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Home>Homework Answsers>Nursing homework helpCan you help me with my homework.10 months ago05.10.202420Report issuefiles (6)NRmodule6assignmentliteraturematix.docxNRteacherscomments.docxStephanieBrownWk-4Pt-1Assignment1.docxNRLiteratureReviewMatrixSU20241.docxNRtemplateLiteratureReviewMatrixSU20241.docxLiteratureReviewMatrixSample2024SU.docxNRmodule6assignmentliteraturematix.docxQuantitative Article/Literature Review MatrixInstructionsFor Part 2, which is due Sunday of Week 8, you will find ten articles that pertain to your PICOT question and provide the requested information for each article on the Literature Review Matrix, which will be added to your proposal. as an appendix.  If this doesn’t make sense yet, it will. Part 2 is not due until Module/Week 8.  This assignment prepares you for and may get you started on the Literature Review Matrix, which is an appendix for Part 2.This week’s assignmentis to findonequantitative article that pertains to your PICOT question and fill out #1 on the Literature Review Matrix, which is located in Content/Course Resources for NSG 502 Only/Assignment Templates.  This can be one of your ten articles for the research proposal, although it not a requirement.  But the article must be a review of a single quantitative study.Systematic reviews and meta-analyses are not acceptable.The Literature Review Matrix is provided in “Course Resources for NSG 502 only/Assignment Templates” area.  There is also a sample for both a quantitative and a qualitative research article.  Qualitative research will be studied in the next module.The required template can be found in “Course Resources for NSG 502 only” module. A sample Literature Review Matrix is also provided.You may submit as many times as is needed, up to the due date.  The last submission made up to the due date is the one that will be graded.Pleasedo not copy and pasteyour document into “Comments”.  It is not necessary and actually causes issues for the instructor.Submit to the Assignment folder.Due Sunday by 11:59 PM.NRteacherscomments.docxTeacher Posted this to the class for the Part 1 of the first paperWeek/Module IV Research Part-1 AssignmentKatherine Reeder posted on Sep 28, 2024 10:16 PMThe grades for papers on the research assignment, Part-1 were posted today. Please make certain to review my detailed feedback in the Track Changes function of MS Word, as you will need to make revisions for your Part-2 assignment and integrate my feedback in your part-2 assignment and other coursework. I want to take a moment to share thoughts on logical progress of thought and ideas. Your PICOT question was your initial outline for developing the Part-1 research assignment. Within this context, you developed a title for you work, which may change before submitting the final draft, your introduced your topic, provided background (literature review), discussed the significance of the problem and your planned research, state you problem and purpose, and conclude what you had addressed in your part-1 paper. With that, each section needed to be aligned and logically flow between and within sections. Accomplishing this writing skill takes time; however, at the graduate level of education, formal scholarly writing is the expectation. If you need help to hone your writing skills, the university has excellent resources to assist you and I hope you will take advantage of these resources, if needed. Please refrain for vague writing, using terms such as it, they, their, he, she, and so on to begin sentences; instead, name what it is you are referring to in your writing so the reader can explicitly understand. When using terms such as more, less, greater, and so on, the comparative needs to be included. For example, if I write that heart is more prevalent, what does that mean without the comparative? Thus, heart failure is more prevalent in developed societies that under- and undeveloped societies. What I do in my own writing is read each sentence I write as a stand-alone sentence to assess whether it make sense and if it does not, I revise it or add context to it or even, delete it. A final note is that if factual sentences are not cited from the literature, the risk for being interpreted as your personal opinion is high. Each of you have great topics and I look forward to reading more of your work!StephanieBrownWk-4Pt-1Assignment1.docx1Medication Adherence in Patients with Chronic Heart FailureStephanie BrownWilkes UniversityAdvanced Nursing ResearchSeptember 22, 2024Medication Adherence in Patients with Chronic Heart FailureComment by K Reeder: Too much space between title and first line of first paragraph. Please set-up your MS Word documents to double-space throughoutConsequently, compliance with medications among CHF patients is a crucial aspect of treatment to reduce CHF symptoms and hospitalizations and to improve the patients’ quality of life of the patients. Approximately 5.7 million adults in the United States have been diagnosed with HF, and the disease is responsible for more than 1 million admissions to American hospitals annually (American Heart Association, 2021). Medication non-adherence is one of the leading causes of these hospitalizations, with research revealing that as many as 50% of CHF patients fail to adhere to their medication regimen as directed (Aremu et al., 2022). The following research proposal aims to assess the multiple-component intervention strategies to enhance medication compliance among targeted adult CHF patients. This study aims to determine whether educational workshops, medication management, home monitoring, and behavioral support programs can improve patients’ concordance and outcomes compared with baseline. Comment by K Reeder: Using this term is confusing in an opening sentence and paragraph. Please revise. Comment by