Research Project Proposal Rainel Leon South University ✓ Solved

Research Project Proposal Rainel Leon South University

This research will be conducted in 150 patients aging 65 years or more admitted to Jackson Memorial Hospital Florida, with the confirmed diagnosis of Congestive Heart Failure to investigate the impact of a comprehensive teaching about the reduction of sodium consumption over the readmission rate because of decompensating Cardiac Heart Failure.

The sampling strategy will utilize convenience sampling to include individuals selected according to the inclusion and exclusion criteria reflecting the identified population. Consecutive admissions will be screened daily to identify eligible patients, who will require an admission diagnosis of HF made no longer than 3 months and being discharged home.

Patients excluded will be those with HF as a secondary diagnosis; patients with a HF diagnosis made longer than 3 months; patients with terminal illness in addition to HF; patients being discharged to a place other than home; and patients unable to give consent or without an identified proxy to give consent. The total sample will consist of 200 individuals to include in two groups to follow a research design.

The type of design to be used will be a quantitative quasi-experimental pretest posttest study to assess the effect of the proposed intervention on the rate of hospital readmissions in adults 65 years and older diagnosed with Congestive Heart Failure in JMH Hospital. Only one intervention will be applied in both groups; the intervention will be providing a comprehensive teaching about the reduction of sodium on diet to prevent decompensating Cardiac Heart Failure.

The design flows from the research problem, theoretical framework, literature review, and hypothesis. Quasi-experimental studies are powerful methods to determine whether a cause-effect relation exists between the intervention and the outcome. Both groups will be observed for 30 days, and a chart review will be conducted to compare readmission rates.

Extraneous variables will be controlled by using inclusion and exclusion criteria. Patients must meet specified inclusion criteria: having an admission diagnosis of Heart Failure made no longer than 6 months and going to be discharged home. Patients who do not meet these criteria will be excluded from the study.

Paper For Above Instructions

The ongoing challenge of managing Chronic Heart Failure (CHF) in the elderly population is formidable, as patients aged 65 years and older frequently experience high rates of hospital readmissions. According to the American Heart Association, nearly 25% of patients diagnosed with CHF are readmitted within 30 days of discharge (Yancy et al., 2013). This research project proposal aims to investigate whether a comprehensive educational intervention regarding sodium reduction in diets can affect the readmission rates of this vulnerable population.

Methodology

The target population consists of at least 150 patients aged 65 years or older diagnosed with CHF who are admitted to Jackson Memorial Hospital (JMH) in Florida. The sampling strategy incorporates a convenience sampling method to select eligible participants, ensuring that the inclusion and exclusion criteria are strictly met. Eligible participants must be predominantly those who have a confirmed diagnosis of CHF made within the last three months and plan to be discharged home. This study will utilize a total of 200 individuals divided into two groups for a comparative analysis of readmission rates.

Sample Inclusion and Exclusion Criteria

Inclusion criteria require participants to possess an admission diagnosis of Heart Failure within the last six months and intend to be discharged home. Exclusion criteria will identify patients with a secondary diagnosis of Heart Failure, those whose diagnosis exceeds six months, individuals discharged to facilities other than their home, and those unable to consent or lacking a proxy to consent.

Research Design

The proposed study will adopt a quantitative quasi-experimental pretest-posttest design. The primary intervention involves educating patients on sodium consumption and its potential impact on their health. The absence of random assignment reflects the nature of quasi-experimental design, allowing for evaluation without the complexity of controlled trials. The expected outcomes focus significantly on assessing the readmission rates of participants over a 30-day observation period following the educational intervention.

Statistical Analysis

Utilizing descriptive statistics via Excel will be beneficial for organizing and summarizing data. Descriptive statistics will help clarify central tendencies within study demographics and emotional responses towards CHF and its management (Gray, Grove, & Sutherland, 2016). Furthermore, after evaluating the collected data, inferential statistics may be employed to analyze the relationship between sodium reduction education and the decreased likelihood of hospital readmissions.

Controlling Extraneous Variables

To establish a reliable research outcome, it is critical to manage extraneous variables. By imposing concrete inclusion and exclusion guidelines, researchers can ensure that confounding factors do not invalidate the findings. This meticulous approach will facilitate a clear understanding of the direct impact of sodium reduction education on readmission rates in the elderly with CHF.

Ethical Considerations

Ethical considerations will be paramount throughout the research process. It is essential to respect participant autonomy, and all subjects must provide informed consent before participating in the study. Additionally, confidentiality must be maintained regarding personal health information (American Nurses Association, 2015).

Conclusion

This research project proposal aims to shed light on the impact of sodium reduction education for patients with Congestive Heart Failure aged 65 years and older. By examining the relationship between this educational intervention and hospital readmission rates, we may develop strategies that enhance patient outcomes and reduce healthcare costs associated with CHF management. The anticipated implications underscore the necessity of fostering a collaborative educational framework between healthcare providers and elderly patients.

References

• American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. American Nurses Association.
• Gray, J. R., Grove, S. K., & Sutherland, S. (2016). Burns and Grove’s The practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier: St. Louis, MO.
• Yancy, C. W., Jessup, M., Bozkurt, B., et al. (2013). 2013 ACCF/AHA guideline for the management of heart failure. Journal of the American College of Cardiology, 62(16), e147-e239.
• Astalin, P. (2013). Qualitative research designs: A conceptual framework. International Journal of Social Science & Interdisciplinary Research.
• Grove, S. (2017). Sampling. In J. R. Gray, S. K. Grove & S. Sutherland (Eds.), Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.
• Centers for Disease Control and Prevention. (2020). Heart Disease Facts. Retrieved from CDC website.
• National Heart, Lung, and Blood Institute. (2018). Heart Failure. Retrieved from NHLBI website.
• Institute for Healthcare Improvement. (2019). How to Improve. Retrieved from IHI website.
• Foody, J. M., & Kauffman, H. (2016). Congestive heart failure: Comprehensive evaluation and management. American Family Physician, 93(10), 846-854.
• Douglas, B. M., & Berkey, C. (2021). Strategies for reducing hospital readmissions: A systematic review. Health Services Research, 56(5), 1230-1247.