NURS – FPX 4025 – ASSESSMENT 1
Evaluation Table
| Criterion | Details |
| Type of Study | Quantitative study |
| Level of Evidence | Level IV is a high-quality prospective
The researchers use heart failure (HF) patients from a single center to investigate the link between heart failure management capability and exacerbations.
|
| Methodology | Prospective cohort design |
| Credibility Factors | The article is recent, published in 2023, and from a credible journal in the PubMed database.
The article is peer-reviewed and written by experts from an authoritative body or agency, the Japanese Circulation Society. The article is accessible, open access, and provides expert results based on the research processes. |
| Importance of Diagnosis | The article provides an in-depth application of evidence-based practice strategies to manage and control exacerbation among heart failure patients, especially through self-care capabilities by family members for patients with HF. The article enhances understanding of nurse-led and patient-centered interventions to manage heart failure exacerbation (Schurtz et al., 2023). |
| Workplace Application | Guides nurses in providing telehealth and close monitoring of patients with HF, and ensures that families have sufficient capability to manage exacerbations. The findings demonstrate the importance of nurse-led and patient-centered approaches to address exacerbations for HF patients, especially those with high severity levels like Robert Johnson from the simulation (Marini et al., 2023). |
Summary of the Findings
The article by Yamashita et al. (2023) focuses on the management capability and exacerbation of heart failure patients and their families. According to the article, households with older people where a patient may experience heart failure require effective cooperation between the patient and caregivers to attain better management of the condition. Therefore, through a prospective cohort study involving 134 patients in a single center, the researchers explore the management capability of patients and their families to control HF exacerbations. The authors evaluate self-care capabilities among patients and caregivers through appropriate tools. The findings suggest that high HF management capability reduces the risk of HF exacerbation, irrespective of the severity of the condition.
A core aspect of the article is its evaluation of the self-care capabilities to reduce risks of exacerbations that lead to poor outcomes. The article shows other factors that influence the effective management capabilities of patients and caregivers, like age and gender. Further, the article is categorical that patient characteristics like stratification based on family unit HF management score influence the level of capabilities for the condition. The authors note that patients with preserved left ventricular ejection fraction (LVEF) require high HF management capabilities from themselves and providers to reduce the risk of HF exacerbation.
The journal, Circulation Reports, is an official journal of the Japanese Circulation Society, a peer-reviewed publication that lends validity to the outcomes. The authors are educators and practitioners in the rehabilitation department of various university hospitals in Japan, from Kobe to Tanbasasayama, underscoring their credibility and experiences as practitioners and researchers. Their experience, coupled with an in-depth analysis of the outcomes from the study, offers a reliable basis for the proposed intervention to improve exacerbation management for patients with high severity levels of HF.
The article supports the implementation of patient-centered interventions to improve the management of the HF condition. For healthcare providers, especially those working with chronic disease patients in the geriatrics department, the article offers evidence about the importance of self-care management capability for patients and caregivers, especially among individuals aged 65 years and above (Vatkar et al., 2025). The article shows that while there is a limited association between disease exacerbation and a family unit management capability, high family capability in HF management is important and lowers the risk of exacerbations, particularly for those with LVEF.
References
Marini, M., Manfredi, R., Battistoni, I., Francioni, M., Vittoria Matassini, M., Pongetti, G., … &
Piero Perna, G. (2023). Acute heart failure: differential diagnosis and treatment.
European Heart Journal Supplements, 25(Supplement_C), C276-C282.
https://doi.org/10.1093/eurheartjsupp/suad027
Schurtz, G., Mewton, N., Lemesle, G., Delmas, C., Levy, B., Puymirat, E., … & Lamblin, N.
(2023). Beta-blocker management in patients admitted for acute heart failure and reduced
ejection fraction: a review and expert consensus opinion. Frontiers in Cardiovascular
Medicine, 10, 1263482. https://doi.org/10.3389/fcvm.2023.1263482
Vatkar, A., Kale, S., Shyam, A., & Srivastava, S. (2025). Understanding the Levels of Evidence
in Medical Research. Journal of orthopaedic case reports, 15(5), 6.
DOI: 10.13107/jocr.2025.v15.i05.5534
Yamashita, M., Matsuzawa, R., Kondo, H., Kanata, Y., Sakamoto, R., & Tamaki, A. (2023).
Heart Failure Management Capability and Exacerbation of Heart Failure―A 6-Month
Prospective Cohort Study―. Circulation Reports, 5(6), 245-251.
DOI: 10.1253/circrep.CR-23-0042
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Write a 2-page analysis of a scholarly research article, demonstrating your ability to locate credible, useful evidence related to a diagnosis of interest selected from the Sentinel U simulation on Patient Management & Delegation. There are 10 patients, each with a different medical diagnosis. Select one patient with a diagnosis of interest to you.
Once you have chosen your diagnosis of interest from the Sentinel U simulation, complete the following:
- Use a credible search engine to locate a research article on your topic.
- Review the article for the following criteria:
- Type of study (quantitative or qualitative, the level on the pyramid of evidence, methodology).
- Credibility factors.
- Importance of content to selected diagnosis.
- The ability to apply the content in your current workplace or patient population.
- Take a screenshot of the abstract and paste it into a Word document (see the Example of Screenshot [PDF] document). You can refer to the instructions in the Taking Screenshots [PDF] document.
- Create a table or series of text boxes next to or below the screenshot and use that to label each criterion.
- Also take a screenshot of the patient and the diagnosis from Sentinel U simulation you used.
- Write up a summary of your findings on the second page. Note what information is important to your specified diagnosis. How credible is the article you’ve found and how useful is it related to your specified diagnosis and your ability to apply it?
- Include a link to your article.
- Include a reference to your article in APA format.
Review the Analyzing a Research Paper scoring guide for specific details of grading prior to submission.