Abstract

Discharge can be a difficult step for patients and their families and a challenging task for nurses. Poor instructions have a negative impact on the patient population. In addition, improper and incomplete discharge information negatively affects the posthospital recovery period and may cause the patient to return to the hospital for the same episode of care. Returning to the hospital emergency room or readmission for the same episode of care will increase the dangers to the patient’s health and recovery plan and increase the cost of individual healthcare. The patient population ranks the quality of discharge information via their responses to the HCAHPS (Hospital Consumer Assessment of Health Care Providers and Systems) score (Centers for Medicare & Medicaid Services, 2020). The CMS uses these scores to rank hospitals and guide reimbursement (McIlvennan et al., 2015). With the rise of the hospital-at-home model and a nurse shortage, more technical skills usually performed in hospitals and by home health nurses have been handed on to patients and their families/caregivers. Home infusion is a technical and essential mode of continued therapy taught to discharged patients. This study aims to find out whether staff nurses' confidence in teaching discharged home infusion patients (HIP) improved after a formal in-service training program on how to teach HIP patients to administer their intravenous medication at home. The study goal is to improve quality through educating and verifying the confidence of the staff nurses. Data were collected using a survey to confirm the assumption that the information impacted outcomes positively or negatively, or not at all. This study took approximately 10 weeks, from collecting evaluation data through the iii training and post-training data collection and analysis. Outcomes of the study were assessed using the Kirkpatrick method.

Provenance

Chino Hills Ca, USA

Project Sponsors

University Of New Mexico

Language

English

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

Level of Degree

Doctoral

Department Name

Curriculum & Instruction

First Committee Member

Dr. Meaghan Eiland, DNP

Keywords

Home Infusion, Discharge Teaching IV Patients

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