Nurse Home Visits With Education: An Effort to Reduce 30-Day Readmission Rates and Improve Patient Satisfaction Scores Public Deposited

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Last Modified
  • March 19, 2019
Creator
  • Ghidora, Eugeniu
    • Affiliation: School of Nursing
Abstract
  • The purpose of this study was to evaluate a one-time home based nurse intervention with education for patients recently discharged from a hospitalization for heart failure as an effective and low-cost method to improve patient satisfaction and decrease the 30-day hospital readmission rate. This study used a single-center quasi experimental study. Participants were enrolled at their first visit to the heart failure clinic after hospital discharge from an admission with heart failure. They received a nurse home visit in the 3rd week after hospital discharge plus the usual care provided by the heart failure clinic. Patient satisfaction scores and 30-day all cause hospital readmission rates were assessed before and after the intervention. The mean of the overall patient satisfaction score increased by 0.16, but was not statistically significant at 0.05 significance level. However, after analyzing only the survey questions that were likely to be impacted the intervention, a statistically significant increase in patient satisfaction mean of 0.265 was observed. The 30-day all cause hospital readmission rate decreased by 15.5% after the intervention, which was statistically significant at 0.05 level of significance. This study reveals a significant reduction in 30-day all cause hospital readmission rate as well as an increase in patient satisfaction in relevant areas as a result of a nurse home visit with education for heart failure patients recently discharged from a hospitalization.
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Rights statement
  • In Copyright
Advisor
  • House, Margaretann
  • Harwood, Elaine
  • Keen, Crystal
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
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