Evaluation of Written Inpatient Heart Failure Education to Support Self-Care at Discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/601955
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Evaluation of Written Inpatient Heart Failure Education to Support Self-Care at Discharge
Other Titles:
Promoting Heart Health through Research [Session]
Author(s):
Frame, Amanda Leigh
Lead Author STTI Affiliation:
Beta Omicron
Author Details:
Amanda Leigh Frame, AGACNP-BC, frame.amanda@yahoo.com
Abstract:
Session presented on Saturday, July 25, 2015: Evaluate Written Inpatient Heart Failure Education to Support Self-Care after DischargeABSTRACT: Background: The leading cause of hospital readmission is adults with heart failure. Readmission rates in less than thirty days are a key indicator of inadequate health care and as a consequence, the Hospital Readmissions Reduction program requires the Center for Medicare Services to reduce reimbursement rates and fine hospitals with excess thirty day readmission rates for patients diagnosed with heart failure. Research supports that patient education provided at the appropriate literacy level related to self-care: to include medication knowledge, access to healthcare and symptom exacerbation recognition, decreases thirty-day readmission rates for adults with heart failure. The current American College of Cardiology /American Heart Association (ACC/AHA) evidence based guidelines for the care of heart failure patients support education related to self-care as outlined above. The recommended literacy level for patient education is a 4th to 5th grade reading level. Purpose: The purpose of this project was to evaluate written heart failure inpatient education materials from a hospital and revise to the appropriate literacy level for the target population and to align with the ACC/AHA standards. The secondary purpose is to evaluate the current standard of care for inpatient heart failure education and make evidence based practice recommendations. Project: The project was conducted at a 581 bed not-for-profit community hospital with magnet status in the cardiology department. Written inpatient heart failure education was compared to current literature and ACC/AHA standards for patient education.?? A manual Fry scale was completed for literacy evaluation of all written heart failure patient education to ensure efficacy. A stop light system for self-care and symptom management was used in the new written education, revised at a fourth grade literacy level. In addition, the revised written instructions were translated to Spanish. A system distribution gap identified that unit specificity impeded efficient nurse led patient education. Collaborative meetings with vested cohorts at the hospital were attended by the DNP student to attain approval during the formulation of new written education. Cost, document length, literacy level, language, and ACC self-care guidelines were used when the Heart Failure Committee, cardiologists, and practice improvement committees debated the editorial recommendations to the new inpatient education as suggested by the DNP student. ???????????????????? English and Spanish versions of the revised written materials, praised by the patient advocate committee for applications to improve lifestyles of patients with heart failure, were distributed to all units. The evidence-based revisions shortened the length of the written document, saving the institution an estimated $8,880 a year. EMR was revised with a text box for nurses to document patient???s personalized self-care goals related to the color of their day as stated in the new patient education booklets.
Keywords:
heart failure education; health literacy; discharge education
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15E04
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEvaluation of Written Inpatient Heart Failure Education to Support Self-Care at Dischargeen
dc.title.alternativePromoting Heart Health through Research [Session]en
dc.contributor.authorFrame, Amanda Leighen
dc.contributor.departmentBeta Omicronen
dc.author.detailsAmanda Leigh Frame, AGACNP-BC, frame.amanda@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/601955-
dc.description.abstractSession presented on Saturday, July 25, 2015: Evaluate Written Inpatient Heart Failure Education to Support Self-Care after DischargeABSTRACT: Background: The leading cause of hospital readmission is adults with heart failure. Readmission rates in less than thirty days are a key indicator of inadequate health care and as a consequence, the Hospital Readmissions Reduction program requires the Center for Medicare Services to reduce reimbursement rates and fine hospitals with excess thirty day readmission rates for patients diagnosed with heart failure. Research supports that patient education provided at the appropriate literacy level related to self-care: to include medication knowledge, access to healthcare and symptom exacerbation recognition, decreases thirty-day readmission rates for adults with heart failure. The current American College of Cardiology /American Heart Association (ACC/AHA) evidence based guidelines for the care of heart failure patients support education related to self-care as outlined above. The recommended literacy level for patient education is a 4th to 5th grade reading level. Purpose: The purpose of this project was to evaluate written heart failure inpatient education materials from a hospital and revise to the appropriate literacy level for the target population and to align with the ACC/AHA standards. The secondary purpose is to evaluate the current standard of care for inpatient heart failure education and make evidence based practice recommendations. Project: The project was conducted at a 581 bed not-for-profit community hospital with magnet status in the cardiology department. Written inpatient heart failure education was compared to current literature and ACC/AHA standards for patient education.?? A manual Fry scale was completed for literacy evaluation of all written heart failure patient education to ensure efficacy. A stop light system for self-care and symptom management was used in the new written education, revised at a fourth grade literacy level. In addition, the revised written instructions were translated to Spanish. A system distribution gap identified that unit specificity impeded efficient nurse led patient education. Collaborative meetings with vested cohorts at the hospital were attended by the DNP student to attain approval during the formulation of new written education. Cost, document length, literacy level, language, and ACC self-care guidelines were used when the Heart Failure Committee, cardiologists, and practice improvement committees debated the editorial recommendations to the new inpatient education as suggested by the DNP student. ???????????????????? English and Spanish versions of the revised written materials, praised by the patient advocate committee for applications to improve lifestyles of patients with heart failure, were distributed to all units. The evidence-based revisions shortened the length of the written document, saving the institution an estimated $8,880 a year. EMR was revised with a text box for nurses to document patient???s personalized self-care goals related to the color of their day as stated in the new patient education booklets.en
dc.subjectheart failure educationen
dc.subjecthealth literacyen
dc.subjectdischarge educationen
dc.date.available2016-03-17T13:00:02Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T13:00:02Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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