K Reeder: Compliance is used in the writing but adherence is used in the title. Use one or the other term throughout your writing. Comment by K Reeder: Need to define all abbreviation on first use before using throughout your writing. Comment by K Reeder: Naming patients by their disease or illness condition reduces the person to that state and detracts from the holistic nature of the person. Please address as patients or persons who have a diagnosis of heart failure or persons living with heart failure. Comment by K Reeder: Outdated information. Please use 2024 data. Comment by K Reeder: What are “these hospitalization”? Need to name. Comment by K Reeder: The Aremu et al. citation does not include information about CHF non-adherence. You will want to proofread your work to make certain articles reviewed align with your writing content. Comment by K Reeder: Same as previous Comment by K Reeder: Use “prescribed” as medications are prescribed, rather than directed. Comment by K Reeder: Use adherence or compliance but not both Comment by K Reeder: Same as previous Comment by K Reeder: The term “concordance” does not fit well in this sentence. Please review and revise. Comment by K Reeder: This is not the comparison stated in your PICOT and as such, does not align with your PICOT question. Please review and revise for logical flow and alignmentBackgroundCHF is one of the most common diseases and is a leading cause of morbidity and mortality; it affects millions of people across the globe. Despite the advancement in medical treatments, medication non-adherence remains a prevalent issue in the management of CHF. According to Meraz (2020), nonadherence to medication regimens in patients with CHF leads to more symptoms, hospitalizations, and mortality. Studies have indicated that non-adherence to prescribed medication causes between 38% and 64% of CHF patients to be re-admitted to the hospital; this is one of the challenges that hinders effective disease management (Aremu et al., 2022). Some of the common issues that lead to non-adherence are economic issues, forgetfulness, adverse effects, and poor perception of the need to continue taking the prescribed medications. Educational, behavioral, and technical interventions may might complement each other and increase medication compliance among CHF patients, reducing healthcare delivery costs. Comment by K Reeder: Citation needed for this content. Comment by K Reeder: Chronic heart failure is not a disease. Rather, chronic heart failure is a constellation of symptoms, or a syndrome under the rubric of cardiovascular disease. Comment by K Reeder: Pervasive problem, rather than prevalent issue. Comment by K Reeder: More symptoms than what? Comparative needed. Comment by K Reeder: This content was not found in the Aremu article Please make certain to review your writing to make certain the correct reference citation is cited. This sentences indicates multiple studies indicated adherence to medications…but only one citation was included, which did not reflect a study. Comment by K Reeder: Here, you stated “Studies,” however, only one citation was included, which was not a research study article. You will need to address this error in your Part-2 submission. Comment by K Reeder: Same as previous Comment by K Reeder: Need to name the economic issues. Comment by K Reeder: adherence Comment by K Reeder: See previousSignificanceWhen medication compliance in CHF patients is not managed correctly, various serious complications may might occur. Patients who fail to use the medicines as prescribed are more likely to develop severe symptoms, resulting in hospitalizations (Aremu et al., 2022). These re-admissions not only impose hefty charges on both the patient and the hospital but also interfere with the patient’s routine and increase the risk of more complications, such as hospital-borne infections. In addition, non-adherence can leads to a deterioration of the patient’s ability to control their symptoms; physical activity decreases, fatigue increases, and the patient’s quality of life is reduced; at the same time, the patient experiences psychological distress due to the burden of disease and frequent visits to healthcare facilities (Aremu et al., 2022). Non-adherence also increases healthcare costs due to increased use of healthcare services such as hospitalizations, emergency room visits, and other treatments, financially burdening the patient and the health systems. Last but not least, the failure of patients with CHF to take their medications puts them at risk of increased mortality due to the worsening of CHF symptoms or complications, which may be fatal. Comment by K Reeder: See previous Comment by K Reeder: No provide an example of “sever symptoms” Comment by K Reeder: Hospital-acquired Comment by K Reeder: Sentence is too long and used two semi-colon punctuations. This content might reflect symptom outcomes, in general; however, the Aremu et al. citation does not report on heart failure, which makes it a non-specific report. You will want to focus your writing on your review of the heart failure literature relative to medication non-adherence.Problem StatementThe issue highlighted in this proposal is the low level of medication compliance among patients with CHF, resulting in high rates of hospitalization, decreased health-related quality of life, and high costs of care.Purpose StatementThis study aims to assess the outcomes of a complex intervention regarding medication compliance, re-admission rates, and overall quality of life for adults with CHF.PICOT QuestionIn adult patients with chronic heart failure, how does the implementation of a multi-component intervention—consisting of educational workshops, medication management tools, home monitoring, behavioral support programs, and family involvement—compared to standard care, affect