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Congestive Heart Failure

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One important question for the sampling group is: does an effective discharge planning program reduce hospital readmission for CHF patients? A related question could be: would an improved health report system improve outcomes in terms of quality of care? These questions can be answered, using sampling and other research models. “ Probability sampling avoids conscious or unconscious biases in element selection on the part of the researcher… (and) permits estimates of sampling error. Although no probability sample will be perfectly representative in all respects” (Babbie, 1995, p. 224). The method of the proposed experiment will be a combined questionnaire and interview of the patients versus a control group to measure outcomes.

The differences between the control group, and the intervention group are associated with which group presents demographic information. Control group investigation will be the hospital’ s normal program for discharge planning, and the intervention group will be a pilot program that is based on raising patient education and awareness about CHF and lifestyle choice. The control group will not have this intervention. Instructions will be given by a nurse with a master’ s degree, and two years’ experience treating patients with CHF.

The follow up will be conducted by a home health agency, and visits and phone calls will be scheduled after receiving the consent of the participant. In Miami-Dade County, Florida, the major hospital is Jackson Memorial. This is a well-established hospital with outreach programs. There are various clinics in Miami as well, some of which cater to immigrant populations like the Haitian community. “ Jackson Memorial treats the poor and uninsured, as well as patients requiring specialized care. 1,567 licensed beds regional referral centre for Jackson Health System's network of 12 primary care providers.

Burn centre; Newborn special care centre; Organ transplant centre” (Miami, 2009).

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