NURS FPX 4025 Assessment 2
[Student Name]
Capella University
[Prof. Name]
August 2025
NURS FPX 4025 Assessment 2: Failure of Heart
There are around 6 million people in US who suffer from heart failure (HF), a chronic illness (Roger & Clinic, 2021).Heart failure in patients is defined by low five-year survival rates of about 50 percent of the patients and increased mortality (Roger & Clinic, 2021). The value of the quality life (QOL) of the patients starts to decrease dramatically within the five years time frame. The most objective fatigue, dyspnea, edema, and inactiveness can be related to the conditions of HF patients. Additionally, the overall deterioration of the health of patients is also on the rise as well as the readmission of the HF patients to hospitals (Cheng et al., 2025). EBP is a tool that can be utilized to increase life and the outcome of a person with heart condition. The second NURS FPX 4025 assessment 2 is based on the utilization of the EBP model to foster the quality of life amid HF patients healthcare practice.
EBP Model
The Iowa EBP model also necessitates a six-step procedure that will assist clinicians in making decisions as to how to deploy research findings to clinical practice with the help of applying evidence-based practice. This model of improving practice begins with the articulation and declaration of a want or a query which needs evidence based department. Subsequently, investigation is carried out to evaluate, analyze and summarize information in books. According to the approach, scientists should conduct researches even when the literature results are incomplete. Next, there is the time to come up and deliver a pilot solution on the evidences stockpiled. Assess real successes of the pilot when it is mirrored into practice. It can be considered applying evidence-based practice in nursing; in case it is successful, it is supposed to be
adopted across the organization; in case of failure, it is necessary to reenter the loop until the specified outcomes are achieved (Dusin et al., 2023). The model will benefit from its emphasis on patients, medical professionals, and the system. The component of this Iowa Model is added to NURS FPX 4025 assessment 2 because it promotes the collaboration of clinical judgment and research. The evidence-based research will be promoted, therefore, through its use in the administration of the HF patients, improving it. To improve patient outcomes and quality of life for heart failure patients, an intervention was created to support the Iowa Model of EBP. It was determined that the HF patients’ reported low quality of life was the root of the problem. Given the high mortality and frequency of hospitalizations associated to heart failure, the study found that there is interference with the quality of life (QOL) of HF patients (Johansson et al., 2021). As a result, the healthcare industry must address the specific issue and ensure that all interventions, including the evidence-based practice applied behavior analysis, supported by data. Compiling the literature and research on QOL in HF using the Iowa Model of EBP would be the second step. According to NURS FPX 4025 assessment 2, the EBP model was extremely difficult to utilize in conducting a research collection process because it lacked the provision of evidence collection procedures which were very evident. The chosen paradigm implies that the lack of literature on the topic means that an investigation should be conducted (Dusin et al., 2023).
The Coping in Heart Failure (COPE-HF) Partnership Intervention in Heart Failure Symptoms, Implications for Palliative Care study by Graven et al. (2023) uses telemedicine to treat patients with heart failure. That is why the problem deserves to be addressed in the healthcare sector and why evidence-based solutions such as
evidence-based practice applied behavior analysis should be implemented (Graven et al., 2023). Directly connected to the above, a certain purpose was incorporated with the intervention to assist HF in solving problems to support disease/symptom management self-efficacy (Graven et al., 2023). One of the recent studies Graven et al. (2023) in NURS_FPX 4025 assessment 2 show that telehealth visits are capable of significantly reducing the number of experiences expressed among HF patients, as well as suitably, equip them with the appropriate support and an intervention to help solve a problem and enhance the lives of the patients in the above-mentioned list. This information obtained with the help of this technology directly affects the quality of life of heart failure patients. The elements of which were undertaken as a research were studied and published on the peer-reviewed journal Progress of Palliative Care. And without mentioning that it is already five years it is written, 2023. Since it is believable and relevant, it can be regarded as excellent evidence that the suggested issue of improving QOL among HF patients is being tried to be addressed by applying evidence-based practice.
The following format should be used for the title of the second article in the NURS FPX 4025 assessment 2 that discusses the quality of life for patients with heart failure (HF): A systematic review and meta-analysis examining the relationship between receiving palliative care interventions and health care usage, quality of life, and symptom burden in individuals with chronic noncancer illness (Quinn and the coauthors, 2020). In a systematic meta-study, Quinn et al. (2020) applying evidence-based practice to measure the relationship between the quality of life and the severity of symptoms in patients with long-term medication-free diseases and hospitalizations.
