NURS FPX 4025 Assessment 2
[Student Name]
Capella University
Professor’s Name
August 2025
NURS FPX 4025 Assessment 2 Heart Failure
Heart failure (HF) is a chronic and complex disease, affecting 6 million individuals in the US (Roger & Clinic, 2021). The HF elevates the mortality rate of the individuals, and they have a 50 percent chance of survival within five years (Roger & Clinic, 2021). It tends to negatively impact the quality of life of the patients. The signs of the disease directly connected with HF patients are fatigue, dyspnea, edema, and the restriction in the ability to conduct activities. Moreover, it also increases the process of re-admission to the hospital and general deterioration of the patients with HF (Cheng et al., 2025). Another way in which the HF treatment may be enhanced is with the assistance of an evidence-based practice, which serves to enhance the conditions of HF patients and their quality of life. The NURS FPX 4025 assessment 2 entails applying an EBP model in enhancing the quality of life of patients with HF at the clinical practice level.
EBP Model
The Iowa EBP Model also calls for a six-step process to assist clinicians in applying evidence-based practice. This model starts with the creation and articulation of a need or question that has to be addressed in order to improve practice. After that, research is done to study, evaluate, and synthesize information from books. According to the approach, practitioners should conduct research when the results of the literature are insufficient. Create a pilot solution and present it after gathering evidence. Once the pilot is in place, assess its effectiveness. (Dusin et al., 2023) Applying evidence-based practice in nursing means that if it works, spread it throughout the organization; if not, start a new cycle until the desired results are obtained. The model will benefit from taking into account patients, healthcare professionals, and the entire healthcare system. Because it encourages the integration of clinical decision-making and
research, this feature of the Iowa Model is highlighted in NURS FPX 4025 Assessment 2. Therefore, there will be advantages to promoting the application of evidence-based research to enhance the standard of living for HF patients. A procedure was developed to help enhance patient outcomes and the standard of living using the Iowa Model of EBP. The low reported standards of living among HF patients were identified as the main cause for anxiety. The literature indicates that greater death rates and the frequency of hospitalizations resulting from HF are associated with lower quality of life (QOL) among HF patients (Johansson et al., 2021). This shows why evidence-based solutions, such as evidence-based practice applied behavior analysis, need to be employed and that this issue should be prioritized within the healthcare sector. The second step of the Iowa Model of EBP would be to collect research findings/materials that would enhance the quality of life in HF. In NURS FPX 4025 Assessment 2, it was challenging to apply this EBP model in evidence gathering due to the absence of specific guidelines regarding the methods of evidence gathering. The rationale behind the selected model is that research may be necessary in case the literature is unsatisfactory (Dusin et al., 2023).
The article by Graven and colleagues (2023) resides in the domain of telehealth use in HF patient care. This illustrates the need for this problem to be given top priority in the healthcare industry and the implementation of evidence-based practice applied behavior analysis (Graven et al., 2023). The aim of this intervention was to optimize self-efficacy in managing the disease and symptoms with the help of establishing problem-solving skills with HF (Graven et al., 2023). Based on the results of this study in NURS FPX 4025 Assessment 2, it was identified that telehealth visits contribute greatly to decreasing the severity of HF symptoms as the patient is given the required and tailored support and problem-solving intervention, which has a positive
impact on QOL of the patients (Graven et al., 2023). This technology provides data that can be directly linked to improving the quality of life for patients with heart failure. The paper was published in the peer-reviewed journal Progress in Palliative Care, which addresses palliative care-related topics. Furthermore, it was published in 2023 and is therefore not older than five years. Being very credible and relevant, this constitutes fine evidence of an effort to solve the proposed problem of enhancing the QOL of HF patients through applying evidence-based practice.
