2.50
Hdl Handle:
http://hdl.handle.net/10755/182039
Category:
Abstract
Type:
Presentation
Title:
Living Successfully with Heart Failure: Bedside Nurses Promote Self-Care to Prevent Readmissions
Author(s):
Pileggi, Joanne
Author Details:
Joanne Pileggi, RN, MSN, NE-BC, Manager, Cedars-Sinai Medical Center, Los Angeles, California, USA, email: Joanne.Pileggi@CSHS.org
Abstract:
Poster presentation, ANCC National Magnet Conference: Congestive heart failure (CHF) is among the most common diagnoses for hospitalization of adults. Patients with CHF are at high risk for 30-day readmissions. At one large urban medical center, the overall readmission rate is about 6%. However, on one telemetry/medical unit readmission rates for patients with CHF ranged between 10 and 14%. Nurses on the unit noted that patients and caregivers lacked the knowledge necessary to manage their disease successfully. They set a goal to reduce the rate to 5% or less, by implementing a multi-dimensional approach to educate patients and caregivers. The intervention was developed according to Orems Self-Care Model incorporating evidence-based elements of CHF self-care and preventive behaviors. It included on-going education provided to patients and caregivers in various forms (hand-outs, flash cards, discussion, and booklet). Knowledge and self-care ability was reassessed and reinforced on every shift. A post-education understanding of these items was completed, and an increase in patient and caregiver knowledge was noted. The nurses observed that a recurring and foreseeable obstacle to adherence was that most patients did not own a home scale for daily weights. The unit provided patients in need with scales to be taken home and used upon discharge. A home based referral program that was being tested concurrently with the unit-based intervention assisted some patients with the transition from the hospital to home. Upon evaluation of the test of change on the unit, the results demonstrated a decrease in readmission rates for CHF patients from 10.4 percent to 5 percent.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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_US
dc.typePresentationen_GB
dc.titleLiving Successfully with Heart Failure: Bedside Nurses Promote Self-Care to Prevent Readmissionsen_GB
dc.contributor.authorPileggi, Joanneen_US
dc.author.detailsJoanne Pileggi, RN, MSN, NE-BC, Manager, Cedars-Sinai Medical Center, Los Angeles, California, USA, email: Joanne.Pileggi@CSHS.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182039-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: Congestive heart failure (CHF) is among the most common diagnoses for hospitalization of adults. Patients with CHF are at high risk for 30-day readmissions. At one large urban medical center, the overall readmission rate is about 6%. However, on one telemetry/medical unit readmission rates for patients with CHF ranged between 10 and 14%. Nurses on the unit noted that patients and caregivers lacked the knowledge necessary to manage their disease successfully. They set a goal to reduce the rate to 5% or less, by implementing a multi-dimensional approach to educate patients and caregivers. The intervention was developed according to Orems Self-Care Model incorporating evidence-based elements of CHF self-care and preventive behaviors. It included on-going education provided to patients and caregivers in various forms (hand-outs, flash cards, discussion, and booklet). Knowledge and self-care ability was reassessed and reinforced on every shift. A post-education understanding of these items was completed, and an increase in patient and caregiver knowledge was noted. The nurses observed that a recurring and foreseeable obstacle to adherence was that most patients did not own a home scale for daily weights. The unit provided patients in need with scales to be taken home and used upon discharge. A home based referral program that was being tested concurrently with the unit-based intervention assisted some patients with the transition from the hospital to home. Upon evaluation of the test of change on the unit, the results demonstrated a decrease in readmission rates for CHF patients from 10.4 percent to 5 percent.en_GB
dc.date.available2011-10-28T15:06:17Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:06:17Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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.-
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