medication adherence rates, hospital re-admissions, and quality of life over a 6-month period?ConclusionNon-adherence to prescribed medications remains one of the critical challenges affecting patients with chronic heart failure as well as the healthcare system in general. The problem is discussed in this research proposal, focusing on the necessity for a multi-faceted approach to enhance adherence rates. The combined multiple-component intervention may potentially decrease the rate of readmissions among CHF patients and improve their quality of life, thus easing the financial burden on healthcare facilities. The results of this research will extend the existing literature on CHF and help identify the best strategies for improving client compliance within clinical settings.ReferencesComment by K Reeder: Three full reference citations were used to support writing, which is scant. No scholarly research was used to support writing, which is an issue, as the gap in the literature supporting your problem identification and justification for need for your study needed to reflect extant literature.American Heart Association. (2021). Heart failure statistics. Heart Disease and Stroke Statistics – 2021 Update.https://professional.heart.org/en/science-news/heart-disease-and-stroke-statistics-2021-update#:~:text=The%20US%20age%2Dadjusted%20death,day%2C%20based%20on%202018%20data.Comment by K Reeder: Outdated source and incorrectly formatted. Please use the most recent annual update, which is the 2024 publication. URL id incorrect. Please use the journal’s DOIAremu, T. O., Oluwole, O. E., Adeyinka, K. O., & Schommer, J. C. (2022). Medication adherence and compliance: Recipe for improving patient outcomes. Pharmacy, 10(5), 106.https://www.mdpi.com/2226-4787/10/5/106Comment by K Reeder: Incorrectly formatted.Meraz, R. (2020). Medication nonadherence or self-care? Understanding the medication decision-making process and experiences of older adults with heart failure. Journal of Cardiovascular Nursing, 35(1), 26-34. https://journals.lww.com/jcnjournal/fulltext/2020/01000/Medication_Nonadherence_or_Self_care_.7.aspx/1000 Comment by K Reeder: Need to use DOI and if DOI not available, then use URLMillum, J., & Bromwich, D. (2021). Informed consent: What must be disclosed and what must be understood? The American Journal of Bioethics, 21(5), 46-58.https://www.tandfonline.com/doi/abs/10.1080/15265161.2020.1863511Comment by K Reeder: This full reference citation was not found cited in the body of the text and as such, needed to be removed from the reference list.Van der Pijl, M. S., Kasperink, M., Hollander, M. H., Verhoeven, C., Kingma, E., & De Jonge, A. (2021). Client-care provider interaction during labor and birth as experienced by women: Respect, communication, confidentiality, and autonomy. PloS One, 16(2), e0246697.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0246697Comment by K Reeder: This full reference citation was not found cited in the body of the text and as such, should not be included in the reference list.NRLiteratureReviewMatrixSU20241.docxRemove anything in red prior to submitting for grade to avoid falsely elevated Turnitin originality score.Literature Review Matrix(BOTH)Citation (APA 7th style, as an in-text citation. Place full reference in References section.)(BOTH): include any two: Problem addressed, purpose of research, or research question(BOTH) Literature Review(BOTH)Level of EvidenceStudy Design(BOTH) Population/Sampling;(B0TH)Ethics (IRB or other considerations)Analysis Methods(QUAN)Test or (QUAL) method of gathering data(BOTH) Findings andConclusions(BOTH) Discussion and Limitations(BOTH) Implicationsfor practice1.2.3.4.5.6.7.8.9.10.NRtemplateLiteratureReviewMatrixSU20241.docxThis file is too large to display.View in new windowLiteratureReviewMatrixSample2024SU.docxThis file is too large to display.View in new windowLiteratureReviewMatrixSample2024SU.docxThis file is too large to display.View in new windowNRmodule6assignmentliteraturematix.docxQuantitative Article/Literature Review MatrixInstructionsFor Part 2, which is due Sunday of Week 8, you will find ten articles that pertain to your PICOT question and provide the requested information for each article on the Literature Review Matrix, which will be added to your proposal. as an appendix.  If this doesn’t make sense yet, it will. Part 2 is not due until Module/Week 8.  This assignment prepares you for and may get you started on the Literature Review Matrix, which is an appendix for Part 2.This week’s assignmentis to findonequantitative article that pertains to your PICOT question and fill out #1 on the Literature Review Matrix, which is located in Content/Course Resources for NSG 502 Only/Assignment Templates.  This can be one of your ten articles for the research proposal, although it not a requirement.  But the article must be a review of a single quantitative study.Systematic reviews and meta-analyses are not acceptable.The Literature Review Matrix is provided in “Course Resources for NSG 502 only/Assignment Templates” area.  There is also a sample for both a quantitative and a qualitative research article.  Qualitative research will be studied in the next module.The required template can be found in “Course Resources for NSG 502 only” module. A sample Literature Review Matrix is also provided.You may submit as many times as is needed, up to the due date.  The last submission made up to the due date is the one that will be graded.Pleasedo not copy and pasteyour document into “Comments”.  