Assignment: Nursing Research Presentation

search strategy, search results, evidence synthesis, and care recommendation).

Below is the background, PiCOT question, search strategy and search results. Attached is the evidence synthesis and care recommendations, along with the grading rubric and an example

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Background:

Congestive heart failure (CHF) is a serious heart condition characterized by failure of the heart muscles to efficiently pump blood as it should to all parts of the body. It remains one of the leading causes of mortality and morbidity globally, with the 5-year mortality rate at approximately 45% for women and 60% for men (Surikova et al., 2020). According to Breathett et al. (2019), heart failure is also one of the leading causes of hospital readmission in the U.S. Heart failure education is perceived as a means of empowering patients to improve outcomes, as patients need to understand and appreciate the relevant treatment requirements. The importance of follow-up after hospital discharge is recognized in National Institute for Health and Care Excellence guidance (Vernon et al., 2019), to reduce the rate of readmission, and given that heart failure is among the leading causes of hospital readmission, targeted interventions can be an effective way of reducing the readmission rate in CHF patients.

PICOT Question:
For patients with a recent hospitalization for CHF exacerbation (P), does receiving nursing care and education through a home health agency (I) compared to not receiving nursing care and education (C) reduce re-hospitalizations (O) after 3 months (T)?

Databases searched: PubMed and Medline

Keywords: heart failure education, home visits, cardiac health education, heart failure

Search limitations: articles written in the last 5 years, written in English, free full-text online articles.

References
Breathett, K., Maffett, S., Foraker, R. E., Sturdivant, R., Moon, K., Hasan, A., Franco, V., Smith, S., Lampert, B. C., Emani, S., Haas, G., Kahwash, R., Hershberger, R. E., Binkley, P. F., Helmkamp, L., Colborn, K., Peterson, P. N., Sweitzer, N., & Abraham, W. T. (2018). Pilot randomized controlled trial to reduce readmission for heart failure using novel tablet and nurse practitioner education. The American Journal of Medicine, 131(8), 974–978. https://doi.org/10.1016/j.amjmed.2018.02.017
Surikova, J., Payne, A., Miller, K.-L., Ravaei, A., & Nolan, R. P. (2020). A cultural and gender-based approach to understanding patient adjustment to chronic heart failure. Health and Quality of Life Outcomes, 18(1). https://doi.org/10.1186/s12955-020-01482-1
Vernon, D., Brown, J. E., Griffiths, E., Nevill, A. M., & Pinkney, M. (2019). Reducing readmission rates through a discharge follow-up service. Future Healthcare Journal, 6(2), 114–117. https://doi.org/10.7861/futurehosp.6-2-114 Assignment: Nursing Research Presentation