Reducing Recidivism and Improving Self Management in Patients with Heart Failure Using Evidence-Based Group Education

2.50
Hdl Handle:
http://hdl.handle.net/10755/164246
Category:
Abstract
Type:
Presentation
Title:
Reducing Recidivism and Improving Self Management in Patients with Heart Failure Using Evidence-Based Group Education
Author(s):
Aloe, Karen; Ryan, Marybeth
Author Details:
Karen Aloe, RN, MS, CCRN, South Nassau Communities Hospital, Oceanside, New York, USA, email: nacnsorg@nacns.org; Marybeth Ryan, RN, PhD
Abstract:
Purpose: To provide patients with Heart Failure (HF), and their families with a comprehensive evidence-based group discharge education experience in order to reduce recidivism, provide knowledge and skills that foster self care efforts and increase patient satisfaction. Significance: Disease management that is evidence-based is viewed as an effective strategy that will improve the quality of patient care and patient outcomes. Design: The Institute of Medicine's 2001 report recommended that all healthcare organizations work to reduce illness, be innovative and provide evidence-based, patient centered care. Heart failure is the most common reason for admission to the hospital and recidivism among older adults. Poor compliance with treatment frequently contributes to exacerbations of heart failure, suggesting that many admissions could be prevented. The literature validates that the most important factor in maintaining the health of the patient with HF is promoting her/his efficacious management of the condition. Methods: Two clinical nurse specialists worked with the nursing staff of a medical-surgical unit to develop, implement and evaluate an evidence-based, multidisciplinary, nurse-lead group discharge education session for older adults with HF. A group class held weekly presented self management strategies with emphasis on preventing exacerbation and complications of HF. Orem's Self Care Theory and Stevens' ACE Star Model were used as the theoretical and methodological frameworks respectively. Findings: Proposed outcomes include: decreased rates of readmission for patients with HF within 90 days of hospital discharge. increased patients' adherence to HF-related self management behaviors. increased patient satisfaction. Conclusions: This project is in its pilot phase. Data obtained from a Likert-type tool indicate that patients and their families are acquiring information to help them manage their HF. Information related to patient rates of hospital readmissions and satisfaction is Implications for Practice: Evidence-based group discharge education is an effective nursing intervention that can be used to improve quality of care and patient outcomes for patients with HF. Research is needed to determine how patients apply the knowledge gained from this educational method once they are in the community setting.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
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_US
dc.typePresentationen_GB
dc.titleReducing Recidivism and Improving Self Management in Patients with Heart Failure Using Evidence-Based Group Educationen_GB
dc.contributor.authorAloe, Karenen_US
dc.contributor.authorRyan, Marybethen_US
dc.author.detailsKaren Aloe, RN, MS, CCRN, South Nassau Communities Hospital, Oceanside, New York, USA, email: nacnsorg@nacns.org; Marybeth Ryan, RN, PhDen_US
dc.identifier.urihttp://hdl.handle.net/10755/164246-
dc.description.abstractPurpose: To provide patients with Heart Failure (HF), and their families with a comprehensive evidence-based group discharge education experience in order to reduce recidivism, provide knowledge and skills that foster self care efforts and increase patient satisfaction. Significance: Disease management that is evidence-based is viewed as an effective strategy that will improve the quality of patient care and patient outcomes. Design: The Institute of Medicine's 2001 report recommended that all healthcare organizations work to reduce illness, be innovative and provide evidence-based, patient centered care. Heart failure is the most common reason for admission to the hospital and recidivism among older adults. Poor compliance with treatment frequently contributes to exacerbations of heart failure, suggesting that many admissions could be prevented. The literature validates that the most important factor in maintaining the health of the patient with HF is promoting her/his efficacious management of the condition. Methods: Two clinical nurse specialists worked with the nursing staff of a medical-surgical unit to develop, implement and evaluate an evidence-based, multidisciplinary, nurse-lead group discharge education session for older adults with HF. A group class held weekly presented self management strategies with emphasis on preventing exacerbation and complications of HF. Orem's Self Care Theory and Stevens' ACE Star Model were used as the theoretical and methodological frameworks respectively. Findings: Proposed outcomes include: decreased rates of readmission for patients with HF within 90 days of hospital discharge. increased patients' adherence to HF-related self management behaviors. increased patient satisfaction. Conclusions: This project is in its pilot phase. Data obtained from a Likert-type tool indicate that patients and their families are acquiring information to help them manage their HF. Information related to patient rates of hospital readmissions and satisfaction is Implications for Practice: Evidence-based group discharge education is an effective nursing intervention that can be used to improve quality of care and patient outcomes for patients with HF. Research is needed to determine how patients apply the knowledge gained from this educational method once they are in the community setting.en_GB
dc.date.available2011-10-27T11:44:45Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:45Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
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.en_US
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