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Question 1
This study has revealed promising results on the significance of perceived better health and self care confidence in relation to enhanced quality of life.  Patients suffering from chronic heart disease need to have confidence in their abilities of self care in order to improve and maintain the quality of life. In the nursing practice, these findings are of importance because the practitioners need to employ educational interventions so as to build the self care confidence in heart failure patients, who do not have the confidence of dealing with their condition after discharge.

Question 2
The research question is not presented in the introduction/background section rather the authors state the research objective at the end of this section. The research objective states that the study seeks to determine if there exist specific deficits of self care in heart failure patients, in an acute care setting after the time of discharge, in relation to a possible decrease in the quality of life. From this objective, a research question can be derived. This could be as follows:

Are there specific self care deficits among patients suffering from heart failure? 

Does this heart failure self care deficits relate to a decrease in the quality of life?

Question 3

The research report does not contain the research hypothesis but there is a purpose statement. This statement can then be used to derive the hypotheses. The derived hypotheses are null hypotheses. The non directional hypotheses can be as follows:

There is no relationship between heart failure self care deficits and the quality of life indicators among recently hospitalized heart failure patients. 

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There is no significant relationship between the age, gender and level of education, and the self care deficits of heart failure patients. 

There is no significant difference in the heart failure self care deficits, in both male and female patients.

The directional hypotheses can be as follows:

The level of heart failure self care deficits increases with a decrease in the quality of life indicators among recently hospitalized heart failure patients. 

Increase in the heart failure self care deficits occurs with a significant increase in age.

 The heart failure self care deficits decrease with an increase in the level of education.

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