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Published on: July 12, 2024
Improving Discharge Education and Outcomes for Patients with Heart Failure
Bernice D Mowery1, Erin Brand, Demeke Gisila
1Bernice D. Mowery and Rebecca Babb are nurse scientists at Inova Health System in Falls Church, VA, where Abhi Bhuvanesh is system director of quality improvement and Kathleen Russell-Babin is vice president of professional practice. Erin Brand is an RN unit supervisor at Inova Loudoun Hospital in Leesburg, VA. Demeke Gisila is an RN unit supervisor at Inova Alexandria Hospital in Alexandria, VA. Katie Healy is a staff nurse at Inova Fairfax Medical Campus in Falls Church, VA. Tigist A. Mannaye is an RN unit supervisor at Inova Mount Vernon Hospital in Alexandria, VA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Implementation science (IS) helps sustain evidence-based practices. A nurse-led team used IS to implement heart failure discharge education, aiming to reduce readmissions and improve patient outcomes.
Area of Science:
- Implementation Science
- Healthcare Delivery Research
- Clinical Nursing Practice
Background:
- Sustainment of evidence-based practices is crucial for effective clinical care.
- Heart failure readmissions pose a significant burden on patients and healthcare systems.
- Effective discharge education is vital for improving patient outcomes and reducing readmissions.
Purpose of the Study:
- To describe the application of implementation science (IS) concepts, methods, and tools.
- To detail the implementation of a nurse-led discharge education bundle for heart failure patients.
- To evaluate the impact of the intervention on hospital readmissions, patient functioning, and satisfaction.
Main Methods:
- Utilized a nurse-led team approach within a multisite health system.
- Applied established IS concepts, methods, and tools for intervention implementation.
- Focused on two community hospitals to implement a specific discharge education bundle.
Main Results:
- The implementation process and its outcomes are described in detail.
- The study provides insights into the practical application of IS in a clinical setting.
- Findings contribute to understanding how to reduce heart failure readmissions through targeted education.
Conclusions:
- Implementation science provides a framework for sustaining evidence-based practices in healthcare.
- Nurse-led initiatives utilizing IS can effectively improve patient care and reduce readmissions.
- The study highlights the importance of tailored discharge education for heart failure management.
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