Failure is Not an Option: APNs Mentoring Bedside RNs to Promote Evidence-Based Care of Heart Failure Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/156950
Category:
Abstract
Type:
Presentation
Title:
Failure is Not an Option: APNs Mentoring Bedside RNs to Promote Evidence-Based Care of Heart Failure Patients
Author(s):
Ballard-Hernandez, Jennifer; Furlong, Kathleen; Hagaman, Cher
Author Details:
Jennifer Ballard-Hernandez, RN,RNP,MSN,CCRN-CSC, Hoag Hospital, Newport Beach, California, USA, email: jennifer.ballard@hoaghospital.org; Kathleen Furlong; Cher Hagaman
Abstract:
PURPOSE: This abstract outlines how advanced practice nurses (APNs), nurse practitioners (NPs), and clinical nurse specialists (CNSs) implemented a mentoring program to increase awareness of bedside RNs of the heart failure (HF) disease process and of HF evidence-based therapies (EBT) recommended by the American College of Cardiology/American Heart Association. DESCRIPTION: HF is the most common inpatient admitting diagnosis for Medicare patients. This patient population is admitting to a myriad of clinical settings including critical care, progressive care, and medical units. This resulted in RNs with varied clinical experiences and baseline knowledge caring for the HF population. Caring for this population requires a specialized knowledge base, focusing on strategies to promote lifestyle changes, EBT, and health promotion disease prevention strategies. In 2006, an NP led, multidisciplinary performance improvement team was formed to address compliance with the Joint Commission/CMS HF Core Measures. RN "HF Champions" were appointed from each nursing unit. The HF Champions were mentored by the APNs on EBT for HF. Policies empowering bedside RNs to identify patients with HF and provide evidence-based education were adopted by the hospital. Standardized education plans were created and used by the RNs. In 2009, an online educational course for HF was developed and implemented. Monthly team meetings were conducted to evaluate successes and to identify areas in need of improvement. Educational classes taught by the APNs, are given regularly to enhance knowledge and learn new skills. EVALUATION/OUTCOMES:The role of APNs mentoring RNs that care for HF patients is pivotal in improving outcomes. The HF Core Measures quality care performance indicators were used as benchmarks to show compliance with EBT. The following improvements from 2006û2008 were seen: (1) HF specific discharge instructions provided to patient by the bedside RNs at discharge improved 16.4%; (2) evaluation and documentation of left ventricular systolic function improved 4%; (3) ACEI or ARB prescribed at discharge for patients with an EF of <40% improved 11%; and (4) smoking cessation advice provided to current smokers improved 14%. To date, 542 RNs have completed the online HF educational module. Strategies for improvement are ongoing.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFailure is Not an Option: APNs Mentoring Bedside RNs to Promote Evidence-Based Care of Heart Failure Patientsen_GB
dc.contributor.authorBallard-Hernandez, Jenniferen_GB
dc.contributor.authorFurlong, Kathleenen_GB
dc.contributor.authorHagaman, Cheren_GB
dc.author.detailsJennifer Ballard-Hernandez, RN,RNP,MSN,CCRN-CSC, Hoag Hospital, Newport Beach, California, USA, email: jennifer.ballard@hoaghospital.org; Kathleen Furlong; Cher Hagamanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156950-
dc.description.abstractPURPOSE: This abstract outlines how advanced practice nurses (APNs), nurse practitioners (NPs), and clinical nurse specialists (CNSs) implemented a mentoring program to increase awareness of bedside RNs of the heart failure (HF) disease process and of HF evidence-based therapies (EBT) recommended by the American College of Cardiology/American Heart Association. DESCRIPTION: HF is the most common inpatient admitting diagnosis for Medicare patients. This patient population is admitting to a myriad of clinical settings including critical care, progressive care, and medical units. This resulted in RNs with varied clinical experiences and baseline knowledge caring for the HF population. Caring for this population requires a specialized knowledge base, focusing on strategies to promote lifestyle changes, EBT, and health promotion disease prevention strategies. In 2006, an NP led, multidisciplinary performance improvement team was formed to address compliance with the Joint Commission/CMS HF Core Measures. RN "HF Champions" were appointed from each nursing unit. The HF Champions were mentored by the APNs on EBT for HF. Policies empowering bedside RNs to identify patients with HF and provide evidence-based education were adopted by the hospital. Standardized education plans were created and used by the RNs. In 2009, an online educational course for HF was developed and implemented. Monthly team meetings were conducted to evaluate successes and to identify areas in need of improvement. Educational classes taught by the APNs, are given regularly to enhance knowledge and learn new skills. EVALUATION/OUTCOMES:The role of APNs mentoring RNs that care for HF patients is pivotal in improving outcomes. The HF Core Measures quality care performance indicators were used as benchmarks to show compliance with EBT. The following improvements from 2006&ucirc;2008 were seen: (1) HF specific discharge instructions provided to patient by the bedside RNs at discharge improved 16.4%; (2) evaluation and documentation of left ventricular systolic function improved 4%; (3) ACEI or ARB prescribed at discharge for patients with an EF of <40% improved 11%; and (4) smoking cessation advice provided to current smokers improved 14%. To date, 542 RNs have completed the online HF educational module. Strategies for improvement are ongoing.en_GB
dc.date.available2011-10-26T19:17:15Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:17:15Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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