It is not necessary and actually causes issues for the instructor.Submit to the Assignment folder.Due Sunday by 11:59 PM.NRteacherscomments.docxTeacher Posted this to the class for the Part 1 of the first paperWeek/Module IV Research Part-1 AssignmentKatherine Reeder posted on Sep 28, 2024 10:16 PMThe grades for papers on the research assignment, Part-1 were posted today. Please make certain to review my detailed feedback in the Track Changes function of MS Word, as you will need to make revisions for your Part-2 assignment and integrate my feedback in your part-2 assignment and other coursework. I want to take a moment to share thoughts on logical progress of thought and ideas. Your PICOT question was your initial outline for developing the Part-1 research assignment. Within this context, you developed a title for you work, which may change before submitting the final draft, your introduced your topic, provided background (literature review), discussed the significance of the problem and your planned research, state you problem and purpose, and conclude what you had addressed in your part-1 paper. With that, each section needed to be aligned and logically flow between and within sections. Accomplishing this writing skill takes time; however, at the graduate level of education, formal scholarly writing is the expectation. If you need help to hone your writing skills, the university has excellent resources to assist you and I hope you will take advantage of these resources, if needed. Please refrain for vague writing, using terms such as it, they, their, he, she, and so on to begin sentences; instead, name what it is you are referring to in your writing so the reader can explicitly understand. When using terms such as more, less, greater, and so on, the comparative needs to be included. For example, if I write that heart is more prevalent, what does that mean without the comparative? Thus, heart failure is more prevalent in developed societies that under- and undeveloped societies. What I do in my own writing is read each sentence I write as a stand-alone sentence to assess whether it make sense and if it does not, I revise it or add context to it or even, delete it. A final note is that if factual sentences are not cited from the literature, the risk for being interpreted as your personal opinion is high. Each of you have great topics and I look forward to reading more of your work!StephanieBrownWk-4Pt-1Assignment1.docx1Medication Adherence in Patients with Chronic Heart FailureStephanie BrownWilkes UniversityAdvanced Nursing ResearchSeptember 22, 2024Medication Adherence in Patients with Chronic Heart FailureComment by K Reeder: Too much space between title and first line of first paragraph. Please set-up your MS Word documents to double-space throughoutConsequently, compliance with medications among CHF patients is a crucial aspect of treatment to reduce CHF symptoms and hospitalizations and to improve the patients’ quality of life of the patients. Approximately 5.7 million adults in the United States have been diagnosed with HF, and the disease is responsible for more than 1 million admissions to American hospitals annually (American Heart Association, 2021). Medication non-adherence is one of the leading causes of these hospitalizations, with research revealing that as many as 50% of CHF patients fail to adhere to their medication regimen as directed (Aremu et al., 2022). The following research proposal aims to assess the multiple-component intervention strategies to enhance medication compliance among targeted adult CHF patients. This study aims to determine whether educational workshops, medication management, home monitoring, and behavioral support programs can improve patients’ concordance and outcomes compared with baseline. Comment by K Reeder: Using this term is confusing in an opening sentence and paragraph. Please revise. Comment by K Reeder: Compliance is used in the writing but adherence is used in the title. Use one or the other term throughout your writing. Comment by K Reeder: Need to define all abbreviation on first use before using throughout your writing. Comment by K Reeder: Naming patients by their disease or illness condition reduces the person to that state and detracts from the holistic nature of the person. Please address as patients or persons who have a diagnosis of heart failure or persons living with heart failure. Comment by K Reeder: Outdated information. Please use 2024 data. Comment by K Reeder: What are “these hospitalization”? Need to name. Comment by K Reeder: The Aremu et al. citation does not include information about CHF non-adherence. You will want to proofread your work to make certain articles reviewed align with your writing content. Comment by K Reeder: Same as previous Comment by K Reeder: Use “prescribed” as medications are prescribed, rather than directed. Comment by K Reeder: Use adherence or compliance but not both Comment by K Reeder: Same as previous Comment by K Reeder: The term “concordance” does not fit well in this sentence. Please review and revise. Comment by K Reeder: This is not the comparison stated in your PICOT and as such, does not align with your PICOT question. Please review and revise for logical flow and alignmentBackgroundCHF is one of the most common diseases and is a leading cause of morbidity and mortality; it affects millions of people across the globe. Despite the advancement in medical treatments, medication non-adherence remains a prevalent issue in the management of CHF. According to Meraz (2020), nonadherence to medication regimens in patients with CHF leads to more symptoms, hospitalizations, and mortality. Studies have indicated that non-adherence to prescribed medication causes between 38% and 64% of CHF patients to be re-admitted to the hospital; this is one of the challenges that hinders effective disease management (Aremu et al., 2022). Some of the common issues that lead to non-adherence are economic issues, forgetfulness, adverse effects, and poor perception of the need to continue taking the prescribed medications. Educational, behavioral, and technical interventions may might complement each other