Veronica H Sullivan1, Mary M Hays, Susan Alexander. 1. Veronica H. Sullivan, DNP, MSN, RN, is a clinical assistant professor at The University of Alabama in Huntsville. Dr. Sullivan is an instructor in the BSN program. She has 15 years' experience as a nurse. Her prior experience includes medical-surgical, community health, geriatric, and psychiatric-mental health nursing. Mary M. Hays, DSN, MSN, RN, is associate professor emeritus at The University of Alabama in Huntsville, where her 17-year career included teaching pathophysiology and nursing administration. Dr. Hays' clinical experiences for more than 30 years include intensive cardiac care and step-down units and long-term care as director of nursing and administrative consultant. Susan Alexander, DNP, ANP-BC, ADM-BC, is an associate professor at the University of Alabama in Huntsville, working with graduate students in doctoral and master's programs since 2009. Her clinical areas of interest includes older adults with chronic diseases, specifically diabetes. Her prior experiences include acute, home-based, hospice, and palliative care.
Abstract
PURPOSE/ OBJECTIVES: The purpose of this program was to provide health coaching to patients with a primary or secondary diagnosis of Type 2 diabetes mellitus (T2DM) to increase self-management skills and reduce 30-day readmissions. PRIMARY PRACTICE SETTING: The setting was a 273-bed, acute care not-for-profit hospital in the southern region of the United States. FINDINGS/ CONCLUSIONS: Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program. The majority of patients reported accomplishment of goals with 16 out of 20 patients who did not require inpatient stay 30 days after discharge from the acute care facility. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: The T2DM piloted program can easily be modified to fit other chronic illness that require routine monitoring and complex regimens to remain healthy. Case managers have the opportunity to coach on the importance of lifestyle modification and self-management support for patients with chronic illness with follow-up interactive phone visits after hospital discharge. Motivation and confidence through coaching may increase self-efficacy and better management of self-care and reduce the burden of unplanned hospital readmissions.
PURPOSE/ OBJECTIVES: The purpose of this program was to provide health coaching to patients with a primary or secondary diagnosis of Type 2 diabetes mellitus (T2DM) to increase self-management skills and reduce 30-day readmissions. PRIMARY PRACTICE SETTING: The setting was a 273-bed, acute care not-for-profit hospital in the southern region of the United States. FINDINGS/ CONCLUSIONS: Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program. The majority of patients reported accomplishment of goals with 16 out of 20 patients who did not require inpatient stay 30 days after discharge from the acute care facility. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: The T2DM piloted program can easily be modified to fit other chronic illness that require routine monitoring and complex regimens to remain healthy. Case managers have the opportunity to coach on the importance of lifestyle modification and self-management support for patients with chronic illness with follow-up interactive phone visits after hospital discharge. Motivation and confidence through coaching may increase self-efficacy and better management of self-care and reduce the burden of unplanned hospital readmissions.
Authors: Kimberly R Azelton; Aidan P Crowley; Nicholas Vence; Karin Underwood; Gerald Morris; John Kelly; Matthew J Landry Journal: Front Digit Health Date: 2021-11-25