Ebook Clinical research for the doctor of nursing practice (3/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Clinical research for the doctor of nursing practice (3/E): Part 2
Ebook Clinical research for the doctor of nursing practice (3/E): Part 2
UNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2mprovement Project.............................185CHAPTER 15 A Community-Academic Collaboration toHave an Impact on Childhood Obesity... 227CHAPTER 16 The Impact of Evidence-Based Design... 247CHAPTER 17 The Lived Experience of Chronic Painin Nurse Educators.....................291o Swr/iUgrtaMsonta Ebook Clinical research for the doctor of nursing practice (3/E): Part 2ty1 05CHAPTER 14Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement ProjectJulie c. FreemanOEbook Clinical research for the doctor of nursing practice (3/E): Part 2
BJECTIVESUpon completion of this chapter, the reader should be prepared to:1Prepare a gap analysis for a capstone project.2PrefXire a SWOT analysis (sUNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2ystem for the 21 st Century (2001) called for redesign in the methods utilized to provide care to Americans. The first recommendation states that healthcare systems must restructure to develop systems that reduce the impact of challenging healthcare issues on the patient, family, and systems. The se Ebook Clinical research for the doctor of nursing practice (3/E): Part 2cond recommendation states that the healthcare systems must strive to ensure that the care provided across America meets186Chapter 14 An Evidence-BaseEbook Clinical research for the doctor of nursing practice (3/E): Part 2
d Quality Improvement Project the following six aims: that health care should be safe, effective, patient centered, timely, efficient, and equitable. UNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2 aims (IOM, 2001). Even after the implementation of the six aims and the establishment of the Centers for Medicare and Medicaid Services (CMS) core measures, the United States of America ranks highest among eight industrialized nations, with an 18% readmission rate for patients with heart failure (H Ebook Clinical research for the doctor of nursing practice (3/E): Part 2F) within 30 days of discharge (Westert, Lagoe, Keskimaki, Leyland, & Murphy, 2002). Therefore, it is imperative for systems to develop interventionsEbook Clinical research for the doctor of nursing practice (3/E): Part 2
to better prepare patients for discharge from the acute care setting. The patient population selected for the quality improvement project is the patieUNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2.As the CMS does not reimburse costs associated with readmission of patients with HF within 30 days beginning in 2012, healthcare facilities must evaluate the discharge processes currently in place for the provision of efficient, cost-effective, patient-centered, and effective care (Foster & Harknes Ebook Clinical research for the doctor of nursing practice (3/E): Part 2s, 2010). As patient stays grow shorter and emphasis is placed on better self-management, the discharge process will take on greater significance as aEbook Clinical research for the doctor of nursing practice (3/E): Part 2
viable option to improve self-management. The cost for providing care for patients with HF is approaching S37 billion annually (Heidenreich, 2009). AUNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2nitial admission is approximately $6,000 depending on the region of the nation. Readmission of patients with HF within 30 days results in an additional cost of S2.500 to S4,000 in the Southeast region (Joynt & Jha, 2011; Ross et al., 2009). Mortality rates for patients with HF readmitted within 30 d Ebook Clinical research for the doctor of nursing practice (3/E): Part 2ays are higher than for patients readmitted at 60 days or 90 days (Ross et al., 2009).As the United States faces increasing costs associated with readEbook Clinical research for the doctor of nursing practice (3/E): Part 2
mission within 30 days of discharge, many organizations are evaluating interventions to determine the most effective opportunities for system change. UNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2es, developed programs, or initiated campaigns to address directly better self-management of patients with HF. An area of particular review and concern is the discharge or transition in care processes in place for the HF population.Approximately 5 million individuals are living with HF, and almost 3 Ebook Clinical research for the doctor of nursing practice (3/E): Part 200,000 individuals with HF expired in 2008 (Roger et al., 2011). Poorly managed HF has resulted in a diminished quality of life, difficulty performingEbook Clinical research for the doctor of nursing practice (3/E): Part 2
activities of daily living (ADLs), frequent hospital admissions, and early mortality for Americans (Neilsen et al., 2008; Roger, 2011). The case for UNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2, area and the surrounding counties are considered underserved by PCPs (Health Resources and Services Administration, 2011). Therefore, this patient population often does not have a PCP to return to upon discharge. In addition, many individuals in the Montgomery area have not completed high school a Ebook Clinical research for the doctor of nursing practice (3/E): Part 2nd have low literacy levels affecting the ability to understand the care required, recognize signs and symptoms requiring intervention, and how to goEbook Clinical research for the doctor of nursing practice (3/E): Part 2
about seeking the care required. The National Center for Education Statistics (2003) estimated the low literacy level for Montgomery County to be 14%.UNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2/readmissions occur through the ED. Improving the patients ability to self-manage care through a well-constructed, literacy-appropriate discharge notebook has been acknowledged as a positive intervention regarding self-management (AHA, 2009; Boutwell, Griffin, Hwu, & Shannon, 2009; CMS, 2006; 1H1,20 Ebook Clinical research for the doctor of nursing practice (3/E): Part 210; Neilsen et al., 2008). In addition, reducing readmission through improving the discharge process with a discharge notebook can result in savings oEbook Clinical research for the doctor of nursing practice (3/E): Part 2
f $2,000 to $6,000 per patient to both the facility and the healthcare system (Joynl & Jha, 2011).rhe overall purpose of the project is to decrease reUNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2book include education material regarding HE, ADLs education, exercise education, proper technique for daily weights, low-sodium diet, education on signs and symptoms to report, and the follow-up plan after discharge. Patients will receive a follow-up phone call within 72 hours utilizing a telephone Ebook Clinical research for the doctor of nursing practice (3/E): Part 2 survey developed and based on the AHA’s (2013) Gel With the Guidelines Heart Failure Campaign and the nil’s (2010) Transforming Care at the Bedside HEbook Clinical research for the doctor of nursing practice (3/E): Part 2
ow-to Guide: Creating an Ideal Transition Home for Patients With Heart Failure recommendations to determine level of understanding regarding self manaUNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2.► Institute of Medicine Six AimsAs a component of implementing a quality improvement project, it is necessary to reflect on the IOM six aims. The six aims provide a worthy goal for the project.1Safe—Avoiding injuries to patients and improving outcomes by providing standardized written and verbal di Ebook Clinical research for the doctor of nursing practice (3/E): Part 2scharge instructions via a discharge notebook to patients with HF.2Effective—Provision of an evidence-based discharge education plan for all HF patienEbook Clinical research for the doctor of nursing practice (3/E): Part 2
ts in an effort to reduce readmission within 30 days.3Patient-centered—Provision of an evidence-based discharge notebook that is culturally sensitive,UNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Im Ebook Clinical research for the doctor of nursing practice (3/E): Part 2ys.4Timely— The quality improvement project will begin upon admission for patients with HF and will follow the patient through to the discharge to reduce readmission within 30 days.5Efficient—Developing a project that will improve self-management and reduce readmission within 30 days.6Equitable— Pro Ebook Clinical research for the doctor of nursing practice (3/E): Part 2vision of care to all patients without consideration of gender, race, social standing, economic status, or geographic area in an effort to reduce readEbook Clinical research for the doctor of nursing practice (3/E): Part 2
mission within 30 days for all patients with HF.► Needs AssessmentUNIT IVExamples of Studies and ProjectsCHAPTER 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality ImGọi ngay
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