Heart failure (HF), especially among the elderly patients who are 65 years and above, is a complex chronic condition that contributes to increasing cost of healthcare. Patients with the condition have a high incidence of hospital readmission within 30 days after discharge than any other condition. The disease is a leading cause of hospital admissions among the elderly patients (Al-Tamimi et al., 2018). The purpose of this critical appraisal paper is to identify best practices that emerges from the researched and reviewed literature comprising of four articles on the kind of interventions that nurses can have to reduce the prevalence of readmissions of patients with heart failure within 30 days after discharge.
Part 3A: Critical Appraisal of Research: Evaluation Table
| Full APA formatted citation of selected article. | Article #1 | Article #2 | Article #3 | Article #4 |
| Awoke, M., Baptiste, D., Davidson, P., Roberts, A., & Dennison-Himmelfarb, C. (2019). A quasi-experimental study examining a nurse-led education program to
improve knowledge, self-care, and reduce readmission for individuals with heart failure. Contemporary Nurse, 55(1), 15–26. DOI: 10.1080/10376178.2019.1568198 |
Breathitt, K., Maffett, S., Foraker, R. E., Sturdivant, R., Moon, K., Hasan, A., Abraham, T. W. (2018). Pilot randomized controlled trial to reduce readmission for heart
failure using novel tablet and nurse practitioner education. The American Journal of Medicine, 131(8) 8, 974–978.https://doi.org/10.1016/j.amjmed.2018.02.017 |
Clarkson, J. N., Schaffer, S., & Clarkson, J. J. (2017). The effect of an inter-professional heart failure education program on hospital readmissions. Journal for Healthcare Quality, 39(2), 78–84. DOI: 10.1097/JHQ.0000000000000027 | Rice, H., Say, R., & Betihavas, V. (2018). The effect of nurse-led education on hospitalization,
readmission, quality of life and cost in adults with heart failure: A systematic review. Patient Education and Counseling, 101(3), 363–374. DOI: 10.1016/j.pec.2017.10.002. |
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| Evidence Level *
(I, II, or III)
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Level II is a quasi-experimental study. | Level I since it is a randomized control trial. |
Level IV since the study constitutes evidence from well-designed case control trials | Level I-systematic review to show the effects of nurse education to reduce hospitalizations and readmissions rate for individuals with heart failure. |
| Conceptual Framework
Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**
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The study’s conceptual framework is that nurse-led heart failure hospital education enhances knowledge, self-care behaviors and reduce 30-day readmissions.
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The article asserts that no standardized heart failure education programs exist. Therefore, the study’s framework is to show if using a novel tablet application to nurse practitioner education is better than NP education alone. | The conceptual model is that an education-based strategy decreases hospital readmissions for heart failure patients within 30 days of discharge. | The conceptual model is that having nurse led patient education sessions can improve quality of life, reduce readmission rates and healthcare costs among adults with heart failure living independently in community setting. |
| Design/Method
Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria). |
The study uses a quasi-experimental design with pre and post-tests on a convenient samples at two cardiac u
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