Date of Award

Spring 4-30-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. Kirk Hummer

First Committee Member

Dr. Chai Sribanditmongkol

Second Committee Member

Dr. Joy Shoemaker


Emergency Medical Services, Congestive Heart Failure, Prehospital, Guidelines

Subject Categories

Medicine and Health Sciences


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


Licensing Permission

Copyright, all rights reserved. Fair Use



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