Degree Name
Nursing Practice, DNP
Publication Date
9-26-2026
First Advisor
Lisa Drake
Second Advisor
Veronica Arredondo
Abstract
Aging causes frailty and multiple comorbidities, necessitating polypharmacy. Complicated drug regimens predispose patients to adverse drug events and hospital readmissions. The practice problem was high rates of medication-related readmissions due to inadequate provider knowledge of medication reconciliation and the lack of a standardized tool. This project aimed at evaluating the impact of provider medication reconciliation education on hospital readmissions in a skilled nursing facility. A pretest-posttest study design was utilized. The Donabedian Model of Healthcare Quality guided the translation of evidence into practice, whereas Lewin’s Change Model and Plan-Do-Study-Act models guided implementation. Eight providers were educated on medication reconciliation using the Medications at Transitions and Clinical Handoffs (MATCH) toolkit. The Medication Reconciliation Pre/Post-Course Assessment was used to evaluate knowledge of medication reconciliation. Readmissions data was retrieved from electronic records retrospectively eight weeks before and eight weeks after the intervention. A Shapiro-Wilk test confirmed the normality of data. A two-tailed paired t-test compared the pretest and posttest knowledge scores. The posttest knowledge score (M = 8.50, SD = 0.53) was significantly higher than the pretest knowledge scores (M = 5.00, SD = 1.07), t (7) = -9.26, p < 0.001. There was a 17.12% relative reduction in all-cause readmission and a 32.58% relative reduction in medication-related readmissions. Limitations included few participants and failure to document implementation of medication reconciliation. The findings aligned with the Donabedian Model of Healthcare Quality and confirmed the value of provider education on enhancing knowledge and medication safety during transitions of care, ultimately resulting in fewer readmissions.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Nwozu, Vivian, "The Impact of Provider Medication Reconciliation Education on Hospital Readmissions in a Skilled Nursing Facility" (2026). Doctor of Nursing Practice Projects. 405.
https://arch.astate.edu/dnp-projects/405
