Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.
Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.
DNP - University Access Only
Doctor of Nursing Practice (DNP)
This is a DNP project implemented in an assisted-living facility in the Midwest. The emphasis of the project is to utilize the Probability of Repeated Admission (Pra) instrument to identify assisted-living facility (ALF) residents at risk for hospitalization. The Pra score has been shown to be useful in identifying elders who are at risk for hospitalization. In addition to this, a tool called the Stop, Watch, and Tell tool was utilized for staff to report a concerning symptom in an ALF resident. The Stop, Watch, and Tell tool was adapted from the Stop and Watch tool within the INTERACT program. Review of the literature showed a decline in hospitalizations when the INTERACT program was utilized. Staff utilized the Stop, Watch, and Tell tool to report changes in a resident to nursing staff. Nursing staff had the opportunity to intervene early in an effort to avoid a decline in health status and need for hospitalization or emergency room care. Select portions of the INTERACT program were also used, but INTERACT as a whole was not implemented. The project did not achieve statistical significance in relationship to hospitalization rates. However, clinical significance was achieved. Staff of the assisted-living facility did formally report concerns they noted in ALF residents. Nursing staff followed up on the reported concerns and residents received care sooner or received care when they may have not otherwise received care.
Library of Congress Subject Headings
Older people -- Health risk assessment
Older people -- Care
Congregate housing -- Management
Life care communities -- Management
Includes bibliographical references (pages 51-55)
Number of Pages
South Dakota State University
In Copyright - Educational Use Permitted
Eden, Stacy, "Avoiding Hospitalization in Assisted-Living Facility Residents" (2016). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 34.