Scenario: Managing Chronic Heart Failure

You are working as a clinical nurse specialist in the heart failure clinic and service in Dubbo. One of your patients travels 2 hours by car from Coonabarabran for his monthly consultation. His wife and he find the long trip from home very difficult and an added burden in their lives. Particularly as he takes frusemide for his chronic heart failure that causes diuresis, which means they have to stop the car often which is frustrating and makes the trip even longer and tiring.

They tell you that a friend of theirs, who also lives in regional NSW, uses a remote telemonitoring device to monitor their condition from
their home. This means that their friend doesn't have to travel to their clinic so much. They ask you whether you think it is better to
keep coming into the clinic or to see about getting a remote telemonitoring device to help them manage the chronic heart failure.

You are a little unfamiliar with telemonitoring, but you also don't want your patient to have to travel unnecessarily. You tell the couple
that you will search for the available research on the management of chronic heart failure using telemonitoring and bring this back to them.

Please complete the following the activities by filling in the spaces below.This is a word document so you can add space as needed.

PART 1: PARTICIPATES IN THE FIRST AND THE SECOND ONLINE DISCUSSION FORUMS.

PART 2.1: DEVELOPING A FOCUSED QUESTION AND ACQUIRING RELEVANT EVIDENCE.

1. Use the following categories to help define your problem and what you are looking at in simple terms
PICO: Patient/Problem, Intervention, Comparison, and Outcome.

2. Now use these terms from the question above to create your PICO research question so that you have a clear purpose for your search:

3. What type of clinical question do you think this PICO answers?

4. The table below will help you to think of the other terms that you might also like to look up when searching for evidence to help you answer your question - this is part of basic planning for a research search.

5. Is there a particular group of people that you want to look at? List here any inclusion criteria you might use to refine your search if you have too many papers:

6. What kind of study do you think would best answer your question? Select here which type of article you might want to access. You can also use these to refine your search if you have a lot of papers.

7. Now that you have decided on WHAT you will be searching, you need to put down a plan of HOW you will search for your articles. This helps you and others to see how you got your evidence and how you made sure you got the best evidence to help you decide on your clinical action.

PART 2: EVIDENCE OF APPLICATION OF SEARCH STRATEGY (PLAN) IN DATABASE SEARCHES

PART 3. APPRAISAL OF YOUR RANDOMISED CONTROLLED TRIAL

PART 4. SYNTHESISING THE EVIDENCE

Journal of Clinical Nursing - Telemonitoring for chronic heart failure: the views of patients and healthcare professionals - a qualitative study Peter Fairbrother, Jenny Ure, Janet Hanley, Lucy McCloughan, Martin Denvir, Aziz Sheikh and Brian McKinstry

Attachment:- Template.rar