Annotated Bibliography on Congestive Heart failure Education
Baroni, L. J., Hughes, B. H., & Wahba, G. A. (2015). Effect of continuous education on readmission rates for CHF patients. Retrieved from http://digitalcommons.cedarville.edu/research_scholarship_symposium/2015/poster_pres entations/38/
Baroni, Hughes & Wahba (2015) assert that consistent education leads to reduced readmission levels for CHF patients. Heart failure education is an essential knowledge that is offered to patients but zero or little follow ups are performed after patients discharge. The authors assert that the lack of consistent follows up on the patients leads to increased readmission rates based on the lack of supervision and guidance. The source is essential in offering supportive evidence to my research. In it will be utilized to assess and propose probable solutions to the increasing readmission levels among CHF patients.
Carpenter, J. E. (2015). Improving congestive heart failure care with a clinical decision unit. Nursing Economic$, 33(5), 255-262. Doi:
The article holds that CDU developments result in reduced readmission rates. The research utilized a qualitative design where comparative groups were utilized to assess the outcomes of CDU on readmission levels. The article concludes that based on the need to create a balance amid financial and clinical stability CDU application offers numerous opportunities where nursing leadership can impact medical care desirable while maintaining their financial wellness. The study will offer evidence in regard to CDU effectiveness in controlling readmission rates among CHF patients. In addition, this will contribute to supporting the probable strategies that can be applied given that it is based on reliable evidence.
De Vleminck, A., Pardon, K., Beernaert, K., Deschepper, R., Houttekier, D., Van Audenhove, C. & Vander Stichele, R. (2014). Barriers to advance care planning in cancer, heart failure and dementia patients: a focus group study on general practitioners' views and experiences. PloS one, 9(1), e84905. Doi:
The article notes that, it is apparent that the readmission rate among CHF patients is quite high but is also clear that this is driven by healthcare professional’s perspectives and experiences. In that it is their working hardships that results. In the ineffectiveness. In this context, the concerns of the practitioners should be accounted for in the quest to improving care. The article will be utilized to support that argument that the working surrounding and healthcare knowledge plays a critical responsibility in driving the readmission levels.
Gosselin, J., Hanson, J., Kapadia, S., Lin, M., Nash, B., Neill, L., & Tran, C. (2014). Congestive heart failure patient education intervention to address 30 days CHF readmission. Doi:
According to the article, approximately 20 percent of patients with CHF are readmitted within 30 days after discharge. This is an occurrence that is mainly fueled by the fact that little follow-up interventions or education are applied after the patients have been charged. Thus, it is proposed that it is through education that a clear understanding can be developed in regard to self-supervision and treatment. The article is important given that it will offer evidenced based support to the study’s argument that there is a need to apply feasible and reliable intervention in lowering the readmission level.
Hobbs, J. K. (2016). CNE SERIES. Reducing hospital readmission rates in patients with heart failure. MedSurg Nursing, 25(3). doi:
The financial significances highlighted by ACA, in association with clinical practice encounters in addressing the level of readmission within 30 days among CHF patients asserts on the need for effective interferences. The article emphasizes that healthcare professions are required to establish effective measures that seeks to lower patient’s readmission while offering quality care. The article is essential because it demonstrates the relation amid consistent education and quality care in lowering readmissions. The article will be utilized to support the need for clinical intervention due to the increasing readmission level for patients with CHF.
Jurgens, C. Y., Goodlin, S., Dolansky, M., Ahmed, A., Fonarow, G. C., Boxer, R., & Fleg, J. L. (2015). Heart failure management in skilled nursing facilities. Circulation: Heart Failure, 8(3), 655-687. Doi: https://doi.org/10.1161/HHF.0000000000000005
The article asserts on the significance of addressing HF services in SNF. Amongst the projected, 2 million inhabitants within SNF in America heart failure is very mutual. However, despite the consistency of HF among SNF populace, there are none of the major randomized clinical trials in regard to HF that has incorporated this populace. This source is important in offering detailed evidence in regard to how different strategies can be applied to suit different populace based on their surroundings.
