A Structured Approach to Improving Nursing Care and Decreasing Rehospitalizations of Home Care Patients With CHF

2.50
Hdl Handle:
http://hdl.handle.net/10755/155645
Type:
Presentation
Title:
A Structured Approach to Improving Nursing Care and Decreasing Rehospitalizations of Home Care Patients With CHF
Abstract:
A Structured Approach to Improving Nursing Care and Decreasing Rehospitalizations of Home Care Patients With CHF
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Quinn, Christina Marie, RN, DNS
P.I. Institution Name:Georgia State University
Title:Assistant Professor of Nursing
Objective: The purpose of this study was to pilot test a structured intervention for home health care patients with congestive heart failure (CHF). Patients in the intervention group received a combination of teaching and skill building components along with home visits and telephone follow-up during the 9-week intervention. Data was collected before and after the intervention on symptom management, quality of life, and re-hospitalization. The study was designed to answer the question: What differences exist between CHF patients who receive the intervention and those who receive the current method of care on: re-hospitalization, quality of life, cardiac symptom status, medication compliance; and, vital signs including weight gain. Design: This program evaluation has been designed as a comparative analysis between two groups of CHF home care patients. The control group was evaluated using the current approach to CHF patient care. The intervention group received a standardized approach designed by the investigator, which included home care and telephonic visits. Several instruments measured changes in patient status. Sample, Setting: The setting was a rural home care agency with a high volume of CHF patients. Nurses in the agency were taught how to use the teaching tool, make telephonic visits, and administer the instruments. Patients were taught how to keep a notebook/log for vital signs and medication adherence. They also received scales and blood pressure cuffs for use during the study. Findings: Data has been collected on all control patients. Several patients are enrolled in the intervention group and data analysis is ongoing. Projected date of completion of all data collection is May 2004. Implications: Studies focused on nursing interventions will promote evidenced based practice in patients with chronic illness. Home care agencies will be interested in the findings of this research to improve nursing care and discover methods of decreasing hospital readmissions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Structured Approach to Improving Nursing Care and Decreasing Rehospitalizations of Home Care Patients With CHFen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155645-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Structured Approach to Improving Nursing Care and Decreasing Rehospitalizations of Home Care Patients With CHF</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Quinn, Christina Marie, RN, DNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Georgia State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cmquinn@gsu.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this study was to pilot test a structured intervention for home health care patients with congestive heart failure (CHF). Patients in the intervention group received a combination of teaching and skill building components along with home visits and telephone follow-up during the 9-week intervention. Data was collected before and after the intervention on symptom management, quality of life, and re-hospitalization. The study was designed to answer the question: What differences exist between CHF patients who receive the intervention and those who receive the current method of care on: re-hospitalization, quality of life, cardiac symptom status, medication compliance; and, vital signs including weight gain. Design: This program evaluation has been designed as a comparative analysis between two groups of CHF home care patients. The control group was evaluated using the current approach to CHF patient care. The intervention group received a standardized approach designed by the investigator, which included home care and telephonic visits. Several instruments measured changes in patient status. Sample, Setting: The setting was a rural home care agency with a high volume of CHF patients. Nurses in the agency were taught how to use the teaching tool, make telephonic visits, and administer the instruments. Patients were taught how to keep a notebook/log for vital signs and medication adherence. They also received scales and blood pressure cuffs for use during the study. Findings: Data has been collected on all control patients. Several patients are enrolled in the intervention group and data analysis is ongoing. Projected date of completion of all data collection is May 2004. Implications: Studies focused on nursing interventions will promote evidenced based practice in patients with chronic illness. Home care agencies will be interested in the findings of this research to improve nursing care and discover methods of decreasing hospital readmissions.</td></tr></table>en_GB
dc.date.available2011-10-26T14:02:20Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T14:02:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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