Degree Name
Nursing Practice, DNP
Publication Date
Spring 5-2-2025
Upload Date
05/02/2025
First Advisor
Dr. Sandy King
Second Advisor
Dr. Chandra Carter
Abstract
Patients diagnosed with heart failure are at an increased risk for readmission to the hospital within 30 days of discharge, and their care costs are projected to continue to increase. This Doctor of Nursing Practice (DNP) quality improvement (QI) project aimed to implement an evidence-based initiative to mitigate the increased heart failure 30-day readmission rate on a 30-bed medical-surgical telemetry unit in an acute care facility. Using the teach-back communication method, multidisciplinary patient education was implemented to prepare patients diagnosed with heart failure to manage their condition once discharged home. The theoretical and implementation frameworks used were Lewin’s Change Model, Donabedian’s Quality of Care Model, and the Plan, Do, Study, Act cycle. A teach-back knowledge test and conviction and confidence survey measured the multidisciplinary team's knowledge, belief, and confidence in using the teach-back method. A quasi-experimental design assessed the heart failure 30-day readmission rate, the multidisciplinary team’s teach-back knowledge, and confidence and conviction before and after the teach-back education intervention. Thirty-nine multidisciplinary team members and 19 patients were included. The Pearson point-biserial correlation demonstrated a significant relationship (r = .672, p= .031(α = .05) between the multidisciplinary patient education and the unit’s reduction in heart failure 30-day readmission rate (17.27%). The two-tailed paired sample t-Test demonstrated significant improvements in the multidisciplinary team’s teach-back knowledge (p = < .001), conviction (p = .001), and confidence (p = .001). The positive impact of multidisciplinary patient education can serve as a solution to reduce heart failure 30-day readmission rates.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Williams, Jeanne P., "Quality Improvement Project Impact of Multidisciplinary Patient Education on Heart Failure 30-Day Readmission Rate" (2025). Doctor of Nursing Practice Projects. 116.
https://arch.astate.edu/dnp-projects/116
