Running head: NUR3643 PROPOSAL
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NUR3643 Research and Theory Evidence-Based Proposal
Student Name
Rasmussen University
Author Note
This paper is being submitted on 10JUN2022, for Dr. Ogechi Abalihi NUR3643
Research and Theory Course.
NUR3643 EVIDENCE-BASED PROPOSAL
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NUR3643 Research and Theory Evidence-Based Proposal
Practice Issue
Heart failure, also known as Congestive Heart Failure (CFH), has been reported as the
leading cause of hospitalization in the U.S., with approximately 900,000 hospitalizations
recorded annually. HF is a chronic and progressive condition. A recent study shows a 5-year
mortality rate. An underlying disease or comorbidity can affect a person's life expectancy, such
as coronary heart disease.
Hospital admission and readmission of patients with heart failure (HF) are increasing.
According to JMA Cardiology, the increase in readmission cases started to creep up back in
2017. Longer life lengths and comorbidities are assumed to be important factors, although the
reasons for this increased tendency are unknown. CHF patients' failure to manage their treatment
at home and increased hospital readmissions are the nursing concern of choice. Within 30 days,
more than 20% of heart failure patients are readmitted, and by six months, up to 50% of patients
are readmitted (O'Connor, 2017).
People with heart failure often fail to perform daily self-monitoring for changes in weight
and symptoms and adhere to prescribed medication. Typically, it is too late to treat them when
they become symptomatic. Heart failure negatively impacts the quality of life of the patient. It
also costs the United States an estimated $30.7 billion in healthcare costs, pharmacy costs, and
disability. The proposed solution to the selected concern is for CHF patients to utilize a
smartphone app with a real-time monitoring system that records their self-care routine.
Research Question
NUR3643 EVIDENCE-BASED PROPOSAL
How can mobile phone apps help people manage their heart failure and reduce hospital
readmissions while improving their quality of life?
P: patients diagnosed with CHF
I: Mobile Phone Apps with real-time monitoring capability
C: Comparison with “CHF patients who do not utilize mobile phone app within 6
months”
O: Decreased hospital readmissions and improved quality of life
CHF exacerbation can be detected early using mobile health, and patients with heart
failure can avoid hospitalization/readmission. Primary care providers can consistently evaluate
their patients' conditions using telemedicine.
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NUR3643 EVIDENCE-BASED PROPOSAL
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References
Agarwal, M. A. (2021). Hospital admissions and readmissions for heart failure are on the rise.
American Journal of Nursing, 121(5).
https://journals.lww.com/ajnonline/Fulltext/2021/05000/Hospital_Admissions_and_Read
missions_for_Heart.9.aspx
Athilingam, P., & Jenkins, B. (2018). Mobile phone apps to support heart failure self-care
management: Integrative review. JMIR Cardio, 2(1). https://doi.org/10.2196/10057
Kevin, S., Haolin, X., Matsouaka, R., Bhatt, D., Heidenreich, P., Hernandez, A., Devore, A.,
Yancy, C., & Fonarow, G. (2017). Heart failure with preserved, borderline, and reduced
ejection fraction: 5-Year outcomes. Journal of the American College of Cardiology,
70(20). https://doi.org/10.1016/j.jacc.2017.08.074.
O'Connor, C. M. (2017). High heart failure readmission rates: Is it the health system's fault?.
JACC: Heart Fail, 5(5). doi:10.1016/j.jchf.2017.03.011