A second article in NURS FPX 4025 Assessment 2, which will discuss QOL in HF patients, is entitled Association of receipt of palliative care. The researchers were applying evidence-based practices to evaluate the relationship between palliative care use and hospital admissions in patients with chronic illnesses unrelated to cancer. According to Quinn et al. (2020), the results of the review showed that patient-centered outcomes can be improved by adding a palliative care specialist to the interdisciplinary care team. Because the study considers adults with chronic illnesses that are not malignant, like HF patients, it is relevant to the standard of living in these patients. In 2020, it was published in the peer-reviewed medical journal of the American Medical Association, thereby applying evidence-based practice. This study can be considered the appropriate piece of evidence to improve quality of life (QOL) among HF patients because it is accurate and relevant to the topic at hand.
Further information that could help patients live better lives is outlined by Hicks and colleagues (2022) in their article, Effectiveness and cost-effectiveness of palliative care interventions. This systematic review set out to find earlier studies on the effectiveness of palliative care treatments for heart failure patients (Hicks et al., 2022). Patients who received palliative care earlier had less aggressive care near the end of their lives, but also survived longer
(Hicks et al., 2022). This finding is indicative of applying evidence-based practice in nursing. Additionally, it was found that palliative care interventions improve patient satisfaction scores, hospitalization rates, and quality of life (Hicks et al., 2022). Because it is a peer-reviewed systematic review, this article may be trusted. The paper was published in 2022 in the open-access medical journal BMC Palliative Care. In terms of improving HF patients’ quality of life, it provides solid results. For the purposes of NURS FPX 4025 Assessment 2, the above information makes it a credible source of evidence to help develop a solution to improve QOL among HF patients.
References
Bhattacharya, A., Chakrabarty, S., Cabrales, J., VanHorn, A., Lemoine, J., Tsao, L., & Jaber, B.
- (2023). Implementation of a palliative care consultation trigger tool for hospitalized patients with acute decompensated heart failure. BMJ Open Quality, 12(3), e002330. https://doi-org.library.capella.edu/10.1136/bmjoq-2023-002330
Chen, C., Sun, X., Zhang, Y., Xie, H., Kou, J., & Zhang, H. (2025). Fear of progression and quality of life in patients with heart failure: A cross-sectional study on the multiple mediation of psychological distress and resilience. BMC Nursing, 24(1), 1–11. https://doi-org.library.capella.edu/10.1186/s12912-025-02688-8
Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based practice models and frameworks in the healthcare setting: A scoping review. BMJ open, 13(5), e071188. https://doi.org/10.1136/bmjopen-2022-071188
Graven, L. J., Abbott, L., & Schluck, G. (2023). The coping in heart failure (COPE-HF) partnership intervention for heart failure symptoms: Implications for palliative care. Progress in Palliative Care, 31(3), 169–178.
https://doi-org.library.capella.edu/10.1080/09699260.2022.2124144
Hicks, S., Davidson, M., Efstathiou, N., & Guo, P. (2022). Effectiveness and cost-effectiveness of palliative care interventions in people with chronic heart failure and their caregivers: A systematic review. BMC Palliative Care, 21(1), 205.
https://doi-org.library.capella.edu/10.1186/s12904-022-01092-2
Johansson, I., Joseph, P., Balasubramanian, K., McMurray, J. J., Lund, L. H., Ezekowitz, J. A., … & G-CHF Investigators. (2021). Health-related quality of life and mortality in heart failure: The global congestive heart failure study of 23 000 patients from 40 countries. Circulation, 143(22), 2129-2142. https://doi.org/10.1161/CIRCULATIONAHA.120.050850Quinn, K. L., Shurrab, M., Gitau, K., Kavalieratos, D., Isenberg, S. R., Stall, N. M., Stukel, T. A., Goldman, R., Horn, D., Cram, P., Detsky, A. S., & Bell, C. M. (2020). Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness: A systematic review and meta-analysis. JAMA: Journal of the American Medical Association, 324(14), 1439–1450. https://doi-org.library.capella.edu/10.1001/jama.2020.14205
Roger, V. L., & Clinic, M. (2021). Epidemiology of heart failure. Circulation research, 128(10), 1421. https://10.1161/circresaha.121.318172
