NURS FPX 4025 Assessment 4
[Student Name]
Capella University
[Prof. Name]
August 2025
NURS FPX 4025 Assessment 4: Heart Failure
As established in this NURS FPX 4025 Assessment 4, heart failure is a chronic illness that occurs when the amount of output that comes out of the heart cannot cater to the demands of the body. The disease is also linked to a reduced quality of life, hospitalization as well as death. The AHA (2025) warns that a history of tobacco consumption, hypertension, obesity, high cholesterol levels, and lack of exercises are the risk factors associated with heart failure. Others are cardiomyopathy, previous myocardial infarction and birth anomalies (AHA, 2025). Among the problems that patients with a heart failure may face are reduced quality of life, heart cachexia, arrhythmia, sudden cardiac death, frequent hospitalization, and blood clots. This underlines the importance of communicating research outcomes in healthcare (Malik & Chhabra, 2023). Statistically, it is estimated that 6 million people in the USA have heart failure at the moment (Roger & Clinic, 2021).
The death rate among the individuals with heart failure is high since this disease became more prevalent; the medical community has developed effective treatments of this health problem. Roger and Clinic (2021) forecast the chances of people with new cardiac afflictions as 50 percent probability of survival in five years. It suggests that chances of a patient living 5 years after having been diagnosed of having heart diseases are pretty low at 50 percent. Moreover, it causes high level of burden on both persons and the health system in general. Approximately 25 percent of the patients discharged with heart failure will re-enter within 30 days of a previous admission, which is the indicator of readmission prevalence and the importance of sharing evidence-based practice results (Oskouie et al., 2024). This means that patients undergo a psychological
and financial strain. It is estimated that heart failure hospitalization costs the US economy more than 11 billion dollars in 2014 fiscal year (Bozkurt et al., 2023). This implies that efforts need to be implemented in so far as to minimize readmissions triggered by heart failure.
PICOT Question
An abstract of the findings that were determined to be sharing evidence-based practice results in reducing readmissions due to heart failure was presented utilizing the PICO(T) format. Firstly, it was determined that the population to whom the intervention was to be directed was patients with heart failure. The type of intervention modality that will be employed will be those of telehealth. To contrast the selected intervention with standard care, the data will be gathered for one year. The PICO(T)-question in the research was: What is the effect of commencement of telehealth sessions on the number of readmissions to the hospital in one year, compared to usual care of the patients with heart failure?
Sources Used
Among the sources used in the NURS FPX 4025 Assessment 4, there was a systematic review of RCTs and the study focused on the RM in reducing the readmission of patients with chronic bronchitis and heart failure (Stergiopoulos et al., 2024). Stergiopoulos et al. (2024) described that the following telemonitoring measures were used assessing price: remote measurements of blood pressure, weight, heart rate, and oxygen saturation. Also in presenting nursing research findings, it should be noted that the percentage of the RCTs that indicated lack of discernible effect of telemonitoring in readmission of heart failure patients stood at 67 percent
(Stergiopoulos et al., 2024). This work published in 2024 in the interdisciplinary and peer-reviewed journal Frontiers in Digital Health is important in terms of sharing evidence-based practice results. The writers are medical practitioners working at the John Hopkins or the Mayo Clinic, a factor that makes them reliable sources of expertise in the area of medicine. The research topic of the systematic review of the conducted review is associated directly with the patient population, the outcome, as covered in NURS FPX 4025 Assessment 4 and the intervention of the proposed PICO(T) question as it addresses the issue of the ability of telemedicine to reduce heart failure readmission of patients. The other piece of information that was chosen is a systematic review and meta-analysis that revolves around the need to outline the impact of mobile health applications on the reduction of outcomes in heart failure patients (Ni et al., 2024). Hospitalization rates were one of the returns that were taken into considerations in this analysis. The mobile app provided in NURS FPX 4025 Assessment 4 included reminders, reporting of the reported symptoms and vital signs, educational materials, patient-specific suggestions, telehealth visits, and a means to access social support (Ni et al., 2024). The application of mobile apps enhances communication between the patient and the provider and patient self-disease management, both aspects of which will reduce hospitalization rates and improve the quality of life in heart failure patients, as research findings and sharing evidence-based practice results will demonstrate (Ni et al., 2024). The paper was published in 2024 to an approved journal, such as Journal of Nursing Management. It has been identified with the help of CINAHL Complete database. Ni together with the other authors are based in West China Hospital Department of Cardiology. The other source of evidence used was that of Ramtin and
colleagues (2023) in their systematic review and meta-analysis study. It would explore and collect the information about the possible influence of the PoC related to remote education on the number of patients with heart failure (HF) who undergo readmission. According to NURS FPX 4025 Assessment 4, remote education is remote instruction by means of phone or video chats, text messages, one-on-one education and telemonitoring, mobile applications, and booklets (the latter in printed form) (Ramtin et al., 2023).
The fact that distance learning, in general, and telehealth, in particular, may reduce readmission rates in HF patients contributed to the conclusion made by the authors (Ramtin et al., 2023). This study utilized information in the ProQuest Nursing Databases. The article was originally published in The Nursing Open, a peer-reviewed journal founded by publishing company John Wiley & Sons, Inc. w, an established publisher of scholarly materials that are open celebrated. Moreover, the article was released in 2023 and deals purely with the readmission rates of the patients diagnosed with heart failure, which makes it contemporary to the issue of diagnosis and research.
