Diana-Lyn Baptiste1, Patricia Davidson1, Lisa Groff Paris2, Kathleen Becker3, Tye Magloire4, Laura A Taylor5. 1. a Department of Acute and Chronic Care , Johns Hopkins School of Nursing , 525 N. Wolf Street, Baltimore , MD 21205 , USA. 2. b Center for Nursing Excellence , Greater Baltimore Medical Center , 6701 N. Charles Street, Towson , MD 21204 , USA. 3. c Department of Community-Public Health , Johns Hopkins School of Nursing , 525 N. Wolf Street, Baltimore , MD 21205 , USA. 4. d Department of Sub-acute Rehabilitation , North West Hospital , 5401 Old Court Road, Randallstown , MD 21133 , USA. 5. e Daniel K. Inouye Graduate School of Nursing , Uniformed Services University of Health Sciences , 4301 Jones Bridge Road, Bethesda , MD 20814 , USA.
Abstract
AIMS/ OBJECTIVES: To assess the feasibility of a nurse-led heart failure (HF) education program using the Self-Care Heart Failure Index (SCHFI) instrument. BACKGROUND: HF is a frequent and burdensome condition requiring support with self-care management strategies and education. Translating best practice to health services is important in improving health outcomes. DESIGN: Longitudinal quasi-experimental design. METHODS: A convenience sample of (N = 41) patients with HF. We implemented a nurse-led education program with 30-day post-discharge home-based telephone follow-up. The SCHFI was used to measure self-care behaviors. 30-day readmission rates were assessed. RESULTS: A significant difference was found in scores for self-care maintenance (p ≤ .001) and self-care management (p ≤ .001) subscales, not self-care confidence. There was no statistically significant difference between 30-day HF readmission rates. CONCLUSIONS: Findings suggest that the nurse-led evidence-based HF education program improved self-care behaviors and decreased 30-day readmissions. There is a need for continued development of interventions focused on improving patient self-care confidence.
AIMS/ OBJECTIVES: To assess the feasibility of a nurse-led heart failure (HF) education program using the Self-Care Heart Failure Index (SCHFI) instrument. BACKGROUND: HF is a frequent and burdensome condition requiring support with self-care management strategies and education. Translating best practice to health services is important in improving health outcomes. DESIGN: Longitudinal quasi-experimental design. METHODS: A convenience sample of (N = 41) patients with HF. We implemented a nurse-led education program with 30-day post-discharge home-based telephone follow-up. The SCHFI was used to measure self-care behaviors. 30-day readmission rates were assessed. RESULTS: A significant difference was found in scores for self-care maintenance (p ≤ .001) and self-care management (p ≤ .001) subscales, not self-care confidence. There was no statistically significant difference between 30-day HF readmission rates. CONCLUSIONS: Findings suggest that the nurse-led evidence-based HF education program improved self-care behaviors and decreased 30-day readmissions. There is a need for continued development of interventions focused on improving patient self-care confidence.
Authors: Lindsey M Philpot; Bushra A Khokhar; Meredith A DeZutter; Conor G Loftus; Heidi I Stehr; Priya Ramar; Lukas P Madson; Jon O Ebbert Journal: Mayo Clin Proc Innov Qual Outcomes Date: 2019-09-24