College

College of Health Sciences

Department

Nursing

Program

Biomedial & Heath Sciences, Nursing

Publication Date

4-2021

DOI

10.25883/66ry-7p89

Abstract

Purpose: To explore if patient participation in the NP led HF clinic may reduce 30-day HF readmissions while providing HF specific education, recognition of symptoms/ management, teaching self-care, while ensuring that continued follow up occurs.

Research Questions: 1) Is there a significant difference between readmission rates in patients followed in the HF clinic compared to general HF follow up? 2) Is there a significant difference in patient knowledge including HF symptoms, self-management for patients followed in the NP led HF clinic for a minimum of 30 days? 3) How satisfied are patients that followed in the NP led HF clinic for a minimum of 30 days?

Significance: May demonstrate how close follow up in a HF clinic could reduce HF readmissions. Other disciplines may understand the necessity of specialized follow up.

Methods: Clinic serving HF patients NEW to the clinic over the age of 18 years in the community recently discharged from the hospital. Patients discharged from the hospital are referred by the hospital team and followed for a minimum of 30 days post discharge. Pre/ post education, satisfaction surveys utilized. Readmission rates reviewed retrospectively.

Findings: • Analyzed by descriptive statistics, frequencies, means, sums, percent’s, T tests conducted on variables of interest.

• Readmission rate of patients seen in the HF clinic within 14 days of discharge had lower readmission rates than those not seen in that timeframe.

• Significant increase in knowledge from pretest to posttest.

• Patients are satisfied with the care they receive in the HF clinic.

Discussion: Close follow up in a NP led HF clinic contributes to the reduction on HF readmissions.

Keywords

Nursing, Heart Failure, Clinic, Education

Disciplines

Cardiology | Nursing

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The Effectiveness of a Nurse Practitioner (NP) Led Clinic for Heart Failure (HF) Patients Following Hospital Discharge in a Rural Community Setting


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