According to a review of the literature, adding a palliative care specialist to the interdisciplinary care team improved patient outcomes (Quinn et al. 2020). Since the study sample includes adults with long-term, non-cancerous conditions like heart failure, it has bearing on their quality of life. In 2020, the American Medical Association produced a peer-reviewed medical publication that applying evidence-based practice. The item in question may be regarded as pertinent evidence that can raise the standards of patients with heart failure because of its reliable source and connection to the pertinent document.
The authors of the article are more explicit about their goal, which is to use palliative care strategies to support patients with chronic heart failure and their caregivers. According to a systematic review, Hicks and colleagues (2022) describe more applying evidence-based practice in nursing that can improve the quality of life for patients with heart failure. To make clear what information is known about the effectiveness of palliative treatment in patients with heart failure, the authors of the study in this systematic review took this approach (Hicks et al., 2022).
In their review, Hicks and colleagues found that patients who got palliative care earlier experienced less aggressive end-of-life treatment yet survived longer, as evidenced by applying evidence-based practice in nursing (Hicks et al., 2022). Furthermore, it was discovered that palliative care interventions can improve hospitalization rates and quality of life in addition to patient satisfaction ratings (Hicks et al., 2022). Because it is a systematic review that was subjected to peer review, this article is legitimate. The open-access medical journal BMC Palliative Care published the report in 2022. It offers logical conclusions about how to improve HF sufferers’ quality of
life. The aforementioned justifies its inclusion as a potential resource for learning how to use evidence-based therapy to help create a solution for HF patients’ improved quality of life in NURS FPX 4025 Assessment 2.
References
Bhattacharya, A., Chakrabarty, S., Cabrales, J., VanHorn, A., Lemoine, J., Tsao, L., & Jaber, B.
- (2023). Implementation of a palliative care consultation trigger tool for hospitalized patients with acute decompensated heart failure. BMJ open quality, 12(3), e002330. https://doi-org.library.capella.edu/10.1136/bmjoq-2023-002330
Chen, C., Sun, X., Zhang, Y., Xie, H., Kou, J., & Zhang, H. (2025). Fear of progression and quality of life in patients with heart failure: A cross-sectional study on the multiple mediation of psychological distress and resilience. BMC Nursing, 24(1), 1–11. https://doi-org.library.capella.edu/10.1186/s12912-025-02688-8
Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based practice models and frameworks in the healthcare setting: A scoping review. BMJ open, 13(5), e071188. https://doi.org/10.1136/bmjopen-2022-071188
Graven, L. J., Abbott, L., & Schluck, G. (2023). The coping in heart failure (COPE-HF) partnership intervention for heart failure symptoms: Implications for palliative care. Progress in Palliative Care, 31(3), 169–178.
https://doi-org.library.capella.edu/10.1080/09699260.2022.2124144
Hicks, S., Davidson, M., Efstathiou, N., & Guo, P. (2022). Effectiveness and cost effectiveness of palliative care interventions in people with chronic heart failure and their caregivers: A systematic review. BMC palliative care, 21(1), 205.
https://doi-org.library.capella.edu/10.1186/s12904-022-01092-2
Johansson, I., Joseph, P., Balasubramanian, K., McMurray, J. J., Lund, L. H., Ezekowitz, J. A., … & G-CHF Investigators. (2021). Health-related quality of life and mortality in heart failure: The global congestive heart failure study of 23 000 patients from 40 countries. Circulation, 143(22), 2129-2142. https://doi.org/10.1161/CIRCULATIONAHA.120.050850
Quinn, K. L., Shurrab, M., Gitau, K., Kavalieratos, D., Isenberg, S. R., Stall, N. M., Stukel, T. A., Goldman, R., Horn, D., Cram, P., Detsky, A. S., & Bell, C. M. (2020). Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness: A systematic review and meta- analysis. JAMA: Journal of the American Medical Association, 324(14), 1439–1450. https://doi-org.library.capella.edu/10.1001/jama.2020.14205
Roger, V. L., & Clinic, M. (2021). Epidemiology of heart failure. Circulation research, 128(10), 1421. https://10.1161/circresaha.121.318172
