2.50
Hdl Handle:
http://hdl.handle.net/10755/304204
Category:
Abstract
Type:
Presentation
Title:
The Feasibility of a Nurse Managed Transition Clinic for
Author(s):
Leake, Anne; Wang, Chen-Yen; Schonhardt, Grace C. G.; Williams, Kelli
Lead Author STTI Affiliation:
Non-member
Author Details:
Anne Leake, PhD, APRN, FNP-BC, aleake@queens.org; Chen-Yen Wang, PhD, ANP-BC, CDE; Grace C. G. Schonhardt, APRN, FNP-BC, CDE; Kelli Williams, APRN, FNP-BC, CDE;
Abstract:

Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013

Purpose:

Test feasibility of a nurse managed clinic for patients recently discharged from the hospital with a diagnosis of diabetes.  Using the four pillars of care as a framework, study will determine if transition clinic (TC) will increase number of patients with scheduled appointment for follow up care within two weeks of being discharged, decrease 30-day readmission rate for patients with diabetes, and increase patient self-efficacy for diabetes self-management.

Methods:

Design:  Descriptive, non-randomized.

Sample:  75 inpatients to be enrolled at discharge.   Inclusion criteria:  Discharge to home from any unit at Queen’s Medical Center with a diagnosis of diabetes or hyperglycemia, and followed by Inpatient Diabetes Team (IDT).  Exclusion criteria: Severe cognitive deficit, serious mental illness, limited English proficiency, and significant pain requiring high doses narcotics.

Recruitment/Retention: Patients who fit criteria identified daily by APRN of IDT.  APRN to enroll 75 participants, with expectation that 50 will keep their appointment in TC.  When 50 participants have kept their appointment, enrollment will stop. 

Results:

Enrollment was slower than anticipated.  With 49 patients enrolled in study to date, 27 patients have attended the TC.  30 day readmission for them is 7%. Dropout rate of 59% was higher than the predicted rate of 33%.   One overestimated assumption was difficulty of getting a timely appointment with a PCP.  With the health care environment moving toward a patient centered health care home, it may be that primary care access for urgent problems is improving.  Using the Stanford Self Efficacy for Diabetes scale, there was a significant improvement in increasing patient’s confidence in knowing what to do when blood glucose level goes higher or lower than it should be.

Conclusion:

The Transition Clinic was feasible, provided benefit to a number of patients, and was a good fit with the services currently provided in the Diabetes Education Center.

Keywords:
diabetes; transition clinic; 30-day readmission
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.titleThe Feasibility of a Nurse Managed Transition Clinic foren_GB
dc.contributor.authorLeake, Anneen_GB
dc.contributor.authorWang, Chen-Yenen_GB
dc.contributor.authorSchonhardt, Grace C. G.en_GB
dc.contributor.authorWilliams, Kellien_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsAnne Leake, PhD, APRN, FNP-BC, aleake@queens.org; Chen-Yen Wang, PhD, ANP-BC, CDE; Grace C. G. Schonhardt, APRN, FNP-BC, CDE; Kelli Williams, APRN, FNP-BC, CDE;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304204-
dc.description.abstract<p>Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013</p><strong><b>Purpose: </b></strong><p>Test feasibility of a nurse managed clinic for patients recently discharged from the hospital with a diagnosis of diabetes.  Using the four pillars of care as a framework, study will determine if transition clinic (TC) will increase number of patients with scheduled appointment for follow up care within two weeks of being discharged, decrease 30-day readmission rate for patients with diabetes, and increase patient self-efficacy for diabetes self-management. <p><strong><b>Methods: </b></strong><p><strong></strong>Design:  Descriptive, non-randomized. <p>Sample:  75 inpatients to be enrolled at discharge.   Inclusion criteria:  Discharge to home from any unit at Queen’s Medical Center with a diagnosis of diabetes or hyperglycemia, and followed by Inpatient Diabetes Team (IDT).  Exclusion criteria: Severe cognitive deficit, serious mental illness, limited English proficiency, and significant pain requiring high doses narcotics. <p>Recruitment/Retention: Patients who fit criteria identified daily by APRN of IDT.  APRN to enroll 75 participants, with expectation that 50 will keep their appointment in TC.  When 50 participants have kept their appointment, enrollment will stop.  <p><strong><b>Results: </b> </strong><p>Enrollment was slower than anticipated.  With 49 patients enrolled in study to date, 27 patients have attended the TC.  30 day readmission for them is 7%. Dropout rate of 59% was higher than the predicted rate of 33%.   One overestimated assumption was difficulty of getting a timely appointment with a PCP.  With the health care environment moving toward a patient centered health care home, it may be that primary care access for urgent problems is improving.  Using the Stanford Self Efficacy for Diabetes scale, there was a significant improvement in increasing patient’s confidence in knowing what to do when blood glucose level goes higher or lower than it should be. <p><strong><b>Conclusion: </b></strong><p>The Transition Clinic was feasible, provided benefit to a number of patients, and was a good fit with the services currently provided in the Diabetes Education Center.en_GB
dc.subjectdiabetesen_GB
dc.subjecttransition clinicen_GB
dc.subject30-day readmissionen_GB
dc.date.available2013-10-22T20:31:07Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:31:07Z-
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
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.