C823 -Task 2 The Need for Discharge - Western Governors University

THE NEED FOR DISCHARGE 1




The Need for Discharge Nurses for CHF Patients

Western Governors University

College of Health Professions

,THE NEED FOR DISCHARGE 2

Abstract

CHF patients are not receiving adequate diagnosis and treatment education during their discharge

process. Currently, this teaching process is completed at the actual time of discharge. These

patients require frequent follow up visits, as well as extensive education on lifestyle changes that

need to be made. These changes can be overwhelming to a patient, those who are not supported

and educated properly have a higher chance of not following the much needed treatment

regimen. This lack of education and non-compliance by the patient leads to higher readmission

rates. The plan to address this issue is to provide education to CHF patients who are already

diagnosed and those who are newly diagnosed. This will be completed by a discharge nurse,

beginning at time of admission and completed daily. The first step in this process was to meet

with the managers to obtain their consent. Once this consent was received, the second step was

to preform evidenced based research that consisted of reviewing 30 peer reviewed journal

articles that concentrated on the improvement of readmission rates and outcomes in CHF

patients, which was reviewed with the stakeholders. The third step, meeting with Human

Resources to evaluate the budget for hiring the needed staff. The fourth step involved the

stakeholders being consulted to provide their input and to allow them to review the evidence.

The stakeholders reviewed the budget and approved for the development of the proposal. The

final step, handing the completed proposal to the organization to be implemented.

,THE NEED FOR DISCHARGE 3

Acknowledgements

I would like to thank my family for putting up with me during this process and for supporting

me.

, THE NEED FOR DISCHARGE 4

Table of Contents

Abstract………………………………………………………………………………….…..
Acknowledgements…………………………………………………………………………
Chapter 1: Background……………………………………………………………………….

Problem Statement……………………………………………………………………

Practice Change, Quality Improvement, or Innovation……………………………...
Rationale ……………………………………………………………….…………….
Chapter 2: Review of the Literature……………………………………………………………
Credible Sources………………………………………………………………………
Best Practices…………………………………………………………………………..
Evidence Summary………………………………………………………………………
Recommendation…………………………………………………….…………………
Chapter 3: Description of Steps………………………….…………………………………….
Discussion of Changes……………….………………………………………………..
Discussion of Barriers …………………………….…………………………………..
Explanation of Overcoming Barriers……….……………………………………..
Identification of Interprofessional Relationships…………………………………………
Discussion of relationships………………………………………………………….
Chapter 4: Discussion of Successes……………………………………………………………..
How Successes Will Inform Future Projects………………….……………………
Aspects that did not go well…………………………………………………………..
Understanding what did not go well……………………………………………..
Explanation of How Gap Was Bridged……………………………………………..
Supporting the Plan……………………………………………………………………..
Resources for Post-Implementation …………………………………..
Chapter 5: Reflection…………………………………………………………………………
Integration of MSN Program Outcomes………………………………………………….