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Heart Failure & Quality of LifeA correlational descriptive study was conducted concerning nurse-led population HF clinics (Travis et al., 2012). Data was collected at six and twelve months using short form assessments. Patients were registered in this program based on a diagnosis of HF (Travis et al., 2012). Surveys were given to HF patients by clinicians and staff members (Travis et al., 2012).
RESEARCH PROPOSAL7The research was conducted in a nurse managed outpatient clinic and each time a patient came into the clinic they were give a survey to be filled out before they left their appointment. The surveys consisted of 12 questions pertaining to quality of life and included factors such as (a) physical capabilities, (b) pain, (c) general well-being, (d) social support, (f) emotional well-being, and (g) mental health (Travis et al., 2012). Surveys were categorized through two meta-scores: the Physical and Mental Component Summary’s (PCS) (MCS) (Travis et al., 2012). The surveys were completed by 80 HF patients (Travis et al., 2012). Results provided evidence that supported the use of nurse-led HF programs and their positive effects on quality of life (Travis et al., 2012). HF programs continue to demonstrate a reduction in hospital admissions, emergency room visits, decreased hospital length of stay, and an overall improvement in the quality of life (Travis et al., 2012). Synthesis of LiteratureIn summary, HF is a burdening health concern and the most frequent reason for hospitalization in patients older than 65 years of age (Glogowska et al., 2015). Research continues to grow in correlation with the need to focus on chronic management and prevention of HF. Timely follow up as well as synchronized care with a multidisciplinary team have been recognized as an essential way to prevent hospital readmission and improve overall health outcomes (Glogowska et al., 2015). As of recent, research has started to recognize the APN as a resolution to the viability of early follow up and management of HF patients through a multidisciplinary approach (Danna et al., 2014). Research Question
RESEARCH PROPOSAL8Is a HF program led by an APN effective in promoting self-care management and preventing hospital readmissions?HypothesisThe discharge teaching treatment plan including medication compliance, self-care education, dietary guidelines, activities of daily life, daily weight checks, symptom recognition and early enrolment in a HF program led by an APN, will decrease readmission rates of HF patients in SC. Operationalizing VariableThe independent variables are included in the discharge teaching treatment plan that incorporate several aspects of care (Siabani, Leeder, & Davidson, 2013):1.Medication Compliance