and increase medication compliance among CHF patients, reducing healthcare delivery costs. Comment by K Reeder: Citation needed for this content. Comment by K Reeder: Chronic heart failure is not a disease. Rather, chronic heart failure is a constellation of symptoms, or a syndrome under the rubric of cardiovascular disease. Comment by K Reeder: Pervasive problem, rather than prevalent issue. Comment by K Reeder: More symptoms than what? Comparative needed. Comment by K Reeder: This content was not found in the Aremu article Please make certain to review your writing to make certain the correct reference citation is cited. This sentences indicates multiple studies indicated adherence to medications…but only one citation was included, which did not reflect a study. Comment by K Reeder: Here, you stated “Studies,” however, only one citation was included, which was not a research study article. You will need to address this error in your Part-2 submission. Comment by K Reeder: Same as previous Comment by K Reeder: Need to name the economic issues. Comment by K Reeder: adherence Comment by K Reeder: See previousSignificanceWhen medication compliance in CHF patients is not managed correctly, various serious complications may might occur. Patients who fail to use the medicines as prescribed are more likely to develop severe symptoms, resulting in hospitalizations (Aremu et al., 2022). These re-admissions not only impose hefty charges on both the patient and the hospital but also interfere with the patient’s routine and increase the risk of more complications, such as hospital-borne infections. In addition, non-adherence can leads to a deterioration of the patient’s ability to control their symptoms; physical activity decreases, fatigue increases, and the patient’s quality of life is reduced; at the same time, the patient experiences psychological distress due to the burden of disease and frequent visits to healthcare facilities (Aremu et al., 2022). Non-adherence also increases healthcare costs due to increased use of healthcare services such as hospitalizations, emergency room visits, and other treatments, financially burdening the patient and the health systems. Last but not least, the failure of patients with CHF to take their medications puts them at risk of increased mortality due to the worsening of CHF symptoms or complications, which may be fatal. Comment by K Reeder: See previous Comment by K Reeder: No provide an example of “sever symptoms” Comment by K Reeder: Hospital-acquired Comment by K Reeder: Sentence is too long and used two semi-colon punctuations. This content might reflect symptom outcomes, in general; however, the Aremu et al. citation does not report on heart failure, which makes it a non-specific report. You will want to focus your writing on your review of the heart failure literature relative to medication non-adherence.Problem StatementThe issue highlighted in this proposal is the low level of medication compliance among patients with CHF, resulting in high rates of hospitalization, decreased health-related quality of life, and high costs of care.Purpose StatementThis study aims to assess the outcomes of a complex intervention regarding medication compliance, re-admission rates, and overall quality of life for adults with CHF.PICOT QuestionIn adult patients with chronic heart failure, how does the implementation of a multi-component intervention—consisting of educational workshops, medication management tools, home monitoring, behavioral support programs, and family involvement—compared to standard care, affect medication adherence rates, hospital re-admissions, and quality of life over a 6-month period?ConclusionNon-adherence to prescribed medications remains one of the critical challenges affecting patients with chronic heart failure as well as the healthcare system in general. The problem is discussed in this research proposal, focusing on the necessity for a multi-faceted approach to enhance adherence rates. The combined multiple-component intervention may potentially decrease the rate of readmissions among CHF patients and improve their quality of life, thus easing the financial burden on healthcare facilities. The results of this research will extend the existing literature on CHF and help identify the best strategies for improving client compliance within clinical settings.ReferencesComment by K Reeder: Three full reference citations were used to support writing, which is scant. No scholarly research was used to support writing, which is an issue, as the gap in the literature supporting your problem identification and justification for need for your study needed to reflect extant literature.American Heart Association. (2021). Heart failure statistics. Heart Disease and Stroke Statistics – 2021 Update.https://professional.heart.org/en/science-news/heart-disease-and-stroke-statistics-2021-update#:~:text=The%20US%20age%2Dadjusted%20death,day%2C%20based%20on%202018%20data.Comment by K Reeder: Outdated source and incorrectly formatted. Please use the most recent annual update, which is the 2024 publication. URL id incorrect. Please use the journal’s DOIAremu, T. O., Oluwole, O. E., Adeyinka, K. O., & Schommer, J. C. (2022). Medication adherence and compliance: Recipe for improving patient outcomes. Pharmacy, 10(5), 106.https://www.mdpi.com/2226-4787/10/5/106Comment by K Reeder: Incorrectly formatted.Meraz, R. (2020). Medication nonadherence or self-care? Understanding the medication decision-making process and experiences of older adults with heart failure. Journal of Cardiovascular Nursing, 35(1), 26-34. https://journals.lww.com/jcnjournal/fulltext/2020/01000/Medication_Nonadherence_or_Self_care_.7.aspx/1000 Comment by K Reeder: Need to use DOI and if DOI not available, then use URLMillum, J., & Bromwich, D. (2021). Informed consent: What must be disclosed and what must be understood? The American Journal of Bioethics, 21(5), 46-58.https://www.tandfonline.com/doi/abs/10.1080/15265161.2020.1863511Comment by K Reeder: This full reference citation was not found cited in the body of the text and as such, needed to be removed from the reference list.Van der Pijl, M. S., Kasperink, M., Hollander, M. H., Verhoeven, C., Kingma, E., & De Jonge, A. (2021). Client-care provider interaction during labor and birth as experienced by women: Respect, communication, confidentiality, and autonomy. PloS One, 16(2), e0246697.