Evidence Analysis
The reviewed evidence allows statement of a solid foundation in answering the stated PICO(T) question: How does the implementation of the telehealth visits into the patients with heart failure impact the rate of readmission to medical care institutions within one year period in comparison with the regular care? According to one source of evidence, telemonitoring on the impact of telehealth was not significant in reducing rehospitalization on patients with heart failure (Stergiopoulos et al., 2024). The presenting nursing research findings presented by other studies has provided
evidence that other types of telehealth treatment can be applied to reduce readmission rates, despite a statistically unimportant finding on the importance of telemonitoring readmission rates. Among all included studies, Ni and colleagues reported that the mHealth application as a technology enabled patients to manage their symptoms, make self-reports on vital signs, use telehealth to visit healthcare providers regarding their HF, and access educational material, which one systematic review and meta-analysis of the available studies demonstrated lower overall hospitalization frequency in their HF patient populations in the time following such an intervention. This observation reiterates the importance of sharing evidence-based practice results. Another systematic review and meta-analysis by Ramtin and colleagues in 2023 have found distance learning to be effective in the reduction of readmission rates among HF patients. The findings of the study conducted by Ni and colleagues (2024) are analogous to the study finalized by Ramtin and colleagues (2023), in which the availability of telehealth phone calls and video visits and the extent of distance education offered by mobile applications decreased the hospital readmission rate of HF patients. Judging by the evidence presented above, it can be deduced that telehealth has the potential to lower hospital readmission rates as opposed to the situation when telehealth methods are not involved. Telemonitoring has been established to have lost a lot of its relevance (Stergiopoulos et al., 2024). However, as noted in NURS FPX 4025 Assessment 4, the greater use of remote learning resources and mobile health apps has the potential to reduce overall readmissions of HF patients (Ni et al., 2024; Ramtin et al., 2023).
Key Steps of Care
All the obtained information indicates that possible interventions can be implemented in care that will decrease hospitalizations due to heart failure in the future, which indicates the necessity of communicating research outcomes in healthcare. One of the most important actions is directing the implementation of mobile health applications. As Ni et al. (2024) explain, mobile health applications may be used to allow the patient to self-report and monitor their symptoms, to gain telehealth access to educational and social support, and to consult individual recommendations on treatment. Providers could trade on the feature that the applications enable the presentation of real-time indicators because they can be used to avoid hospitalization and to start treatment earlier in other cases. The second relevant step that can be made is to provide patients with more resources so that they can have access to education abroad. It can be proposed that remote education can be via video visitations and phone calls with clinicians and in terms of access to educational video tutorials (Ramtin et al.,2023). The frequency of readmission of individuals with heart failure can be reduced through adopting the measures that were outlined in the NURS FPX 4025 Assessment 4, thus, taking a burden away not only of the patient himself or herself but also of the healthcare system at large.
References
American Heart Association (AHA). (2023, March). What is heart failure? heart.org. Retrieved March 20, 2025, from https://www.heart.org/en/health-topics/heart-failure/what-is-heart- failure
Bozkurt, B., Ahmad, T., Alexander, K. M., Baker, W. L., Bosak, K., Breathett, K., Fonarow, G. C., Heidenreich, P., Ho, J. E., Hsich, E., Ibrahim, N. E., Jones, L. M., Khan, S. S., Khazanie, P., Koelling, T., Krumholz, H. M., Khush, K. K., Lee, C., Morris, A. A., Page, R. L., 2nd, … Writing Committee Members (2023). Heart Failure Epidemiology and Outcomes Statistics: A Report of the Heart Failure Society of America. Journal of cardiac failure, 29(10), 1412–1451. https://doiorg.library.capella.edu/10.1016/j.cardfail.2023.07.006
Malik A, Chhabra L. (2023). Congestive heart failure. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. https://www.ncbi.nlm.nih.gov/books/NBK430873/
Ni, Y.-X., Liu, X.-H., He, L., Wen, Y., You, G.-Y., & Igarashi, Y. (2024). Mobile Application‐ Based Interventions for People with Heart Failure: A Systematic Review and Meta‐ Analysis. Journal of Nursing Management, 2024, 1–14. https://doiorg.library.capella.edu/10.1155/2024/6859795
Oskouie, S., Pandey, A., Sauer, A. J., Greene, S. J., Mullens, W., Khan, M. S., Quinn, K. L., Ho, J. E., Albert, N. M., & Van Spall, H. G. (2024). From Hospital to Home: Evidence-Based Care for Worsening Heart Failure. JACC. Advances, 3(9), 101131. https://doi- org.library.capella.edu/10.1016/j.jacadv.2024.101131
Ramtin, S., Yazdani, Z., Tanha, K., & Negarandeh, R. (2023). The impact of distance education on readmission of patients with heart failure: A systematic review and meta-analysis. Nursing Open, 10(7), 4205-4215. https://doi.org/10.1002/nop2.1698
Roger, V. L., & Clinic, M. (2021). Epidemiology of heart failure. Circulation Research, 128(10), 1421. https://10.1161/circresaha.121.318172
Stergiopoulos, G. M., Elayadi, A. N., Chen, E. S., & Galiatsatos, P. (2024). The effect of telemedicine employing telemonitoring instruments on readmissions of patients with heart failure and/or COPD: a systematic review. Frontiers in digital health, 6, 1441334. https://doi-org.library.capella.edu/10.3389/fdgth.2024.1441334
