Nursing Education and Redesigned Discharge Process: Effects on Congestive Heart Failure Patient Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/243422
Category:
Full-text
Type:
Presentation
Title:
Nursing Education and Redesigned Discharge Process: Effects on Congestive Heart Failure Patient Outcomes
Author(s):
Gish, Mary L.; Rodts, Mary F.; Crouch, Judy
Author Details:
Gish, Mary L., DNP, RN, NEA-BC, mgishdnp@gmail.com; Rodts, Mary F., DNP, CNP, ONC, FAAN; Crouch, Judy;
Abstract:
In a rural community hospital in northern California, greater than fifty percent of all patients are over the age of 64 years.  The readmission rate for congestive heart failure (CHF) patients is greater than the rate for the state of California.  A decrease in readmission rates has been selected as a three year strategic goal due to the proposed rule from Centers for Medicare and Medicaid Services (CMS) which will result in a financial discount if the rate of readmissions does not improve.

The purpose of the Redesigned Discharge Process Project is to reduce the readmission rate of patients with the diagnosis of CHF.  The project consists of two major components.  The first component is the education of registered nurses on congestive heart failure with two different methods of education.  These methods were a self administered written module followed by an online teaching module.  The second component of the project required an advanced practice nurse to intervene in the education and comprehensive discharge plan for congestive heart failure patients admitted to the telemetry unit.

For the self-study module, a t-test for a two-sample assuming unequal variance was used.  The results for the self-study module demonstrated a value of p < 0.0001.   A t-test methodology was utilized for the pre and post tests after the online education.  The p-value for this grouping was < 0.0036. The project resulted in the reduction of the readmission rate for CHF patients from a baseline of 27% to a rate of 17%.    

Based on the outcomes of this project, targeted education to update nurses in evidence-based practice with a redesigned discharge process does result in the successful reduction of readmission rates for hospitalized patients with congestive heart failure.

Keywords:
heart failure; education; readmission
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNursing Education and Redesigned Discharge Process: Effects on Congestive Heart Failure Patient Outcomesen
dc.contributor.authorGish, Mary L.en
dc.contributor.authorRodts, Mary F.en
dc.contributor.authorCrouch, Judyen
dc.author.detailsGish, Mary L., DNP, RN, NEA-BC, mgishdnp@gmail.com; Rodts, Mary F., DNP, CNP, ONC, FAAN; Crouch, Judy;en
dc.identifier.urihttp://hdl.handle.net/10755/243422-
dc.description.abstractIn a rural community hospital in northern California, greater than fifty percent of all patients are over the age of 64 years.&nbsp; The readmission rate for congestive heart failure (CHF) patients is greater than the rate for the state of California.&nbsp; A decrease in readmission rates has been selected as a three year strategic goal due to the proposed rule from Centers for Medicare and Medicaid Services (CMS) which will result in a financial discount if the rate of readmissions does not improve. <p class="APA">The purpose of the Redesigned Discharge Process Project is to reduce the readmission rate of patients with the diagnosis of CHF.&nbsp; The project consists of two major components.&nbsp; The first component is the education of registered nurses on congestive heart failure with two different methods of education.&nbsp; These methods were a self administered written module followed by an online teaching module.&nbsp; The second component of the project required an advanced practice nurse to intervene in the education and comprehensive discharge plan for congestive heart failure patients admitted to the telemetry unit. <p class="APA">For the self-study module, a t-test for a two-sample assuming unequal variance was used.&nbsp; The results for the self-study module demonstrated a value of p &lt; 0.0001.&nbsp; &nbsp;A t-test methodology was utilized for the pre and post tests after the online education.&nbsp; The p-value for this grouping was &lt; 0.0036. The project resulted in the reduction of the readmission rate for CHF patients from a baseline of 27% to a rate of 17%.&nbsp; &nbsp;&nbsp; <p class="APA">Based on the outcomes of this project, targeted education to update nurses in evidence-based practice with a redesigned discharge process does result in the successful reduction of readmission rates for hospitalized patients with congestive heart failure.en
dc.subjectheart failureen
dc.subjecteducationen
dc.subjectreadmissionen
dc.date.available2012-09-12T09:22:03Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:22:03Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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