NR716 Week 3 Discussion The Practice Question

Purpose

The purpose of this discussion is to demonstrate your understanding of the practice question in your future practice change project.

Instructions

1. Using your selected practice problem, the appraised quantitative research study used in Week 1, and the evidence-based intervention from the Week 1 research study, write a one-sentence practice question.
2. Use the format tool (PICOT), Johns Hopkins Individual Evidence Summary ToolLinks to an external site.Open this document with ReadSpeaker docReader , and the quantitative research study used in Week 1 to determine if your practice question is feasible in a practice setting.
   1. Identify the evidence-based intervention from the study.
   2. Identify the specific patient population who would benefit from this evidence-based intervention in a practice setting.
   3. Identify the outcomes specific to the evidence-based intervention.
   4. Describe all biophysiological measures, any surveys or questionnaires, and the timing of when the outcomes were measured by the Ph.D. researchers. As an example, were the outcomes measured every other week?

Solution: NR716 Week 3 Discussion The Practice Question

Addressing the Evidence-Based Practice Question for Heart Failure

The research study from week 1 is a randomized control trial (RCT) by Man et al. (2024),  the PICOT question derived from it is, “In patients with heart failure (HF) and reduced ejection fraction (HFrEF) (P), how does implementing a digital consult (DC) strategy (I) compared to usual care (C) affect adherence to guideline-directed medical therapy (GDMT) (O) within a 12-week follow-up period (T)?” The question is founded on the findings by Man et al. (2024), who evaluated the effectiveness of a DC strategy for optimizing GDMT in patients with HFrEF. The feasibility of this question for implementation in clinical practice is supported by the evidence and the nature of the intervention.

Evidence-Based Intervention

The evidence-based intervention identified is the DC strategy, which integrates (i) digital sharing of data including home-monitored vital signs (e.g., blood pressure, heart rate, weight) and pharmacotherapy usage to clinicians via a secure platform; (ii) patient education in which patients complete an e-learning module on HF management, including guidance on medication adherence and lifestyle adjustments; and (iii) Guideline-based recommendations as clinicians receive tailored recommendations directly integrated into electronic health records (EHRs), enabling personalized care adjustments (Man et al., 2024)….

Patient Population

The specific patient population targeted by this intervention includes individuals with HFrEF who have not yet achieved optimal medical therapy (OMT) or need further titration of medications (Man et al., 2024). These patients often experience suboptimal guideline adherence….Click on the PayPal icon below to purchase full solution for $5

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