Date Available

4-26-2023

Year of Publication

2023

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Angela Grubbs

Clinical Mentor

Dr. Julianne Ossege

Committee Member

Dr. Elizabeth Tovar

Abstract

Background and Significance: Heart failure (HF) affects approximately 6.2 million adults in the United States and 40 million people globally. HF is one of the leading causes of emergency department (ED) visits and hospitalizations in adults. Twenty percent of patients admitted for HF are readmitted within thirty days, and up to fifty percent are readmitted by six months. A First Post-Discharge Visit checklist could help mitigate the problem of readmission.

Purpose: The purpose of this DNP project was to evaluate primary care providers’ knowledge, attitudes, and intentions towards utilizing the First Post-Discharge Visit checklist to reduce hospital readmissions among HF patients.

Methods: In this quasi-experimental study, a one-group pretest-posttest design was used to assess APRNs knowledge, attitudes, and intentions regarding the use of the First Post-Discharge Visit checklist in heart failure (HF) patients. The data was gathered via a convenience sample through the Kentucky Association of Nurse Practitioners and Midwives listserv. The evaluation occurred through a survey before and after a five-minute educational module on the First Post-Discharge Visit checklist.

Results: At both assessments, almost all providers agreed readmission among HF patients is an issue. Few were aware of the checklist prior to the educational module (15%), which significantly increased post-education (80%, p = .008). There was also a significant increase in intentions to use the checklist (15% pre vs. 85% post, p = .004).]

Conclusions: The awareness and intention to use the First Post-Discharge Visit checklist improved after viewing training module, which suggests education was effective. Whatever it takes to get providers to use this evidence-based checklist that improves the patient outcomes we need to do. A brief web-based training module about it may be effective in increasing awareness and utilization.

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