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0246697Comment by K Reeder: This full reference citation was not found cited in the body of the text and as such, should not be included in the reference list.NRLiteratureReviewMatrixSU20241.docxRemove anything in red prior to submitting for grade to avoid falsely elevated Turnitin originality score.Literature Review Matrix(BOTH)Citation (APA 7th style, as an in-text citation. Place full reference in References section.)(BOTH): include any two: Problem addressed, purpose of research, or research question(BOTH) Literature Review(BOTH)Level of EvidenceStudy Design(BOTH) Population/Sampling;(B0TH)Ethics (IRB or other considerations)Analysis Methods(QUAN)Test or (QUAL) method of gathering data(BOTH) Findings andConclusions(BOTH) Discussion and Limitations(BOTH) Implicationsfor practice1.2.3.4.5.6.7.8.9.10.NRtemplateLiteratureReviewMatrixSU20241.docxThis file is too large to display.View in new windowLiteratureReviewMatrixSample2024SU.docxThis file is too large to display.View in new windowNRmodule6assignmentliteraturematix.docxQuantitative Article/Literature Review MatrixInstructionsFor Part 2, which is due Sunday of Week 8, you will find ten articles that pertain to your PICOT question and provide the requested information for each article on the Literature Review Matrix, which will be added to your proposal. as an appendix.  If this doesn’t make sense yet, it will. Part 2 is not due until Module/Week 8.  This assignment prepares you for and may get you started on the Literature Review Matrix, which is an appendix for Part 2.This week’s assignmentis to findonequantitative article that pertains to your PICOT question and fill out #1 on the Literature Review Matrix, which is located in Content/Course Resources for NSG 502 Only/Assignment Templates.  This can be one of your ten articles for the research proposal, although it not a requirement.  But the article must be a review of a single quantitative study.Systematic reviews and meta-analyses are not acceptable.The Literature Review Matrix is provided in “Course Resources for NSG 502 only/Assignment Templates” area.  There is also a sample for both a quantitative and a qualitative research article.  Qualitative research will be studied in the next module.The required template can be found in “Course Resources for NSG 502 only” module. A sample Literature Review Matrix is also provided.You may submit as many times as is needed, up to the due date.  The last submission made up to the due date is the one that will be graded.Pleasedo not copy and pasteyour document into “Comments”.  It is not necessary and actually causes issues for the instructor.Submit to the Assignment folder.Due Sunday by 11:59 PM.NRteacherscomments.docxTeacher Posted this to the class for the Part 1 of the first paperWeek/Module IV Research Part-1 AssignmentKatherine Reeder posted on Sep 28, 2024 10:16 PMThe grades for papers on the research assignment, Part-1 were posted today. Please make certain to review my detailed feedback in the Track Changes function of MS Word, as you will need to make revisions for your Part-2 assignment and integrate my feedback in your part-2 assignment and other coursework. I want to take a moment to share thoughts on logical progress of thought and ideas. Your PICOT question was your initial outline for developing the Part-1 research assignment. Within this context, you developed a title for you work, which may change before submitting the final draft, your introduced your topic, provided background (literature review), discussed the significance of the problem and your planned research, state you problem and purpose, and conclude what you had addressed in your part-1 paper. With that, each section needed to be aligned and logically flow between and within sections. Accomplishing this writing skill takes time; however, at the graduate level of education, formal scholarly writing is the expectation. If you need help to hone your writing skills, the university has excellent resources to assist you and I hope you will take advantage of these resources, if needed. Please refrain for vague writing, using terms such as it, they, their, he, she, and so on to begin sentences; instead, name what it is you are referring to in your writing so the reader can explicitly understand. When using terms such as more, less, greater, and so on, the comparative needs to be included. For example, if I write that heart is more prevalent, what does that mean without the comparative? Thus, heart failure is more prevalent in developed societies that under- and undeveloped societies. What I do in my own writing is read each sentence I write as a stand-alone sentence to assess whether it make sense and if it does not, I revise it or add context to it or even, delete it. A final note is that if factual sentences are not cited from the literature, the risk for being interpreted as your personal opinion is high. Each of you have great topics and I look forward to reading more of your work!StephanieBrownWk-4Pt-1Assignment1.docx1Medication Adherence in Patients with Chronic Heart FailureStephanie BrownWilkes UniversityAdvanced Nursing ResearchSeptember 22, 2024Medication Adherence in Patients with Chronic Heart FailureComment by K Reeder: Too much space