Heartfailure readmissions Research Paper Example | Topics and Well Written Essays - 750 words

Heartfailure readmissions - Research Paper Example Thus, it is not a shock that heart failure hospitalization is the focus for quality improvement, as well as cost reduction efforts (Wang, 2013). The CMS - Center for Medicare and Medicaid Service has made it compulsory to report hospital-level 30-day readmission rates for heart failure plus acute myocardial infarction in an attempt to enhance outcomes (Simpson, 2014). For this paper, I will be focusing on the safety aspects of heart failure and what we as nurses can do to boost self-management. Since a huge part of self-management includes education, collaboration with healthcare providers, and the actions/behaviors of patients, I will focus on issues such as adhering to the prescribed medication regimen, diet and exercise, and managing stress/emotions. The paper will also describe the barriers to healthy behaviors in the community and describes the priority health concerns and nature of the problem. Patients with heart failure develop harsh conditions due to this illness which affects their safety (Gerdes & Lcrenz, 2013). These safety concerns include severe weight gain, worsening shortness of breath, new or worsening leg swelling, inability to sleep without sitting up, difficulty breathing during the night, which is affected by widespread coughing, chest pain of a heavy feeling in the chest area and finally lack of weight loss effect from extra water pills (Warden et al., 2014). With a small planning, as well as support from nurses, heart failure patients can live safely and comfortably (Wang, 2013). An important consideration might be how remaining in hospital might improve the patients quality of life plus be a genuine source of happiness to the patient. Efforts to enhance heart failure care have focused on clinical and physiological variables, hospital and provider performance, as well as pubic reporting on quality heart failure indicators to recognize and characterize pati ent risk (Warden et al., 2014). To date, there has been far less

Data analysis report Assignment Example | Topics and Well Written Essays - 2000 words

Data analysis report - Assignment Example One of the considerations is the human belief on what the likely outcomes might be and how they may influence the decisions. The stronger the belief that the likely outcomes has an impact which is more favourable, the stronger the willingness/attitude to perform a certain behaviour. Another consideration is the expectations of others and how they might influence ones decisions. This boils down to peer pressure meaning that a certain age group may be influenced by another group, or rather, an individual in a certain age bracket may be influenced by what the other is the said group do. Further, the presence of certain factors which may have an impact on making the various decisions is another consideration taken into account. A combination of the above three considerations gives rise to behavioural intentions. According to Ajzen (1987; 1991; 2002; 2005 and 2008); Kimiecik (1992) and Beck and Ajzen (1991), the more favourable a certain attitude is and it’s accompanying social pre ssure, the stronger the intentions to make the decision. If a person has a personal control of the over the various behaviours, then it is assumed that he/she can perform or make decisions based on the availability of opportunities. However, as Beck and Ajzen (1991) puts it, changing only one belief has no sufficient evidence that attitude will change. Through their argument, a change in one belief may affect anticipated change in another belief. In support of Beck and Ajzen assertions, Godin (1993) believes that balancing the total aggregate of the three beliefs towards a positive direction is the only assurance of attitude change towards making a decision. To Madden, Ellen and Ajzen (1992), one can change the existing beliefs and which affect the implementation of certain behaviours by giving new information leading to the formation of new beliefs which are likely to tilt the balance towards certain behaviour. However, Madden, Ellen and Ajzen (1992) point out that the information given should be as accurate as possible and should be given to all without discrimination if a valid and reliable conclusion is to be made from the findings. This is so because, it is also possible to change believes by giving powerful false information relevant to the believes. This in the short term may produce a change which may not be felt in the long run. At last, the individuals retreat back to the original beliefs prior to the powerful false information. The other important factor is the understanding that the intentions may not always result into attitude change towards behaviour. In this regard, it is always important to link the two so that perceived outcomes can be properly linked producing results (Raats, Shepherd and Sparks 1993). Research Design To gain a deeper understanding of the roles of certain factors which influence the formation of consumer purchase intentions, a study was undertaken. A sample of 150 participants took part. 74 were from the UK while the remaini ng 76 were from Germany. The study data was collected using a questionnaire