Understanding Research in Practice: Heart Failure Poster Project

This project is a research poster presentation focused on chronic heart failure due to ischaemic cardiomyopathy and hypertension. The poster includes a clear introduction outlining its structure, followed by a summary paragraph with recommendations for practice, education, research, and policy. It also features an abstract providing a brief overview of the topic and its relevance to various aspects of healthcare. The poster critically appraises evidence-based studies related to the topic, discussing the methodological aspects of each study, summarizing the main findings, and addressing the limitations of the review. The poster makes recommendations for practice, education, research, and policy based on the evidence, and is supported by a comprehensive list of references. The research explores the effectiveness of self-management interventions, including teach-back methods, and highlights the importance of family involvement and patient education in improving outcomes and reducing hospital readmissions. The project emphasizes the need for healthcare professionals to support patients in self-management and to utilize tools like heart failure booklets and diaries to enhance self-care practices.

Running head: UNDERSTANDING RESEARCH IN PRACTICE
Understanding research in practice

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Table of Contents
Title........................................................................................................................................................3
Clear introduction including outline for the poster................................................................................3
Summary paragraph including recommendations for practice, education, research, policy.................4
Abstract.................................................................................................................................................6
Brief description of the topic and its relationship to practice, education, research, or policy...........6
Critically appraises evidence-based studies related to the topic.......................................................6
Discussing methodological aspects of each.......................................................................................6
Summarises the articles and the main findings.................................................................................6
Discusses limitations of the review....................................................................................................6
Make recommendations for practice, education, research, and/or policy........................................7
References.............................................................................................................................................8

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Title
The title of this poster is “Chronic heart failure due to Ischaemic Cardiomyopathy and
hypertension”.
Clear introduction including outline for the poster
This poster presentation demonstrates the brief description of topic and its relationship to
education, practice, research and policy. It also critically appraises evidence-based studies
related to the topic. This presentation examines the methodological aspects of each. It also
summarises the articles and the main findings. This poster also addresses the limitations of
the review.
In addition, usual care group could be considered for obtaining resources related to self-care.
Along with this, proceedings phone calls were used in 30 days by subsequent discharge with
taking into consideration of feasible treatment. Primary result would be readmission of
hospital as well as, secondary results would be related to quality of life (QOL), utilisation of
healthcare, self-care, as well as, events related to major vascular (Triposkiadis, et. al., 2016).
It is found that there are 6 wards in hospital that were randomised within two groups for
study purposes. As per the allocation of ward, total of 140 respondents were participated and
these were fall under teaching back and usual care self management intervention for heart
failure.
On the other hand, scores of self-care enhanced in both groups within 1 month was highly
enhanced in intervention group as well as, in the context of control group, confidence and
maintenance scales was increasing. However, there is lack of sub-scale related to self-care
management. There is also lack of difference were identified in emergency department
presentations and quality of life between groups. There are high amount of patients within
control group as compared to intervention group who have visited within health care services

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where, n = 24, 23% vs. n = 12, 11% (Shirazi, et. al., 2017). Furthermore, allocation of
patients within intervention group is considered for research purposes.
Furthermore, outcomes related to self-care, heart-failure understanding and all causes of
hospitalisation were evaluated within 1 to 3 months. After finishing of investigation,
intervention group can effectively higher understanding and maintenance of self-care as
compared to controlling group. Other results did not distinguish among two groups. But, this
investigation could be relied on societies of other collectivist within non-western with
western nations (Gorthi, et. al., 2014).
Self management intervention regarding teach-back depicts the promising advantageous to
endorse the self-care with respect to patient suffering from heart failure. A cluster of
individual site is randomly control trial that is focused by hospital. Along with this,
readmission within 1 month was effectively lower with respect to intervention group rather
than control group where, n = 10, 9% vs. n = 20, 19% (Libhaber, et. al., 2015).
It also recommended policies and practices related to research and education. There is also
need to consider education session regarding self-care maintenance, self-care resources,
symptom management, and inclusive family care givers (Gorthi, et. al., 2014).
In the tertiary medical centres, there are some patients who are suffering from heart failure
due to worsen symptoms and they have requirement of instant treatment. Primary health
facilities could be deficient as well as, disease management initiatives are only executed for
research intentions in Lebanon. In addition, disease management programs are controlled
multi-component interventions that involve educational components on diet, treatment
adherence, and self-monitoring. These initiates have produced transforming levels of success
regarding heart failure (Dinh, Bonner, Ramsbotham, & Clark, 2019).

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Summary paragraph including recommendations for
practice, education, research, policy
It can be recommended that intervention should consider previous discharge individual
session and educating individual about application of booklet of heart failure and diary of
self-care in heart failure. Along with this, it can be recommended that health care should
comprehend and reinforce the teach-back process such as proceedings call throughout 2
weeks after discharge. It is also recommended that that booklet and usual care should be
provided to control group (Johansson, et. al., 2016).

