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Nursing Research, Evidence-Based Nursing Practice, and Quantitative andQualitative Research Process5/19/2020Grand Canyon University
PICOT Statement and Literature Research finalBackground of StudiesHeart failure is understood as a condition in which the heart is unable to effectively pumpblood throughout the body (systolic dysfunction), or properly fill of blood in the ventricles (diastolic dysfunction). As healthcare continues to strive to achieve a better system, we can see a issue that needs more improvement in congestive heart failure patients. These patients tend to have a high readmission rate due to various issues such as noncompliance with medications after discharge and lack of knowledge about their diagnosis. This study will research the education methods along with understanding what can be used during and after patient hospitalization that can help congestive heart failure patients from rehospitalizations. This study utilizes four different studies by utilizing both quantitative and qualitative designs to further understand the importance of patient education and the ways we can help prevent patient readmission. According to the first study conducted, there are many reasons that can also be linked to hospital readmission related to CHF such as lack of self-care, medication mismanagement, noncompliance to a healthy diet. These can all increase the risk of patient to acquire congestive heart failure and have possible readmission because of it (Holden, 2016). The second qualitative article we can understand the care given within a community (Hayes, Peloquinet. Al, 2015). When looking at the quantitative data used, we can further understand the proper interventions needed that may potentially reduce the risks of readmission for patients with heart failure. These include using patient digital devices and utilizing outpatient rehabs. PICOT StatementPopulation (P):Patients above 64 with Congestive heart failure2
PICOT Statement and Literature Research finalIntervention (I):Providing various education and preventative measures such as digital monitoring and books Comparison (C):Methods of education utilized within inpatient and outpatient facilities for chronic congestive heart failureOutcome (O):Readmission rates for people with CHF will reduce using the educational techniques that help in its preventionTime (T):Within 30 daysPICOT Question:In elderly patients over the age of 64 with chronic Congestive Heart Failure, will being complaint to medications and preventative educational measures while utilizing digital assistance, verses usual daily care, reduce the occurrence of readmission due to exacerbation of symptoms within 30 days of discharge?