between title and first line of first paragraph. Please set-up your MS Word documents to double-space throughoutConsequently, compliance with medications among CHF patients is a crucial aspect of treatment to reduce CHF symptoms and hospitalizations and to improve the patients’ quality of life of the patients. Approximately 5.7 million adults in the United States have been diagnosed with HF, and the disease is responsible for more than 1 million admissions to American hospitals annually (American Heart Association, 2021). Medication non-adherence is one of the leading causes of these hospitalizations, with research revealing that as many as 50% of CHF patients fail to adhere to their medication regimen as directed (Aremu et al., 2022). The following research proposal aims to assess the multiple-component intervention strategies to enhance medication compliance among targeted adult CHF patients. This study aims to determine whether educational workshops, medication management, home monitoring, and behavioral support programs can improve patients’ concordance and outcomes compared with baseline. Comment by K Reeder: Using this term is confusing in an opening sentence and paragraph. Please revise. Comment by K Reeder: Compliance is used in the writing but adherence is used in the title. Use one or the other term throughout your writing. Comment by K Reeder: Need to define all abbreviation on first use before using throughout your writing. Comment by K Reeder: Naming patients by their disease or illness condition reduces the person to that state and detracts from the holistic nature of the person. Please address as patients or persons who have a diagnosis of heart failure or persons living with heart failure. Comment by K Reeder: Outdated information. Please use 2024 data. Comment by K Reeder: What are “these hospitalization”? Need to name. Comment by K Reeder: The Aremu et al. citation does not include information about CHF non-adherence. You will want to proofread your work to make certain articles reviewed align with your writing content. Comment by K Reeder: Same as previous Comment by K Reeder: Use “prescribed” as medications are prescribed, rather than directed. Comment by K Reeder: Use adherence or compliance but not both Comment by K Reeder: Same as previous Comment by K Reeder: The term “concordance” does not fit well in this sentence. Please review and revise. Comment by K Reeder: This is not the comparison stated in your PICOT and as such, does not align with your PICOT question. Please review and revise for logical flow and alignmentBackgroundCHF is one of the most common diseases and is a leading cause of morbidity and mortality; it affects millions of people across the globe. Despite the advancement in medical treatments, medication non-adherence remains a prevalent issue in the management of CHF. According to Meraz (2020), nonadherence to medication regimens in patients with CHF leads to more symptoms, hospitalizations, and mortality. Studies have indicated that non-adherence to prescribed medication causes between 38% and 64% of CHF patients to be re-admitted to the hospital; this is one of the challenges that hinders effective disease management (Aremu et al., 2022). Some of the common issues that lead to non-adherence are economic issues, forgetfulness, adverse effects, and poor perception of the need to continue taking the prescribed medications. Educational, behavioral, and technical interventions may might complement each other and increase medication compliance among CHF patients, reducing healthcare delivery costs. Comment by K Reeder: Citation needed for this content. Comment by K Reeder: Chronic heart failure is not a disease. Rather, chronic heart failure is a constellation of symptoms, or a syndrome under the rubric of cardiovascular disease. Comment by K Reeder: Pervasive problem, rather than prevalent issue. Comment by K Reeder: More symptoms than what? Comparative needed. Comment by K Reeder: This content was not found in the Aremu article Please make certain to review your writing to make certain the correct reference citation is cited. This sentences indicates multiple studies indicated adherence to medications…but only one citation was included, which did not reflect a study. Comment by K Reeder: Here, you stated “Studies,” however, only one citation was included, which was not a research study article. You will need to address this error in your Part-2 submission. Comment by K Reeder: Same as previous Comment by K Reeder: Need to name the economic issues. Comment by K Reeder: adherence Comment by K Reeder: See previousSignificanceWhen medication compliance in CHF patients is not managed correctly, various serious complications may might occur. Patients who fail to use the medicines as prescribed are more likely to develop severe symptoms, resulting in hospitalizations (Aremu et al., 2022). These re-admissions not only impose hefty charges on both the patient and the hospital but also interfere with the patient’s routine and increase the risk of more complications, such as hospital-borne infections. In addition, non-adherence can leads to a deterioration of the patient’s ability to control their symptoms; physical activity decreases, fatigue increases, and the patient’s quality of life is reduced; at the same time, the patient experiences psychological distress due to the burden of disease and frequent visits to healthcare facilities (Aremu et al., 2022). Non-adherence also increases healthcare costs due to increased use of healthcare services such as hospitalizations, emergency room visits, and other treatments, financially burdening the patient and the health systems. Last but not least, the failure of patients with CHF to take their medications puts them at risk of increased mortality due to the worsening of CHF symptoms or complications, which