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Abstract
Brief description of the topic and its relationship to practice,
education, research, or policy
In Lebanon, heart failure issue is increasing at higher extent but, there is lack of intervention
regarding systematic management of heart failure issue. Main purpose of this investigation is
to assess the chronic heart failure due to Ischaemic Cardiomyopathy and hypertension (Deek,
et. al., 2017). Understanding on selected topic is beneficial for practicing intervention of
heart failure management in hospital. It is also effective for education purposes in terms of
gaining depth understanding regarding causes of heart failure. This topic is advantageous for
further research and developing policy regarding heart failure of individual.
Critically appraises evidence-based studies related to the
topic
In this research, researcher assessed the significance related to interference of self-
management that is considered for overcoming the heart failure concern within Vietnam. It
could be considered as a cyclical tool for teaching content, teach-back as well as, re-teaching
to enhance the knowledge.
Discussing methodological aspects of each
In this investigation, block and multi-site is randomised controlled trial that was conducted
over 13 months of period in 3 tertiary medical centres within Beirut and Mount Lebanon.
Summarises the articles and the main findings
The final sample involved 256 patients hospitalised for heart failure and it was categorised
into two groups where first group was control containing130 patients as well as, second
group was intervention involving 126 patients. Average age was fall under 67 (SD = 8) years
where large amount of participants (55%) were comes under male category.

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Discusses limitations of the review
Findings of investigation show that there is restricted generalizability in the context of other
cultures because it is known as strong familial connections as well as, collectivism.
Make recommendations for practice, education, research,
and/or policy
It can be recommended that educational intervention related to family should be evaluated on
trial basis for endorsing self-care among patients who have heart failure disease. It could be
used for effectively decline the risk related to readmission among wider vulnerable
population (Ziaeian & Fonarow, 2016). It also designs for teaching back to Heart failure (HF)
intervention related to self-management should be brief as well as, appropriately delivers
because of high workload among nurse staffs. Moreover, HF booklet could be implemented
as an element related to usual care for the patients who have HF disease (Dinh, Bonner,
Ramsbotham, & Clark, 2019).
Moreover, medical practitioners and nurses should be acknowledge and support the role of
patient in self-management as well as, empowering them with adequate understanding as well
as, competencies to perform it. Teach back technique is assessed in other developing nation
in which, healthcare system is making efforts to increasing the burden related to chronic
disease (Gorthi, et. al., 2014).
The patient-reported results like quality of life and self-care may have been over reported.
But, discussion was done among patient regarding their weight in 1 month that was contrast
to weights of discharge and validating the self care of participants (Tampakakis, et. al., 2015).
Moreover, patient held diaries were provided to both groups that consider self-care
instructions regarding isolating depiction of intervention impact (Shirazi, et. al., 2017). Future
investigations can assess these diaries for accurate self-care assessment.

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With respect to primary result, investigators were paying attention in first readmission during
tenure of 1 month but still, there is lack of collected information regarding readmission of per
patient within this tenure.
But, this data must be involved with the purpose of potential trials since it focuses on severity
regarding situations as well as, it is good reflection about QOL (quality of care) that is
considered at the time of hospitalisation (Triposkiadis, et. al., 2016).
References
Deek, H., Chang, S., Newton, P. J., Noureddine, S., Inglis, S. C., Arab, G. A., Davidson, P.
M. (2017). An evaluation of involving family caregivers in the self-care of heart
failure patients on hospital readmission: Randomised controlled trial (the FAMILY
study). International Journal of Nursing Studies, 75, 101-111.
doi:10.1016/j.ijnurstu.2017.07.015
Dinh, H. T. T., Bonner, A., Ramsbotham, J., & Clark, R. (2019). Cluster randomized
controlled trial testing the effectiveness of a self-management intervention using the
teach-back method for people with heart failure. Nursing & Health Sciences, 2019; 1-
9. doi:10.1111/nhs.12616
Gorthi, J., Huntera, C. B., Mooss , A. N., Alla, V. M., & Hilleman, D. E. (2014). Reducing
heart failure hospital readmissions: A systematic review of disease management
programs. Cardiology Research, 5, 126-138. http://dx.doi.org/10.14740/cr362w
Johansson, I., Dahlström, U., Edner, M., Näsman, P., Rydén, L., & Norhammar, A. (2016).
Prognostic implications of type 2 diabetes mellitus in ischemic and nonischemic heart
failure. Journal of the American College of Cardiology, 68(13), 1404-1416.
Libhaber, E., Sliwa, K., Bachelier, K., Lamont, K., & Böhm, M. (2015). Low systolic blood
pressure and high resting heart rate as predictors of outcome in patients with
peripartum cardiomyopathy. International journal of cardiology, 190, 376-382.

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Shirazi, L. F., Bissett, J., Romeo, F., & Mehta, J. L. (2017). Role of inflammation in heart
failure. Current atherosclerosis reports, 19(6), 27.
Tampakakis, E., Leary, P. J., Selby, V. N., De Marco, T., Cappola, T. P., Felker, G. M., ... &
Tedford, R. J. (2015). The diastolic pulmonary gradient does not predict survival in
patients with pulmonary hypertension due to left heart disease. JACC: Heart
Failure, 3(1), 9-16.
Triposkiadis, F., Giamouzis, G., Parissis, J., Starling, R. C., Boudoulas, H., Skoularigis, J., ...
& Filippatos, G. (2016). Reframing the association and significance of co‐morbidities
in heart failure. European journal of heart failure, 18(7), 744-758.
Ziaeian, B., & Fonarow, G. C. (2016). Epidemiology and aetiology of heart failure. Nature
Reviews Cardiology, 13(6), 368.