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Learning Objective 1: The learner will be able to describe how nursing education is vital to successful changes in clinical outcomes of patient with congestive heart failure.
Learning Objective 2: The learner will be able to articulate the key causal factors of readmissions of congestive heart failure patients.
The purpose of the Redesigned Discharge Process Project is to reduce the readmission rate of patients with the diagnosis of CHF. The project consists of two major components. The first component is the education of registered nurses on congestive heart failure with two different methods of education. These methods were a self administered written module followed by an online teaching module. The second component of the project required an advanced practice nurse to intervene in the education and comprehensive discharge plan for congestive heart failure patients admitted to the telemetry unit.
For the self-study module, a t-test for a two-sample assuming unequal variance was used. The results for the self-study module demonstrated a value of p < 0.0001. A t-test methodology was utilized for the pre and post tests after the online education. The p-value for this grouping was < 0.0036. The project resulted in the reduction of the readmission rate for CHF patients from a baseline of 27% to a rate of 17%.
Based on the outcomes of this project, targeted education to update nurses in evidence-based practice with a redesigned discharge process does result in the successful reduction of readmission rates for hospitalized patients with congestive heart failure.