Role of Advanced Practice Nurses in Decreasing Length of Stay and Rehospitalization for Heart Failure Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/304324
Category:
Full-text
Type:
Presentation
Title:
Role of Advanced Practice Nurses in Decreasing Length of Stay and Rehospitalization for Heart Failure Patients
Author(s):
Mersha, Sisay
Lead Author STTI Affiliation:
Eta Nu
Author Details:
Sisay Mersha, MS, ACNP, smersha@sbcglobal.net
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose: The purpose of this project was to review existing literatures on the role of APNs in reducing length of stays and rehospitalization after discharge. The project also aimed to evaluate heart failure programs across one of the largest Catholic healthcare systems in a large Midwestern city.

Methods: A comprehensive literature search was conducted using keywords from MEDLINE, CINHAL, EMBASE and PubMed data bases. Relevant studies published in English from1990 to 2011were retrieved. The studies were appraised and systematically analysed for common themes regarding APN's roles in reducing the unnecessary LOS and readmissions.

Results: Of 651 studies retrieved, 14 articles met the inclusion criteria. There were three major themes identified: 1) APNs role in reducing length of stay, 2) APNs role in reducing rehospitalization, 3) APNs role in reducing cost. Of these themes, the role of APNs in reducing LOS and preventable readmissions was defined in all the studies. Other related themes that immerged included: APNs role in increasing patient satisfaction & in improving life styles changes (Quality of Life) through promoting self-care behaviors. The systematic review showed that the role of APNs in reducing LOS and readmissions was important in the United States healthcare system.

'Discussion: The results of this systematic review are consistent with the assumption that APNs have a significant role in reducing length of stay and decreasing readmission rates. In addition, APNs have a greater influence in healthcare cost containment.

Conclusion: APNs have a critical role in reducing length of stay and decreasing readmission rates through establishing relationship-based care with patients and care coordination within interdisciplinary team members.

Keywords: Role of APNs, Readmission rate, Length of Stay, Heart Failure

Keywords:
Length of Hospital stay; Heart Failure; Readmission Rate
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleRole of Advanced Practice Nurses in Decreasing Length of Stay and Rehospitalization for Heart Failure Patientsen
dc.contributor.authorMersha, Sisayen
dc.contributor.departmentEta Nuen
dc.author.detailsSisay Mersha, MS, ACNP, smersha@sbcglobal.neten
dc.identifier.urihttp://hdl.handle.net/10755/304324-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b><b>Purpose: </b> </b>The purpose of this project was to review existing literatures on the role of APNs in reducing length of stays and rehospitalization after discharge. The project also aimed to evaluate heart failure programs across one of the largest Catholic healthcare systems in a large Midwestern city. <p><b><b>Methods: </b> </b>A comprehensive literature search was conducted using keywords from MEDLINE, CINHAL, EMBASE and PubMed data bases. Relevant studies published in English from1990 to 2011were retrieved. The studies were appraised and systematically analysed for common themes regarding APN's roles in reducing the unnecessary LOS and readmissions.<b></b><p><b><b>Results: </b> </b>Of 651 studies retrieved, 14 articles met the inclusion criteria.<b> </b>There were three major<b> </b>themes identified: 1)<b> </b>APNs role in reducing length of stay<b>, 2) </b>APNs role in reducing rehospitalization, 3)<b> </b>APNs role in reducing cost. Of these themes, the role of APNs in reducing LOS and preventable readmissions was defined in all the studies. Other related themes that immerged included:<b> </b>APNs role in increasing patient satisfaction<b> </b>&<b> </b>in improving life styles changes (Quality of Life) through promoting self-care behaviors. The systematic review showed that the role of APNs in reducing LOS and readmissions was important in the United States healthcare system.<b></b><p>'<b>Discussion: </b>The results of this systematic review are consistent with the assumption that APNs have a significant role in reducing length of stay and decreasing readmission rates. In addition, APNs have a greater influence in healthcare cost containment. <p><b><b>Conclusion: </b> </b>APNs have a critical role in reducing length of stay and decreasing readmission rates through establishing relationship-based care with patients and care coordination within interdisciplinary team members.<b></b><p>Keywords: Role of APNs, Readmission rate, Length of Stay, Heart Failureen
dc.subjectLength of Hospital stayen
dc.subjectHeart Failureen
dc.subjectReadmission Rateen
dc.date.available2013-10-22T20:33:34Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:33:34Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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