Doctor of Nursing Practice
Abstract
Impact of Nurse Education Program on 30-Day Readmissions among Ischemic Stroke Patients
by
Mariana Tsucuneli
MS, Walden University, 2018
BS, Davenport University, 2014
Mariana Tsucuneli
Proposal Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University
May 2020
Abstract
Unplanned 30-day readmissions among patients diagnosed with Ischemic stroke (IS) is a major public health problem in the United States (US). The Affordable Healthcare Act introduced financial penalties and incentives for facilities to encourage care plans aimed to reducing 30-day readmissions rates for stroke and other five illnesses. Facilities with high rates of 30-day readmissions for IS patients, are therefore penalized by the centers for Medicare and Medicaid services in addition to receiving poor scores on the quality of care they provide. The proposed project will be a staff education program aimed to improve post-acute stroke transitional care to reduce 30-day readmission rates. The project will be guided by the question; among nurses caring for IS patients, does an educational program focused on active engagement and caring for patients compared to standard practice, reduce the 30-day readmission rates? The design of the educational intervention, its implementation, and evaluation will be guided by the competency, outcomes, and performance assessment (COPA) model focused on the integration of interactive learning, practice-based outcomes, and competency assessment.
Keywords: 30-day readmissions, care bundle, ischemic stroke, educational program.
Impact of a Nurse Education Program on 30-Day Readmissions among Ischemic Stroke Patients
by
Mariana Tsucuneli
MS, Walden University, 2018
BS, Davenport University, 2014
Project Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University
May 2020
Table of Contents
1Section 1: Nature of the Project
1Introduction
2Problem Statement
3Purpose
4Nature of the Doctoral Project
6Significance
7Summary
9Section 2: Background and Context
9Introduction
9Concepts, Model and Theories
9Model
11Theory
13Concepts
13Relevance to Nursing Practice
15Local Background and Context
17Role of the DNP Student
18Summary
19Section 3: Collection and Analysis of Evidence
19Introduction
19Practice-focused Question
20Sources of Evidence
22Nature of the Data
22Participants
