The Feasibility of a Nurse Managed Transition Clinic for Patients with a Diagnosis of Diabetes Recently Discharged from the Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/308400
Category:
Abstract
Type:
Presentation
Title:
The Feasibility of a Nurse Managed Transition Clinic for Patients with a Diagnosis of Diabetes Recently Discharged from the Hospital
Author(s):
Williams, Kelli
Lead Author STTI Affiliation:
Omicron Delta
Author Details:
Kelli Williams, APRN, FNP-BC, CDE, kewilliams@queens.org
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Objective 1: Describe four pillars of care transition and its use in providing framework for decreasing 30-day readmission for patients with diabetes/hyperglycemia recently discharged from hospital.

Objective 2: Describe Stanford Self-Efficacy for Diabetes scale and its use to measure changes in patient self-efficacy before and after their visit to Transition Clinic.

Purpose:

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

Methods:

Design:  Descriptive, non-randomized.

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

Recruitment/Retention: Patients who fit criteria identified daily by APRN of IDT.  Enroll 75 participants, with expectation 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, 27 patients have attended the TC.  30 day readmission for them is 7%. Dropout rate is 59%.   One overestimated assumption was difficulty of getting a timely appointment with a PCP.  As the health care environment movs toward patient centered health care home, it may be that primary care access for urgent problems is improving.  Stanford Self Efficacy for Diabetes scale revealed a significant improvement in patient’s confidence in knowing what to do when blood glucose level are higher or lower than goal.

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 mellitus; transition clinic; nurse managed clinic
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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 for Patients with a Diagnosis of Diabetes Recently Discharged from the Hospitalen_GB
dc.contributor.authorWilliams, Kellien_GB
dc.contributor.departmentOmicron Deltaen_GB
dc.author.detailsKelli Williams, APRN, FNP-BC, CDE, kewilliams@queens.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308400-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><i>Objective 1:</i> Describe four pillars of care transition and its use in providing framework for decreasing 30-day readmission for patients with diabetes/hyperglycemia recently discharged from hospital. <p><i>Objective 2:</i> Describe Stanford Self-Efficacy for Diabetes scale and its use to measure changes in patient self-efficacy before and after their visit to Transition Clinic. <p><b>Purpose: </b><p>Test feasibility of a nurse managed clinic for patients recently discharged from hospital with a diagnosis of diabetes.  The study will determine if transition clinic (TC) will increase number of patients with scheduled appointment for follow up care within two weeks of discharge, decrease 30-day readmission rate, and increase patient self-efficacy for diabetes self-management. <p><b>Methods: </b><p>Design:  Descriptive, non-randomized. <p>Sample:  75 inpatients to be enrolled at discharge.   Inclusion:  Discharge to home from any unit at Queen’s Medical Center with diagnosis of diabetes or hyperglycemia, and followed by Inpatient Diabetes Team (IDT).  Exclusion: Severe cognitive deficit, serious mental illness, limited English proficiency. <p>Recruitment/Retention: Patients who fit criteria identified daily by APRN of IDT.  Enroll 75 participants, with expectation 50 will keep their appointment in TC.  When 50 participants have kept their appointment, enrollment will stop.  <p><b>Results: </b><p>Enrollment was slower than anticipated.  With 49 patients enrolled in study, 27 patients have attended the TC.  30 day readmission for them is 7%. Dropout rate is 59%.   One overestimated assumption was difficulty of getting a timely appointment with a PCP.  As the health care environment movs toward patient centered health care home, it may be that primary care access for urgent problems is improving.  Stanford Self Efficacy for Diabetes scale revealed a significant improvement in patient’s confidence in knowing what to do when blood glucose level are higher or lower than goal. <p><b>Conclusion: </b><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.subjectdiabetes mellitusen_GB
dc.subjecttransition clinicen_GB
dc.subjectnurse managed clinicen_GB
dc.date.available2013-12-19T17:30:50Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:50Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_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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