Description
"Introduction and Problem Statement” to state the title of your project, a purpose statement, the background and significance of your project; PICOT formatted project questions, and references.
- Provide a title that conveys or describes the assignment.
- Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
- Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
- PICOt formatted Clinical Project Questions – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
- References – Cite references using APA 7th ed format. 1500 words
Here is my PICOT question For congestive heart failure (CHF) patients (P), how does the utilization of post-discharge nurse-led interventions such as ?? (be specific as to what this would be) (I) compared to not using follow-up interventions (C) affect 30-day hospital readmission rates (O) within three months of intervention (T) ?
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Explanation & Answer
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The Effectiveness of Post-Discharge Nurse-Led Interventions for Patients with Congestive
Heart Failure (CHF) in Reducing 30-day Readmission Rates
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The Effectiveness of Post-Discharge Nurse-Led Interventions for Patients with Congestive
Heart Failure (CHF) in Reducing 30-day Readmission Rates
Congestive heart failure (CHF) is a major contributor to poor patient health outcomes and
deaths in the United States. The purpose of this project is to reduce the rates of readmission from
CHF and hence enhance health outcomes for patients with the health condition. Since nurses are
in charge of patient care and interact extensively with patients, they are in a position to provide
ongoing care and ensure effective care transition for the target population. Evidence-based
practice (EBP) could improve the prognosis for patients with CHF and enhance the quality of life
and health outcomes. This project seeks to implement nurse-led post-discharge interventions to
assist patients with CHF to reduce the risk of readmission.
Project Purpose: Reducing the Hospital Readmission Rates of CHF Patients through
Nurse-Led Post-Discharge Follow-Up Interventions
The purpose of this project is to determine whether nurse-led post-discharge interventions
can reduce hospital readmission rates for patients with CHF. These interventions include aspects
such as transitional care planning and provision, education programs, and telehealth follow-up.
The key aspect of the interventions is that they have to be organized and carried out by nurses.
The goal of the project, therefore, is to reduce the risk of patients being readmitted for CHFrelated complications within 30 days, a benchmark that has been used in the healthcare industry
to measure and monitor the effectiveness of transitions from the healthcare setting. The project
also aims to test the abilities of nurses in organizing and implementing post-discharge follow-up
interventions for CHF patients. Hopefully, the project will demonstrate nurses’ competence and
abilities to effectively monitor and follow up on patient health to achieve the best health
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outcomes, especially for patients with chronic conditions. This project’s purpose is to reduce the
burden of CHF readmissions and improve patient health outcomes.
Background and Significance
CHF is a common progressive chronic condition which affects millions of Americans.
According to Virani et al. (2020) more than 6 million Americans are living with CHF and around
550,000 cases are diagnosed annually. Moreover, CHF is associated with high morbidity and
mortality rates. In 2018, more than 350,000 death certificates indicated heart failure as one of the
causes (Virani et al., 2020). The chronic nature of CHF means that one of the likely prognosis is
the death of affected individuals. These high rates of death from the disease have made it one of
the leading causes of death in general in the country. The prognosis of CHF is also discouraging
since more than half of those diagnosed die within 5 years of diagnosis (Virani et al., 2020).
Maintaining a high quality life and reducing risk factors for those at risk of CHF are the main
approaches to slowing its progression and leading a high quality lifestyle for longer.
The occurrence of CHF across all ages increases its impact and relevance in the
healthcare industry. CHF can affect people from all ages although majority of the affected people
are older adults. Approximately 1.5 million of the 5 million affected people are below the age of
60 (Virani et al., 2020). Therefore, even younger people are at risk of CHF. Other risk factors
include the presence of diabetes, obesity, coronary artery disease, and high blood pressure. As
seen from this list, many patients diagnosed with heart failure have a chronic comorbidity. The
management of CHF, therefore, requires consideration of other underlying issues and may
require huge adjustments in the patient’s lifestyle as well as health maintenance.
In addition to incidence and mortality rates, CHF has a high impact on patients as well as
the healthcare system. Studies have shown that CHF patients are likely to have comorbidities and
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the presence of comorbidities adversely affects the quality of life for these patients (Bahall et al.,
2020). Therefore, being diagnosed with CHF may lead to less satisfying and quality lifestyle.
Similarly, diagnosis of any chronic condition is likely to produce mental distress in the patient.
Mental distress is associated with poor mental health and exacerbation of some of the chronic
conditions symptoms (Bahall et al., 2020). Other than impact on individuals, CHF has
significantly impacted the healthcare system. First, it is the leading cause of 30-day readmission
rates at 20.6% (Shah et al., 2018). Heart failure contributes to the highest rates of 30-day
readmission, an aspect that presents high healthcare utilization and c...