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The Heart Failure Journey Board to Discharge

Clare Kranz1, Delois Spencer, Shea Polancich

  • 1University of Utah College of Nursing, Salt Lake City (Dr Kranz); University of Alabama at Birmingham Hospital (Mss Spencer and Curry); and University of Alabama at Birmingham School of Nursing (Drs Polancich and Miltner).

Journal of Nursing Care Quality
|May 21, 2020
PubMed

Insights

Implementing a journey board discharge tool for heart failure (HF) patients improved nurse communication and patient education. This led to reduced hospital stays and readmission rates, enhancing self-care outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Patient Education

Background:

  • Heart failure (HF) necessitates lifestyle modifications for improved patient outcomes.
  • HF is a leading cause of hospital readmissions, incurring significant costs and prolonged lengths of stay (LOS).

Purpose of the Study:

  • To adapt and implement a journey board discharge tool for adult patients with heart failure.
  • To evaluate the impact of the journey board tool on patient education and hospital resource utilization.

Main Methods:

  • A journey board discharge tool was developed and piloted on a single nursing unit.
  • The tool, comprising 19 educational topic tiles, was used by nurses to track completed patient education sessions.
  • Boards were affixed to patient room communication boards for real-time progress tracking.

Main Results:

  • Post-implementation, the average LOS decreased from 5.9 to 5.3 days.
  • Average cost per patient reduced from $5332 to $4848.
  • The hospital readmission rate for HF patients declined from over 30% to 28%.

Conclusions:

  • The journey board discharge education tool enhances nurse communication regarding patient education.
  • Effective use of the tool supports evidence-based self-care instruction for heart failure patients.
  • This intervention shows potential for improving patient management and reducing healthcare costs associated with heart failure.
Abstract

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