may be fatal. Comment by K Reeder: See previous Comment by K Reeder: No provide an example of “sever symptoms” Comment by K Reeder: Hospital-acquired Comment by K Reeder: Sentence is too long and used two semi-colon punctuations. This content might reflect symptom outcomes, in general; however, the Aremu et al. citation does not report on heart failure, which makes it a non-specific report. You will want to focus your writing on your review of the heart failure literature relative to medication non-adherence.Problem StatementThe issue highlighted in this proposal is the low level of medication compliance among patients with CHF, resulting in high rates of hospitalization, decreased health-related quality of life, and high costs of care.Purpose StatementThis study aims to assess the outcomes of a complex intervention regarding medication compliance, re-admission rates, and overall quality of life for adults with CHF.PICOT QuestionIn adult patients with chronic heart failure, how does the implementation of a multi-component intervention—consisting of educational workshops, medication management tools, home monitoring, behavioral support programs, and family involvement—compared to standard care, affect medication adherence rates, hospital re-admissions, and quality of life over a 6-month period?ConclusionNon-adherence to prescribed medications remains one of the critical challenges affecting patients with chronic heart failure as well as the healthcare system in general. The problem is discussed in this research proposal, focusing on the necessity for a multi-faceted approach to enhance adherence rates. The combined multiple-component intervention may potentially decrease the rate of readmissions among CHF patients and improve their quality of life, thus easing the financial burden on healthcare facilities. The results of this research will extend the existing literature on CHF and help identify the best strategies for improving client compliance within clinical settings.ReferencesComment by K Reeder: Three full reference citations were used to support writing, which is scant. No scholarly research was used to support writing, which is an issue, as the gap in the literature supporting your problem identification and justification for need for your study needed to reflect extant literature.American Heart Association. (2021). Heart failure statistics. Heart Disease and Stroke Statistics – 2021 Update.https://professional.heart.org/en/science-news/heart-disease-and-stroke-statistics-2021-update#:~:text=The%20US%20age%2Dadjusted%20death,day%2C%20based%20on%202018%20data.Comment by K Reeder: Outdated source and incorrectly formatted. Please use the most recent annual update, which is the 2024 publication. URL id incorrect. Please use the journal’s DOIAremu, T. O., Oluwole, O. E., Adeyinka, K. O., & Schommer, J. C. (2022). Medication adherence and compliance: Recipe for improving patient outcomes. Pharmacy, 10(5), 106.https://www.mdpi.com/2226-4787/10/5/106Comment by K Reeder: Incorrectly formatted.Meraz, R. (2020). Medication nonadherence or self-care? Understanding the medication decision-making process and experiences of older adults with heart failure. Journal of Cardiovascular Nursing, 35(1), 26-34. https://journals.lww.com/jcnjournal/fulltext/2020/01000/Medication_Nonadherence_or_Self_care_.7.aspx/1000 Comment by K Reeder: Need to use DOI and if DOI not available, then use URLMillum, J., & Bromwich, D. (2021). Informed consent: What must be disclosed and what must be understood? The American Journal of Bioethics, 21(5), 46-58.https://www.tandfonline.com/doi/abs/10.1080/15265161.2020.1863511Comment by K Reeder: This full reference citation was not found cited in the body of the text and as such, needed to be removed from the reference list.Van der Pijl, M. S., Kasperink, M., Hollander, M. H., Verhoeven, C., Kingma, E., & De Jonge, A. (2021). Client-care provider interaction during labor and birth as experienced by women: Respect, communication, confidentiality, and autonomy. PloS One, 16(2), e0246697.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0246697Comment by K Reeder: This full reference citation was not found cited in the body of the text and as such, should not be included in the reference list.NRLiteratureReviewMatrixSU20241.docxRemove anything in red prior to submitting for grade to avoid falsely elevated Turnitin originality score.Literature Review Matrix(BOTH)Citation (APA 7th style, as an in-text citation. Place full reference in References section.)(BOTH): include any two: Problem addressed, purpose of research, or research question(BOTH) Literature Review(BOTH)Level of EvidenceStudy Design(BOTH) Population/Sampling;(B0TH)Ethics (IRB or other considerations)Analysis Methods(QUAN)Test or (QUAL) method of gathering data(BOTH) Findings andConclusions(BOTH) Discussion and Limitations(BOTH) Implicationsfor practice1.2.3.4.5.6.7.8.9.10.NRtemplateLiteratureReviewMatrixSU20241.docxThis file is too large to display.View in new windowLiteratureReviewMatrixSample2024SU.docxThis file is too large to display.View in new window123456Bids(65)Dr. Ellen RMEmily ClareDr. Aylin JMDr. Sarah BlakeMISS HILLARY A+abdul_rehman_Prof Double RSTELLAR GEEK A+Young NyanyaProWritingGurugrA+de plusDr. Adeline Zoefirstclass tutorWIZARD_KIMTutor Cyrus KenDr. Sophie MilesnicohwilliamPremiumMUSYOKIONES A+Isabella HarvardShow All Bidsother Questions(10)who knows about uniform partnershipshort storySOC 320 Week 5 DQ 1 ( Obama and Romney on Immigration ) ~ ( Latest Syllabus – Perfect Tutorial – Scored 100% )SOC 320 Week 3 Assignment ( Thesis and Outline of Final Paper ) ~ ( Latest Syllabus – Perfect Tutorial – Scored 100% )ActivityW4 D1RES 531 Week 10 Assignment 8: Tentative Reference ListkALIENATED LABOR by Karl MarxBlended Learning

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