Discuss And Submit Your PICOT Question: What Is Healthcare

Discuss And Submit Your Picot Questionwhat Is The Healthcare Problem

Discuss and submit your PICOT question. What is the healthcare problem you propose to change? What impact does it have on the patient, community, cost of care, quality of life, readmissions? Be detailed about your population and setting. It should be a health problem identified in your clinical setting or community.

It should be realistic. PICOT Guidelines PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question). The PICOT process begins with a case scenario, and the question is phrased to elicit an answer: EXAMPLE: Will the implementation if (I)_____in a specific population of _______(P) compared to ______(C) improve _______(O) in a period of _______(T)? The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time.

The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe

NOTE: The goal of the MSN Capstone is to integrate Theory and Practice. Therefore, the Capstone is to present evidenced-based on a healthcare problem without needing IRB approval. The project should focus on quality improvement, a teaching plan or the development of a new policy and/or procedure within the clinical setting/community. IRB approval is needed when you have direct involvement with human subjects.

Such as, interaction or intervention with human subjects or involve access to identifiable private information. Examples of Capstone Topics These are a few examples of health issues. However, I encourage you to identify your own Capstone problem at your workplace or community. You should have issues you can identify with your Capstone preceptors. Importance of taking the health history Disease common with the aged population Strategies to ensure healthy aging Reducing associated ventilator infections in hospitalized patients Patient advocacy and advanced practice Physical environmental risk factors for elderly falls Examining mental health of a specific population Improving the process of preventive care The use of chlorhexidine to reduce hospital-acquired infections The use of cognitive-behavioral therapy techniques in psychiatric facilities Cultural-based mental health programs How domestic violence affects the children Using CBT for PTSD affected veterans Impacts of bullying at the workplace for new nurses Development of new mental health guide for educators Link link between homelessness and mental health issues Postpartum depression among women Preeclampsia among women Preventing pregnant women from Zika Virus Infant mortality and preterm birth among African American women Addressing mental health among pregnant women in rural areas The link between HPV and cervical Smoking and pregnancy Diabetes management during pregnancy Prevention of patient falls through education Potential causes of falls in hospitals Nursing interventions to prevent falls

Paper For Above instruction

The healthcare landscape continually evolves, driven by emerging challenges that threaten patient outcomes, community health, and overall healthcare costs. One pressing issue within this domain is the high incidence of hospital readmissions due to congestive heart failure (CHF). This problem not only burdens healthcare systems financially but also significantly impacts patients' quality of life and long-term health outcomes. Given the complexities associated with managing CHF, especially among older adults, there is a vital need to develop and implement targeted interventions aimed at reducing readmission rates.

The PICOT question developed for this project is: "Will the implementation of a comprehensive patient education and follow-up program (I) in a population of elderly patients with congestive heart failure (P) compared to standard discharge procedures (C) reduce hospital readmission rates (O) within 30 days of discharge (T)?" This question aims to evaluate whether structured education combined with proactive follow-up can improve patient self-management, thereby decreasing unnecessary hospital readmissions.

The population of interest includes elderly patients (aged 65 and above) admitted with a primary diagnosis of CHF in our community hospital. These patients often face challenges such as medication adherence, lifestyle modifications, and recognizing early warning signs. The setting encompasses both inpatient wards and outpatient follow-up clinics, reflecting the continuum of care and the importance of continuous support after discharge.

The intervention involves a multidisciplinary approach consisting of tailored educational sessions, medication reconciliation, symptom monitoring, and scheduled follow-up calls or visits within the first 30 days post-discharge. Compared to standard discharge processes, which often lack comprehensive patient engagement and follow-up, this intervention emphasizes proactive engagement to empower patients in their care management.

The expected outcomes from this intervention include a reduction in 30-day readmission rates, improved patient knowledge regarding CHF management, higher medication adherence, and enhanced quality of life. Additionally, this approach aims to decrease healthcare costs associated with recurrent hospitalizations and improve overall patient satisfaction.

Timing of the intervention is appropriately set within the immediate post-discharge period, which is critical for preventing deterioration and avoiding unnecessary readmissions. This timeframe aligns with existing literature indicating that the majority of CHF readmissions occur within the first 30 days after discharge, making it a strategic interval for intervention (Collins et al., 2019).

Addressing this healthcare problem aligns with the broader goals of quality improvement initiatives in healthcare. By focusing on evidence-based strategies such as patient education, self-management, and follow-up, healthcare providers can significantly impact patient outcomes and optimize resource utilization. The project does not involve direct interaction with human subjects beyond standard clinical care and thus does not require IRB approval, but it offers valuable insights into effective discharge planning and ongoing support strategies for this vulnerable population.

References

• Collins, S. A., et al. (2019). Effectiveness of post-discharge interventions to reduce heart failure readmissions. Journal of Cardiac Failure, 25(2), 123-132.
• Husk, G. E., et al. (2016). Improving post-discharge care to reduce readmission for heart failure: A systematic review. The Annals of Pharmacotherapy, 50(3), 228-240.
• Kompanje, E. J., et al. (2018). Multidisciplinary approaches to reduce hospital readmissions for heart failure patients. European Journal of Heart Failure, 20(9), 1225-1233.
• Lee, S. J., et al. (2020). Patient education interventions for heart failure management: A meta-analysis. Health Education & Behavior, 47(3), 342-351.
• Mozaffarian, D., et al. (2016). Heart disease and stroke statistics—2016 update. Circulation, 133(4), e38-e360.
• Vogelsang, C. A., et al. (2017). Follow-up strategies post-hospitalization for heart failure. Clinical Nurse Specialist, 31(6), 267-273.
• Yancy, C. W., et al. (2017). 2017 ACC/AHA/HFSA Focused Update on Heart Failure. Circulation, 136(6), e137-e161.
• Rogers, J. G., et al. (2019). Integrated post-discharge care for heart failure patients. JACC: Heart Failure, 7(8), 713-724.
• Shah, R., et al. (2018). Predictors of readmission among heart failure patients. JAMA Cardiology, 3(4), 337-344.
• Whellan, D. J., et al. (2020). Efficacy of patient self-management interventions for heart failure. JAMA Internal Medicine, 180(4), 565-574.