this discussion board that is a quantitative article and discuss the relationship of your selected quantitative article to your PICOT practice/clinical question. Ma, C. (2019). Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study. Journal of Clinical Nursing (John Wiley & Sons, Inc.), 28(13/14), 2526. The focus of this study is on heart failure patients and the reasonings for their readmissions. A longitudinal observation study design was used to identify the reasoning behind heart failure readmissions. This is a great quantitative study to help aide me in the development of my PICOT question because it is saturated with information about heart failure and readmissions. My PICOT question focuses on heart failure patients and if education will help to decrease readmission rates. Ma (2019) states that there have been many therapeutic advances, in the last decade, in surgical and pharmacological treatment but readmission rates in heart failure patients are still high (p. 2527). This statement allows the reader to see why this topic needs to be further investigated. The data collected provides a great deal of knowledge as to why heart failure patients are being readmitted. This information is useful because it provides me with more knowledge to be able to answer my PICOT question. The added value of this data will help my research be more well-rounded and accurate. Based on the above information, I need help with the following questions: -Explain the purpose of the PICOT question. Discuss whether or not you can change your PICOT question once you start searching the databases using the keywords identified in it and why? -What steps can you take to ensure your PICOT question is the best it can be so you are ready to search the databases efficiently and effectively? -Please review Appendix A in your Melynk & Fineout-Overholt textbook (pp. 706-707). Next, take a moment to revise your PICOT question. -As an evidence-based practitioner, you are responsible for conducting a systematic and thorough search of nursing theories to support your studies. Using the Additional Resources found in the Learning Materials section of this model and/or independent search, select a nursing theory to support your PICOT. Share it here and explain in detail how this theory can help you obtain your study outcomes. -Share the research design type that best aligns with your PICOT and chosen nursing theory and tell us why. Health Science Science Nursing MSN 602 Share QuestionEmailCopy link Comments (0)
