{"title":"The Impact of Nurse Education on Heart Failure Readmissions and Patient Education.","authors":"Kimberly Mattina, Beverly W Dabney, Mary Linton","doi":"10.1891/JDNP-D-19-00076","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) has become a national concern, with approximately 5.7 million adults in the United States suffering from this life-altering disease. Improved education of these patients prior to discharge helps patients manage their disease adequately and reduce symptom exacerbations.</p><p><strong>Objective: </strong>This quality improvement initiative aimed to determine the effectiveness of an educational intervention in improving nurses' knowledge of HF discharge teaching and documentation of this education in patient charts.</p><p><strong>Methods: </strong>This project was conducted at a Magnet-recognized acute care hospital with 39 critical care step-down beds. Twenty-nine nurses employed on the step-down unit participated in the educational intervention. Pre/post nurse knowledge and chart review data were analyzed.</p><p><strong>Results: </strong>There was a statistically significant increase in the percentage of patients receiving HF education from unit nurses from preintervention 77.0% (<i>n</i> = 81) to postintervention 96.4% (<i>n</i> = 138) (<i>p</i> < .001). There was also a statistically significant increase in the mean number of days patients were educated from 1.64 to 2.58 days (<i>p</i> < .001). Nurse knowledge also increased from pretest (69.7%) to posttest scores (100%) (<i>p</i> < .001).</p><p><strong>Conclusions: </strong>Providing HF educational opportunities enhanced nurse knowledge and increased their documentation of HF education in patient charts.</p><p><strong>Implications for nursing: </strong>Nurse educators may use the study results to improve nurse education and practices aimed at reducing HF readmissions.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.2000,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Doctoral Nursing Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1891/JDNP-D-19-00076","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
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Abstract
Background: Heart failure (HF) has become a national concern, with approximately 5.7 million adults in the United States suffering from this life-altering disease. Improved education of these patients prior to discharge helps patients manage their disease adequately and reduce symptom exacerbations.
Objective: This quality improvement initiative aimed to determine the effectiveness of an educational intervention in improving nurses' knowledge of HF discharge teaching and documentation of this education in patient charts.
Methods: This project was conducted at a Magnet-recognized acute care hospital with 39 critical care step-down beds. Twenty-nine nurses employed on the step-down unit participated in the educational intervention. Pre/post nurse knowledge and chart review data were analyzed.
Results: There was a statistically significant increase in the percentage of patients receiving HF education from unit nurses from preintervention 77.0% (n = 81) to postintervention 96.4% (n = 138) (p < .001). There was also a statistically significant increase in the mean number of days patients were educated from 1.64 to 2.58 days (p < .001). Nurse knowledge also increased from pretest (69.7%) to posttest scores (100%) (p < .001).
Conclusions: Providing HF educational opportunities enhanced nurse knowledge and increased their documentation of HF education in patient charts.
Implications for nursing: Nurse educators may use the study results to improve nurse education and practices aimed at reducing HF readmissions.
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