2.50
Hdl Handle:
http://hdl.handle.net/10755/303922
Category:
Abstract
Type:
Presentation
Title:
Reducing Hospital Readmissions
Author(s):
Zengerle-Levy, Karla
Lead Author STTI Affiliation:
Alpha Delta
Author Details:
Karla Zengerle-Levy, PhD, RN-BC, GNP-BC, karlalevy@aol.com
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: The Geriatric Resource Nurse (GRN) Community Project is designed to improved outcomes for elders across healthcare settings. The purpose of this project is to improve knowledge, practices, and collaboration by registered nurses at a university hospital and community agencies providing geriatric care. The project's overarching goal is to reduce readmissions to the hospital.

Methods: The descriptive study examines the nurses’ knowledge. A convenience sample of 121 nurses from five community based agencies and 18 nurses from a university hospital constituted the participants. Guided by the GRN model developed at the Hartford Institute’s Nurses Improving Care to Healthsystem Elders (NICHE) model, a gerontology nurse practitioner designed original modules and modified NICHE modules, coordinated schedules, and co-presented modules. The modules were presented by two nursing educators to maintain content continuity. Additionally, nurses from participating agencies shadowed each other on a rotational basis to gain an appreciation of the role and resources each agency provided or lacked. Finally, gerontology specialists (such as nutritionist, psychologist, and physicians) presented education sessions.

Results: Pre and post assessment demonstrated an accumulative improvement in gerontology knowledge and best practice in multiple areas. Community based elder agencies’ antidotal reports demonstrated a decrease in hospital admissions and emergency department visits. The university hospital reported increase in hospital admissions from clinics; however, at the time of this submission, it cannot be stated that these admissions were related to elders that dwell in a community based agency or dwell independently in the community. Given there was no control group, it cannot be empirically stated that the education programs,  interagency networking or interdisciplinary engagement were directly related to the outcomes.

Conclusion: This pilot study suggest that continued gerontology education in the community and university setting, creative networking strategies, and interdisciplinary engagement can enhance coordination and continuity of elder care which benefits agencies, elders, and their families.

Keywords:
reducing hospital readmissions; elders' continium of care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleReducing Hospital Readmissionsen_GB
dc.contributor.authorZengerle-Levy, Karlaen_GB
dc.contributor.departmentAlpha Deltaen_GB
dc.author.detailsKarla Zengerle-Levy, PhD, RN-BC, GNP-BC, karlalevy@aol.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/303922-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b> The Geriatric Resource Nurse (GRN) Community Project is designed to improved outcomes for elders across healthcare settings. The purpose of this project is to improve knowledge, practices, and collaboration by registered nurses at a university hospital and community agencies providing geriatric care. The project's overarching goal is to reduce readmissions to the hospital. <p><b>Methods: </b> The descriptive study examines the nurses’ knowledge. A convenience sample of 121 nurses from five community based agencies and 18 nurses from a university hospital constituted the participants. Guided by the GRN model developed at the Hartford Institute’s Nurses Improving Care to Healthsystem Elders (NICHE) model, a gerontology nurse practitioner designed original modules and modified NICHE modules, coordinated schedules, and co-presented modules. The modules were presented by two nursing educators to maintain content continuity. Additionally, nurses from participating agencies shadowed each other on a rotational basis to gain an appreciation of the role and resources each agency provided or lacked. Finally, gerontology specialists (such as nutritionist, psychologist, and physicians) presented education sessions. <p><b>Results: </b> Pre and post assessment demonstrated an accumulative improvement in gerontology knowledge and best practice in multiple areas. Community based elder agencies’ antidotal reports demonstrated a decrease in hospital admissions and emergency department visits. The university hospital reported increase in hospital admissions from clinics; however, at the time of this submission, it cannot be stated that these admissions were related to elders that dwell in a community based agency or dwell independently in the community. Given there was no control group, it cannot be empirically stated that the education programs,  interagency networking or interdisciplinary engagement were directly related to the outcomes. <p><b>Conclusion: </b> This pilot study suggest that continued gerontology education in the community and university setting, creative networking strategies, and interdisciplinary engagement can enhance coordination and continuity of elder care which benefits agencies, elders, and their families.en_GB
dc.subjectreducing hospital readmissionsen_GB
dc.subjectelders' continium of careen_GB
dc.date.available2013-10-22T20:25:56Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:25:56Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_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.en_GB
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