McHugh, M. D., & Ma, C. (2013). Hospital nursing and 30-day readmissions among Medicare patients with heart failure, acute myocardial infarction, and pneumonia. Medical Care, 51(1), 52. doi: 10.1097/MLR.0b013e3182763284
According to the article among Medicare patients, 20 percent of those suffering from HF is, readmitted within 30 days. The guidelines of ACA that have raised financial accountability of healthcare facilities for readmissions that can be prevented. The article asserts that in addition to consistent education the relationship amid education and working environment impact the potential of the intervention strategies. The source is important because it will be utilized to demonstrate the relationship amid the education and healthcare settings in lowering readmission.
Kripalani, S., Theobald, C. N., Anctil, B., & Vasilevskis, E. E. (2014). Reducing Hospital Readmission: Current Strategies and Future Directions. Annual Review of Medicine, 65, 471–485. http://doi.org/10.1146/annurev-med-022613-090415
According to the article the authors note that the increasing financial penalties for health facilities that acquires the utmost readmission has increased the need to establish feasible interventions. There are however several strategies that have proved to be effective in lowering the readmission rate such as medical needs evaluation, education and follow-up interventions. However, the obligation played by home-based interventions has not be defined adequately. The source is useful because it illustrates the most effective intervention strategies as well as illustrates the necessity to focus on home-based intervention that is intended to maintain consistent supervision.
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.
Based on the article despite ACA contribution CHF is categorized as the most expensive in regard to the required efforts and finances. The authors therefore, proposes that Rothman Index evaluations can be essential to prospectively establish patients that are at HF risks to avoid extensive hospitalization that is associated with high cost. The source is essential because it provides evidence on the cost of CHF readmissions and how it can be avoided. The source will help in supporting argument of the most feasible measures.
House, M. (2016). Cardiac Medicine 30-Day Readmission Reduction Strategies: Do Improved Discharge Transitions Decrease Readmissions. MEDSURG Nursing, 25(4), 251-254.
The article is objected at investigating the effectiveness of advanced ejection transitions in lowering readmissions rates. The author noted that most patients are readmitted within 30 days after their discharge given that the process is not well designed. The process should be an advanced one that seeks to establish the patients’ needs and how follow-ups and interventions can be applied. The article will be utilized in developing arguments in regard to the significance of developing discharge processes as a measure of lowering the readmissions levels.
Hoffman, R., & Whitton, A. (2013). A Partnership of a Hospital Based Heart Failure Program and Home Health Care Agency to reduce 30-day Readmissions. Heart & Lung, 42(4), 303. doi:10.1016/j.hrtlng.2013.0
The authors note that there is a need to integrate home and hospital based initiatives that seek to address the readmission issue. In that, it has been established that hospital based initiatives normally end after discharge and there is little follow up afterward which results in appropriate self-management among patients. However, with the incorporation of home-based initiatives, this can help in creating consistent follow-ups that will, in turn, lower the general level of readmission. The article will be utilized to support the argument that home-based initiatives are appropriate in ensuring that patients are well supervised which promotes health wellness.
Mortara, A., Pinna, G. D., Johnson, P., Maestri, R., Capomolla, S., Rovere, M. L., & Sleight, P. (2009). Home telemonitoring in heart failure patients: the HHH study (Home or Hospital in Heart Failure). European Journal of Heart Failure, 11(3), 312-318. doi:10.1093/eurjhf/hfp022
The article investigated the effectiveness of telemonitoring among HF patients. The authors concluded that home and hospital assessments in regard to HF demonstrates that self-administered HT is a probable solution. However, the article asserts that the effectiveness of HT in lowering the readmission rates should be assessed thoroughly. The article will be utilized to demonstrate that home, as well as hospital management programs, should seek to offer education to the patients on self-management. This will, therefore, offer evidenced based support on the argument that there is a necessity to addressing the increasing readmissions among CHF patients.
