Psychological And Health Outcomes

Running head: NURSING
Nursing
Name of the student:
Name of the University:
Author’s note

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Part 1: Annotated bibliography
Jiang, Y., Shorey, S., Seah, B., Chan, W. X., San Tam, W. W., & Wang, W. (2018). The
effectiveness of psychological interventions on self-care, psychological and health outcomes in
patients with chronic heart failure—A systematic review and meta-analysis. International
journal of nursing studies, 78, 16-25.
https://doi.org/https://doi.org/10.1016/j.ijnurstu.2017.08.006
The main purpose of this systematic review was to evaluate evidence to determine the
impact of psychological interventions on self-care and psychological and health outcomes of
patients with chronic heart failure (CHF). The study included all those papers that used
psychological methods or theory on self-care behaviour, anxiety, depression and physical
function. By the search for articles in electronic databases like Cochrane library, CINAHL,
PubMed, Scopus, Web of Science, ProQuest Dissertations and Theses and PsycINFO and
searching for articles published from January 2006 to December 2016, total 29 articles were
finally selected for the review. The findings of the review revealed that psychological
interventions were successful in improving self-care in CHF patients. Moreover, positive
outcome in the area of HRQoL was found. However, no statistically significant result was
obtained for the impact of psychological intervention on physical outcome and anxiety levels.
The main conclusion made by the study was that psychological interventions can enhance health
outcomes and quality of life of CHF patient. Despite the above outcome, one limitation is that
this study included papers with multi-component interventions, which may not give true estimate
regarding the efficacy of the psychological intervention. Despite this limitation, this study can be
useful for the case study as it shows that psychological intervention can be used for John so that
he can improve his self-care behaviour.

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Ryan, C. J., Bierle, R., & Vuckovic, K. M. (2019). The three Rs for preventing heart failure
readmission: review, reassess, and reeducate. Critical care nurse, 39(2), 85-93.
https://doi.org/10.4037/ccn2019345
The main purpose of this study was to discuss about three Rs that could prevent heart
failure readmission. These three Rs include review, reassess and re-educate. The main rationale
for discussing about these three Rs was the issue of high hospital readmission rates despite
improvement in heart failure therapies. The article focused on giving evidence for decreasing
readmission within 30 days by analysing clinical, psychosocial, and systems-based factors in the
acute setting. The clinical factors that were discussed in the study included self-management
factors, patient education, biomarkers and co-morbidities. The psychosocial factors included
focusing on HRQoL and treating depression in patients using multidisciplinary approach and
social support. The system based factors included using telephone calls to connect with patient,
transitioning between inpatient and outpatient settings, palliative care and low socioeconomic
status. To resolve transition issue, the study suggested employing steps like proper discharge
planning, medical reconciliation, advanced care planning and delivering patient education. For
issues related to lack of resource due to poor SES, the study recommended initiating immediate
cardiology consultation for this group of patients. The limitation of this study is that it was not
any experimental study that confirmed the findings; instead it was a synthesis of many research
evidence. However, the utility of the paper is that it can provide guidance regarding the strategies
that can be taken by the nurse to prevent readmission of John post discharge.
Salahodinkolah, M. K., Ganji, J., Moghadam, S. H., Shafipour, V., Jafari, H., & Salari, S. (2020).
Educational intervention for improving self-care behaviors in patients with heart failure: A

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narrative review. Journal of Nursing and Midwifery Sciences, 7(1), 60.
DOI: 10.4103/JNMS.JNMS_19_19
The main purpose of this systematic review was to review educational interventions for
improving self-care behaviors in patient with heart disease. The main rationale for investigating
on this topic is that heart failure is a chronic disorder that adversely affects interpersonal and
social relationships of patients. Most of the patients reduce their physical activity levels and
engage in poor self-care. Thus, educational interventions have the potential to promote self-care
behaviors. To validate the same hypothesis, the searches for articles were done in various
databases like ProQuest, Springer and many others. Only articles published from 2000 to 2018
were included in the review and total seventy one articles were included. These studies mainly
covered four types of educational interventions such as face-to-face teach back method, group
training, e-learning and home visit with follow-up. The main conclusion from the evaluation of
these education interventions was that educational intervention is effective in management of
self-care. This study also gave the implication for nurses to consider the different educational
needs of patients according to their culture and level of literacy. The strength of the study is that
it revealed the benefits of various teaching methods. However, one limitation of the narrative
review is that it did not conduct quality assessment of papers, which would have given better
idea about validity and credibility of the findings.
Part 2:
The first article chosen for this review was the study by Jiang et al. (2018) which is
relevant to the case study as John was suffering from distressing shortness of breath and his
deteriorating symptoms may affect his psychological health too. Thus, meeting mental health