Part 2 book “Clinical research for the doctor of nursing practice” has contents: A community– academic collaboration to have an impact on childhood obesity, the impact of evidence-based design, the lived experience of chronic pain in nurse educators, and other contents. | UNIT IV Examples of Studies and Projects CHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project. . . . . . . . . . . . . . . . . . . 185 CHAPTER 15 A Community–Academic Collaboration to Have an Impact on Childhood Obesity ������227 CHAPTER 16 The Impact of Evidence-Based Design ������247 CHAPTER 17 The Lived Experience of Chronic Pain in Nurse Educators ����������������������������������������291 © Sunny/DigitalVision/Getty 183 CHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project Julie C. Freeman OBJECTIVES Upon completion of this chapter, the reader should be prepared to: 1. Prepare a gap analysis for a capstone project. 2. Prepare a SWOT analysis (strengths, weaknesses, opportunities, threats) for a capstone project. The Institute of Medicine (IOM) report Crossing the Quality Chasm: A New Health System for the 21st Century (2001) called for redesign in the methods utilized to provide care to Americans. The first recommendation states that healthcare systems must restructure to develop systems that reduce the impact of challenging healthcare issues on the patient, family, and systems. The second recommendation states that the healthcare systems must strive to ensure that the care provided across America meets 185 186 Chapter 14 An Evidence-Based Quality Improvement Project the following six aims: that health care should be safe, effective, patient centered, timely, efficient, and equitable. The third recommendation states that there must be a method in place to observe and record healthcare processes to determine the attainment of the six aims (IOM, 2001). Even after the implementation of the six aims and the establishment of the Centers for Medicare and Medicaid Services (CMS) core measures, the United States of America ranks highest among eight industrialized nations, with an 18% readmission rate for .
