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Full-Text Articles in Nursing
Improved Education For Caregivers Of Hospice Heart Failure Patients To Reduce Hospital Admissions: An Integrative Review, Sierra Spain Sanford
Improved Education For Caregivers Of Hospice Heart Failure Patients To Reduce Hospital Admissions: An Integrative Review, Sierra Spain Sanford
Doctoral Dissertations and Projects
Heart disease is the second-leading cause of death in the United States, excluding the COVID-19 pandemic. Despite being the leading cause of death, heart failure only comprises 15% of hospice deaths and remains the most likely to be discharged from hospice services due to acute hospitalizations compared to all other hospice diagnoses. This leads to low patient and family satisfaction as well as high medical costs. This integrative review synthesizes current published evidence highlighting the need to improve caregiver education for symptom management of terminal heart failure patients in hospice. The literature supports that improved caregiver education can lead to …
Reduction Of Hospital Readmissions In Patients With A Diagnosis Of Copd: An Integrative Review, Guerline Norbrun
Reduction Of Hospital Readmissions In Patients With A Diagnosis Of Copd: An Integrative Review, Guerline Norbrun
Doctoral Dissertations and Projects
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease with potential to interfere with breathing ability. It is the third leading cause of 30-day readmission and death in the US, and the leading cause of mortality and morbidity worldwide. It constitutes a society burden and poor disease management leads to major health consequences such as acute COPD exacerbation resulting in frequent costly readmissions, add to its massive direct healthcare costs. Over $50 billion are spent annually in direct care alone in addition to $15 billion in hospital readmissions; with 12 million adults are being affected in the United States …
Implementation Of Post Forms Upon Hospice Admission: An Evidence-Based Practice Intervention To Reduce Hospice Revocations, Joanna Grace Asselin
Implementation Of Post Forms Upon Hospice Admission: An Evidence-Based Practice Intervention To Reduce Hospice Revocations, Joanna Grace Asselin
Doctoral Dissertations and Projects
Background and Purpose: Reduction of live hospice discharges in the form of revocations is necessitated in order to maintain regulatory compliance and meet quality measures. Upon admission to hospice services, many have not considered personal desire regarding further intervention beyond Do Not Resuscitate (DNR) status. Evidence-based practice has revealed Physician Order for Scope of Treatment (POST) forms as effective in enhancing translation of patient desires related to care and interventions at end-of-life. The clinical question of this scholarly project asked if implementation of POST forms upon admission to hospice services would result in decreased revocations with related emergency department (ED) …
Decreasing Psychiatric Readmissions In A Nonprofit Behavioral Health Hospital, John Schreiber
Decreasing Psychiatric Readmissions In A Nonprofit Behavioral Health Hospital, John Schreiber
Doctoral Dissertations and Projects
This scholarly project aimed to decrease adult readmission rates of psychiatric patients in a Nonprofit Behavioral Health Hospital (NBHH). The project aims to decrease the number of readmissions to an NBHH by 25% using specific interventions that have been revealed through a literature review of evidence-based practices (EBPs). A literature review revealed focused EBP interventions that could decrease readmissions. The PICOT question for this project was, "In adult mentally ill patients who are in an NBHH, what is the effect of focused interventions compared with usual care on readmission rates in 2 months?" Reducing the number of psychiatric readmissions is …
Perceived Knowledge And Perceptions Of Palliative Care Among Advanced Practice Cardiac Providers, Jordan Vance
Perceived Knowledge And Perceptions Of Palliative Care Among Advanced Practice Cardiac Providers, Jordan Vance
Doctoral Dissertations and Projects
Providers of healthcare have continued to focus on addressing patients’ chronic health outcomes. When understanding how to manage chronic disease, there remains many opportunities in facilitation of better management. With such a wide range of individuals who suffer with a chronic condition, better management to address this population is essential. Palliative care aids in accomplishing this task. It was seen that there was a lack of education in relation to palliative care, with perceptions that continued to be a barrier to the utilization of the service. Due to the lack in education, the strongest barrier to palliative care service utilization …