Document Type

Dissertation - Open Access

Award Date

2020

Degree Name

Doctor of Philosophy (PhD)

Department

Graduate Nursing

First Advisor

Heidi Mennenga

Keywords

Follow-up, Heart Failure, Nursing, RE-AIM Framework, Readmissions

Abstract

Follow-up care is essential when trying to avoid readmissions for patients who have recently been discharged from a healthcare facility. As evidenced by the literature, multiple strategies have been implemented to help manage the care of heart failure patients; however, readmissions continue to be higher than desired, which implies the current strategies utilized should be reviewed and revised. It is important to evaluate the effectiveness of methods when providing follow-up care that prevents readmissions and is also beneficial and convenient for the patient. The qualitative case study explored a heart failure follow-up protocol completed by a registered nurse using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) Framework. Two patients were followed to gain an understanding of their thoughts on the protocol and opportunities to enhance the protocol. This includes education on heart failure, medications, and signs and symptoms of exacerbations. The information gained from the follow-up phone calls and the patient satisfaction survey allowed the researcher to discover the benefits of the protocol, while investigating ways to improve the protocol.

Format

application/pdf

Number of Pages

90

Publisher

South Dakota State University

Rights

Copyright © 2020 Danielle M. Schievelbein

Included in

Nursing Commons

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