Abstract

Heart failure is a challenging disease process that presents a high risk of mortality, frequent hospitalizations, and an overwhelming economic burden to the health system. Patient self-care education has been shown to decrease unplanned hospitalizations, emergency room visits, hospitalized days, costs, and mortality rates. However, only 61% of adults with HF receive self-care education within a 12-month period. Under the framework of the Iowa Model for Evidence-Based Practice, the purpose of this project was to implement an electronic health record audit and written and verbal provider feedback intervention with the aim of improving provider delivery of heart failure self-care education to adults with heart failure with reduced ejection fraction. The objectives of this project were to: 1) Improve cardiology provider performance of heart failure self-care education delivery to adult patients with heart failure and 2) Cardiology providers will report satisfaction with the chart audit and performance feedback process. Data analysis revealed an improvement of provider delivery of heart failure self-care education in all heart failure self-care education elements. This project provided the opportunity to design, develop, and evaluate an evidence-based initiative aimed at improving health care quality. Furthermore, this project has provided a foundation for future clinical initiatives aimed at improving provider delivery of heart failure self-care education.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3718520; ProQuest document ID: 1708653623. The author still retains copyright.

Author Details

Dorothy L. Murphy, DNP, FNP-BC

Sigma Membership

Psi Delta

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Patient Self-care, Cardiac Patient Education, Patient Care Improvement

Advisor

Jennifer Mallow

Degree

DNP

Degree Grantor

West Virginia University

Degree Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-05-28

Full Text of Presentation

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