Date of Graduation
5-2019
Document Type
Capstone
Keywords
Diabetes; Inpatient education; Nursing education; Readmissions
Degree Name
Doctor of Nursing Practice (DNP)
Degree Level
Graduate
Advisor/Mentor
Stewart, Angela R.
Abstract
Diabetes is a complex chronic disease currently affecting almost 25 million people in the United States (Ostling et al., 2017; Saccomano, 2014). The prevalence of diabetes is increasing yearly. Diabetes is a common comorbidity associated with hospitalizations and 30-day inpatient readmissions (Ostling et al., 2017; Chang, Kirby, Phelps, Rhee, Meneghine & Gunasekaran, 2017). Some retrospective studies have shown that inpatient diabetes education can reduce the readmission rate by up to 34% in this population (Healy et al., 2013). The Chronic Care Model (CCM) exemplifies the need to move the education to a proactive and preventative approach for further admissions instead of maintaining a reactive acute care approach (Valentina et al., 2016). Patients need inpatient education, transition of care discharge plans, and follow-up after discharge for disease self-management. The aim of this project was to improve compliance during the transition of care from hospital to home for patients with uncontrolled DM through assessing patient education, providing individualized education on diabetes mellitus, making follow-up appointments after discharge, and contacting the patient by phone to assess understanding of discharge education. Knowledge of DM was measured by a pre-test and post-test on DM survival skills. Maximum score on these tests was 15 points. Scores increased significantly after education and discharge with an average score of 9.5 pre-education and an average score of 13.25 after education. Overall thirty-day all cause inpatient readmissions were 12.33% and total hospital visits for the emergency department and inpatient was 16.44%. This data was not previously measured at this facility and is lower than the national average of 15% to 20% (Ostling et al., 2017).
Citation
Miles, J. (2019). Inpatient Diabetes Education to Improve Disease Knowledge. The Eleanor Mann School of Nursing Capstone Projects. Retrieved from https://scholarworks.uark.edu/nursstudent/37
