Combining training in knowledge translation with quality improvement reduced 30‐day heart failure readmissions in a community hospital: a case study

Wyer, Peter C.; Stojanovic, Zorica; Shaffer, Jonathan A.; Placencia, Mitzy; Klink, Kathleen; Fosina, Michael J.; Lin, Susan; Barron, Beth; Graham, Ian D.

doi:10.1111/jep.12450

Cited by 14 publications

(13 citation statements)

References 47 publications

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“…Hence, the purpose of this descriptive, cross-sectional, quantitative study was to gain insight into ED RNs’ perceptions and confidence regarding participating in the care of heart failure patients in the ED (e.g., reviewing written instructions and addressing patient concerns prior to discharge) and attitudes regarding the feasibility of discharging these patients once stabilized. While several studies have addressed variables that affect heart failure readmission rates (Alexander et al, 1999; Wyer et al, 2016), there is a scarcity of research studies that focused on ED RNs’ perceived confidence level in participating in the discharge process of stabilized heart failure patients from the ED.…”

Section: Introductionmentioning

confidence: 99%

Emergency Nurses’ Perceived Confidence in Participating in the Discharge Process of Congestive Heart Failure Patients From the Emergency Department: A Quantitative Study

Sepulveda-Pacsi

2018

Hisp Health Care Int

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Introduction: Adults with exacerbated heart failure (HF) who present to the emergency department (ED) generally are readmitted. However, Hispanic HF patients are more likely to be admitted than Whites. Studies show the importance of nurse-led interventions in the ED discharge process, but registered nurse (RN) confidence in performing discharge tasks has not been assessed. Greater nurse confidence leads to improved task performance, and potentially reduced HF readmission, lowering cost of care. This study aimed to gain insight into ED RNs' perceived self-confidence in discharge tasks with stabilized HF patients. Method: A self-report survey on perceived self-confidence was analyzed in a prospective, cross-sectional quantitative study. Participants were 22 RNs at an ED in a largely Hispanic community in New York City. Results: Moderate levels of confidence were found for performing various tasks with HF patients. Only 6 of the 21 nurses reported feeling "very confident" about discharge tasks. Twenty (90.1%) believed guidelines would increase their confidence. Conclusion: These findings can help in developing nurse-driven strategies to foster confidence in the discharge of stabilized HF patients from the ED.

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Section: Introductionmentioning

confidence: 99%

Emergency Nurses’ Perceived Confidence in Participating in the Discharge Process of Congestive Heart Failure Patients From the Emergency Department: A Quantitative Study

Sepulveda-Pacsi

2018

Hisp Health Care Int

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“…18,21,25,31,38 There was a noted lack of standard in the reporting of data collection approaches, with some studies providing very limited information and usually only about the source of the collected data. 20,25-27,29,30,33,35…”

Section: Discussionmentioning

confidence: 99%

“…Most studies contained a notable lack of detail when reporting on process measures, providing minimal information 24,25,33 on measuring and reporting of processes. Few studies provided definitions of process outcomes, rationale for inclusion, importance of the measure (to stakeholders), detail of who collected the measures, when and how this information was analyzed.…”

Section: Databasesmentioning

confidence: 99%

Methods of Capturing Process Outcomes in Quality Improvement Trials: A Systematic Review

2022

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“…By employing a full-time HF nurse coordinator, 30-day readmissions were significantly reduced from 23.1% to 16.4% (adjusted odds ratio [OR] = 0.64, 95% CI: 0.42-0.97). 24 Effective and timely local strategies for multidisciplinary communication seem to be key in forging stable healthcare environments for HF patients.…”

Section: Communication After Hospital Dischargementioning

confidence: 99%

Knowledge Translation in Heart Failure

Brahmbhatt

Kobulnik

2020

Can Journ Gen Int Med

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The treatment of heart failure has expanded over the past three decades with large numbers of new medications and healthcare innovations available for these patients. At the same time, the prevalence of heart failure continues to increase across Canada and these patients are managed by a variety of clinicians from differing backgrounds in both primary care and hospital settings. Despite national recommendations advocating uptake of these new therapies, their utilization remains limited and inconsistent across the country. This review discusses the importance of knowledge translation in heart failure and examines the barriers to implementation of new therapies and models of care, providing a range of solutions to facilitate the delivery of guideline-directed care for heart failure patients.

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Combining training in knowledge translation with quality improvement reduced 30‐day heart failure readmissions in a community hospital: a case study

Abstract: Training of a multidisciplinary hospital team in use of a knowledge translation model, combined with ongoing facilitation, led to implementation of a budget neutral programme that decreased HF readmissions.

Cited by 14 publications

References 47 publications

Emergency Nurses’ Perceived Confidence in Participating in the Discharge Process of Congestive Heart Failure Patients From the Emergency Department: A Quantitative Study

Emergency Nurses’ Perceived Confidence in Participating in the Discharge Process of Congestive Heart Failure Patients From the Emergency Department: A Quantitative Study

Methods of Capturing Process Outcomes in Quality Improvement Trials: A Systematic Review

Knowledge Translation in Heart Failure

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