1. Choose a problem or issue that you anticipate within your future advanced nursing role. Describe the problem in appro

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1. Choose a problem or issue that you anticipate within your
future advanced nursing role. Describe the problem in approximately
five sentences.
An issue that I anticipate within my future as a Family Nurse
Practitioner is hospital readmissions within the heart failure
population. The readmission of heart failure patients is high,
resulting in a public health and economic burden (Su et al.,
2019). Perhaps the reason for this is inadequate teaching by
hospital staff. This is an area where caregivers can positively
impact patient outcomes. Educating patients about their disease and
the different ways they can manage their health is vital. By doing
this, hospital readmissions can be greatly decreased.
2. Next, based on the problem described in question one,
formulate a clinical/practice question using the "Population,
Intervention, Comparison, Outcome, Time (PICOT)" format. This
question will drive the literature search for your issue.
In patients with heart failure, is there evidence that suggests
educating the patients before discharge, compared to not
educating, will
improve 30-day hospital readmission?
3. To support and assist in choosing and writing your
PICOT in question one (#1) of this discussion board, a minimum of
6-10 articles with at least one article being a
quantitative design should have been reviewed. List the
articles here as a response to this question three (#3). The
articles should be in alphabetical order and each article should be
listed as a full reference using the APA (2020) format.
Banoff, K. M., Milner, K., Rimar, J.,
Greer, A. E., & Canavan, M. (2016). Assessment of a Novel Tool
for Identifying Hospitalized Patients with Heart
Failure At Risk for 30-Day Readmission, High Cost, And
Longer Length of Stay. Nursing
Economic$, 34(4), 172–181.
Botha, A. (2020). Care of patients
with chronic heart failure: registered nurses’
role. Professional Nursing
Today, 24(3), 5–10
Charais, C.
, Bowers, M. , Do, O. O. & Smallheer, B.
(2020). Implementation of a Disease Management Program in Adult
Patients With Heart Failure. Professional Case
Management, 25(6), 312–323. doi:
10.1097/NCM.0000000000000413.
Elkhateeb, O., & Salem, K. (2018).
Patient and caregiver education levels and readmission and
mortality rates of congestive heart failure
patients. Eastern Mediterranean Health
Journal, 24(4),
345–350. https://doi-org.northernkentuckyunivers ... 8.24.4.345
Ma, C.
(2019). Rehospitalisation rates and associated factors
within 6 months after hospital discharge for patients with
chronic heart failure: A longitudinal observational
study. Journal of Clinical Nursing (John Wiley & Sons,
Inc.), 28(13/14), 2526.
Santos, G. C., Liljeroos, M.,
Dwyer, A. A., Jaques, C., Girard, J., Strömberg, A., Hullin, R.,
& Schäfer-Keller, P. (2020). Symptom perception in heart
failure – Interventions and outcomes: A scoping
review. International Journal of Nursing Studies.
https://doi-org.northernkentuckyunivers ... 020.103524
Su, A., M.D., Al'Aref, S. J., MD,
Beecy, A. N., M.D., Min, J. K., M.D., & Karas, M. G., M.D.
(2019). Clinical and Socioeconomic Predictors of Heart Failure
Readmissions: A Review of Contemporary
Literature. Mayo Clinic
Proceedings, 94(7), 1304-1320.
http://dx.doi.org.northernkentuckyunive ... 019.01.017
Verdu-Rotellar, J. M.,
Vaillant-Roussel, H., Abellana, R., Jevsek, L.
G., Assenova, R., Lazic, D. K., Torsza, P., Glynn, L. G.,
Lingner, H., Demurtas, J., Borgström, B., Gibot-Boeuf,
S., & Muñoz, M. A. (2020). Precipitating factors of heart
failure decompensation, short-term morbidity and mortality in
patients attended in primary care. Scandinavian Journal of
Primary Health Care, 38(4),
473–480. https://doi-org.northernkentuckyunivers ... 20.1844387
4. Choose one of the articles cited in question three (#3) of
this discussion board that is
a quantitative article and discuss the
relationship of your
selected quantitative article to your
PICOT practice/clinical question.
Ma, C.
(2019). Rehospitalisation rates and associated factors
within 6 months after hospital discharge for patients with
chronic heart failure: A longitudinal observational
study. Journal of Clinical Nursing (John Wiley & Sons,
Inc.), 28(13/14), 2526.
The focus of this study is on heart failure patients and
the reasonings for their readmissions. A longitudinal
observation study design was used to identify the reasoning behind
heart failure readmissions. This is a great quantitative study
to help aide me in the development of my PICOT question because it
is saturated with information about heart failure and
readmissions. My PICOT question focuses on heart failure
patients and if education will help to decrease readmission rates.
Ma (2019) states that there have been many therapeutic
advances, in the last decade, in surgical and pharmacological
treatment but readmission rates in heart failure patients are still
high (p. 2527). This statement allows the reader to see why
this topic needs to be further investigated. The data
collected provides a great deal of knowledge as to why heart
failure patients are being readmitted. This information is
useful because it provides me with more knowledge to be able to
answer my PICOT question. The added value of this data will
help my research be more well-rounded and
accurate.
According to the above information, I need help with the
following questions please: