ORCID
0009-0007-3047-9744
Date of Award
Spring 4-30-2023
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Kirk Hummer
First Committee Member
Dr. Chai Sribanditmongkol
Second Committee Member
Dr. Joy Shoemaker
Keywords
Emergency Medical Services, Congestive Heart Failure, Prehospital, Guidelines
Subject Categories
Medicine and Health Sciences
Abstract
Congestive Heart failure patients have the highest readmission rate within 30 days of discharge placing a significant burden on healthcare costs and quality of life for the patient and families. Community Emergency Medical Services are the first to respond to moderate to severe exacerbation of Congestive Heart Failure (CHF) patients’ calls. Involving Emergency Medical Services in a preventive approach rather than just responding to exacerbation calls has proven to be effective in pilot studies to prevent heart failure readmissions. The purpose of this Scholarly project was to develop evidence-based recommendations for community Emergency Medical Services’ involvement in the management of congestive heart failure patients to reduce the readmission rate. The John Hopkins Evidence-Based Practice Model (JHEBP) was utilized to fulfill the project aim. Utilizing the model following steps and goals were established 1) Review and analyze the evidence on the current practice of community Emergency Medical Services’ involvement and treatment of congestive heart failure patients. 2) Develop evidence-based recommendations to reduce CHF readmission in the prehospital setting, and 3) Develop a plan to monitor the effectiveness of recommendations. This project was significant because it helped to create evidence-based recommendations for the reduction of CHF readmission in prehospital settings. Although the recommendations could not be implemented due to the limited time frame of the academic timeline, this study can be considered as a starting point for further implementation and study purposes.
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Neupane, Ayushma, "Analysis of current practices in prehospital congestive heart failure care and protocol development to prevent readmission." (2023). Doctor of Nursing Practice Scholarly Projects. 90.
https://digitalcommons.otterbein.edu/stu_doc/90
Poster