NursingResearchT4Q1

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PICOT Question and Article Selection

PICOT Question:

In veterans hospitalized for heart failure (P), what is the effect of enrollment in a home telehealth program (I) compared to standard care (C) on hospital readmission rates (O) within 10 weeks (T)?

The purpose of this question is to assess an issue of a high readmission rate of heart failure patients, particularly veterans, and if home telehealth can lower the rates.

Articles:

Qualitative Article: Ashby, M. (2024). Ashby, M. (2024). Using Home Telehealth to Reduce Hospital Readmission Rates in Heart Failure Patients in the Emergency Room. University of St. Augustine for Health Sciences. Retrieved from https://soar.usa.edu/scholprojects/176

This qualitative article focuses on how home telehealth affects heart failure patients’ rates of being readmitted to the hospital. By the use of telehealth interventions, it is illustrated how it can enhance the coordination of patient care and the reduction of readmission rates.

Quantitative Article: Krzesiński, P., Jankowska, E. A., Siebert, J., et al. (2022). Effects of an outpatient intervention comprising nurse‐led non‐invasive assessments, telemedicine support, and remote cardiologists' decisions in patients with heart failure (AMULET study): A randomized controlled trial. European Journal of Heart Failure, 24(3), 565-577. https://doi.org/10.1002/ejhf.2358

This increases the understanding that although telecare mainly entails nurse-led and remote cardiology, it is effective at reducing heart failure hospitalizations and cardiovascular deaths compared to conventional treatment protocols.

These articles assist in formulating the PICOT question by presenting the optimum ways of implementing telehealth to curb hospitalization of individuals diagnosed with heart failure.