Evidence-Based Practices For Heart Failure Patients Assignment

Evidence-Based Practices For Heart Failure Patients Assignment

Analyze use of nursing research in one selected health care environment, specifically the hospital cardiac medical floor. Explore how this research is used to inform evidence-based practice in that environment specifically related to various aspects of care for heart failure patients. What were the intended and actual outcomes as a result of this nursing practice change? Evidence-Based Practices For Heart Failure Patients Assignment

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Here are some articles to be incorporated in the paper
Ruggiri, J. C., Milner, K. A., & Buonocore, D. (2019). Implementing post-discharge 48-hour scripted call for patients with heart failure: an evidence-based practice quality improvement project. MedSurg Nursing, 28(3), 183-187.

Wood, R. L., Migliore, L. A., Nasshan, S. J., Mirghani, S. R., & Contasti, A. C. (2019). Confronting challenges in reducing heart failure 30â€day readmissions: lessons learned with implications for evidenceâ€based practice. Worldviews on Evidenceâ€Based Nursing, 16(1), 43-50.

Zhou, Y., Wang, X., Lan, S., Zhang, L., Niu, G., & Zhang, G. (2021). Application of evidence-based nursing in patients with acute myocardial infarction complicated with heart failure. American journal of translational research, 13(5), 5641â€“5646. Evidence-Based Practices For Heart Failure Patients Assignment

Nursing research is important in the nursing profession as it promotes information literacy and can be used to improve patient care; correct misconceptions; transform the healthcare system; and enhance working conditions. Nursing research has been useful in the development of new treatment protocols and bringing change in policy and regulations to the healthcare sector. This paper analyzes the use of nursing research on the cardiac medical floor. It will also explore how research informs evidence-based practice in caring for heart failure patients.

Ruggiri et al. (2019) implemented an evidence-based practice project that sought to improve post-discharge follow-up for patients with heart failure. The objective of the EBP was to achieve 100% adherence to the use of telephone scripted calls within 48 hours after discharge of patients with heart disease. The aim of the project was to reduce readmission rates for patients with heart failure. There was a 41% increase in the number of calls after the intervention. The unplanned readmission rate was the same over the intervention period. However, it was below the rate that prompted change in practice. This research implies that post-discharge call programs can be effective in reducing readmission rates by addressing issues that may occur after discharge. Nurses play a crucial role in the success of the post-discharge call program. Zhou et al. (2021) sought to explore the application of evidence-based nursing (EBN) in acute myocardial infarction. The patients were divided into control and experimental groups. The experimental group received EBN, while the control group received regular care. EBN was found to improve the quality of life of patients, contribute to long-term treatment efficacy, and alleviate negative emotions. It can be concluded that the evidence-based nursing model is crucial in the improvement of patient outcomes. Evidence-Based Practices For Heart Failure Patients Assignment

Wood et al. (2019) did a study review seeking to provide strategies for heart failure readmission reduction projects. The study recommended that to reduce re-admission rates for heart failure patients, the initiatives needed to set clear and attainable goals; engage stakeholders; and encourage more collaboration. In addition, there is a need to include professionals from different disciplines when initiating the projects. Reddy et al. (2018) sought to develop an EBP noninvasive diagnostic criteria to guide diagnosis and further testing of heart failure with preserved ejection fraction (HFpEF). It is difficult to diagnose HFpEF in euvolemic patients with dyspnea. The developed EBP diagnostic criteria were effective in separating HFpEF from non-cardiac related causes of dyspnea and recommended further testing. Foster et al. (2018) implemented a mobile application EBP intervention to increase symptom awareness and self-care in patients with heart failure. The results indicated a statistically significant difference in pre and post-intervention self-care scores. The EBP initiative recommended use of a mobile application with the ability to monitor symptoms, send reminders, educate, and track trends in data. Such an application will help patients with heart failure effectively engage in self-care. Evidence-Based Practices For Heart Failure Patients Assignment

Pallazola et al. (2019) published a review on evidence-based dietary recommendations for patients with cardiovascular disease (CVD). The study examined individual components of a healthy diet, its impact on CVD prevention, and took into account the challenges in dietary counselling for low-income earners. Pallazola et al. (2019) established that dietary approaches to prevent high blood pressure and vegetarian diets were evidential in CVD prevention. The study recommended that healthcare workers need to understand the barriers patients may face in accessing healthy diets. Dietary improvement can lead to a significant reduction in CVD morbidity and mortality. Implementation of evidence-based dietary counselling for patients at risk of CVD can help in preventing CVD. Jin et al. (2019) conducted a systematic review to determine whether an evidence-based coronary heart disease (CHD) secondary prevention program would help in overcoming barriers to attendance at cardiac rehabilitation. The efficacy of telehealth as a secondary prevention program was compared to usual care for CHD patients. Telehealth was associated with lower readmission rates for patients with CHD. Telehealth was found to be an effective EBP intervention program for CHD patients unable to attend cardiac rehabilitation. Inglis et al. (2017) reviewed randomized controlled trials to examine the effects of structured tele-monitoring for patients with heart failure compared to usual care. The study concluded that structured telephone support and noninvasive home monitoring of patients with heart failure were effective in reducing heart-failure related hospitalizations and improving self-care behaviors. Structured telephone support is an effective EBP intervention that can be implemented to monitor patients with heart failure at home and improve their quality of life. The eight reviewed studies indicate that there are various evidence-based interventions that can be implemented into practice to improve the quality of life; disease management; healthy living; and patient outcomes for patients with heart failure. It is evident that nursing research is important as it forms the basis for making clinical decisions regarding patient care. Nursing research is also used to inform evidence-based practices in the clinical environment to improve patient safety and care efficiencies. Evidence-Based Practices For Heart Failure Patients Assignment

References

Inglis, S. C., Clark, R. A., Dierckx, R., Prieto-Merino, D., & Cleland, J. G. (2017). Structured telephone support or non-invasive telemonitoring for patients with heart failure. Heart, 103(4), 255-257.

Foster, M. (2018). A mobile application for patients with heart failure: theory-and evidence-based design and testing. CIN: Computers, Informatics, Nursing, 36(11), 540-549.

Jin, K., Khonsari, S., Gallagher, R., Gallagher, P., Clark, A. M., Freedman, B., … & Neubeck, L. (2019). Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 18(4), 260-271.

Pallazola, V. A., Davis, D. M., Whelton, S. P., Cardoso, R., Latina, J. M., Michos, E. D., … & Welty, F. K. (2019). A clinician’s guide to healthy eating for cardiovascular disease prevention. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 3(3), 251-267.

Reddy, Y. N., Carter, R. E., Obokata, M., Redfield, M. M., & Borlaug, B. A. (2018). A simple, evidence-based approach to help guide diagnosis of heart failure with preserved ejection fraction. Circulation, 138(9), 861-870.

Ruggiri, J. C., Milner, K. A., & Buonocore, D. (2019). Implementing post-discharge 48-hour scripted call for patients with heart failure: an evidence-based practice quality improvement project. MedSurg Nursing, 28(3), 183-187.

Wood, R. L., Migliore, L. A., Nasshan, S. J., Mirghani, S. R., & Contasti, A. C. (2019). Confronting challenges in reducing heart failure 30‐day readmissions: lessons learned with implications for evidence‐based practice. Worldviews on Evidence‐Based Nursing, 16(1), 43-50. https://sigmapubs.onlinelibrary.wiley.com/doi/pdf/10.1111/wvn.12336

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