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• W63846501 abstract "The purpose of this capstone project was to better understand Registered Nurses’ knowledge level of commonly taught heart failure education topics. Heart failure is a large reason for hospital readmissions, and subsequently, a major contributor to rising health care costs. Research for this project was completed at a Regional Midwestern hospital using a questionnaire consisting of 20 knowledge questions. Registered nurses working on three separate units with high volumes of heart failure patients were invited to participate. Sixty-nine nurses responded to the survey and obtained an average score of 16.67 out of a possible 20, or 83%. Nurses work in a culture where information is at their fingertips; however, this score indicates a possible identified learning need. Meeting the learning needs of nurses will advance their teaching competence, ultimately improving outcomes for patients. NURSES’ KNOWLEDGE OF HEART FAILURE 1 Chapter 1 – Introduction Heart failure is a condition that affects roughly 5.7 million Americans annually and results in about 300,000 deaths each year according to the National Heart, Blood and Lung Institute (U.S. Department of Health and Human Services, 2010). Despite advances in medical technology, the number of patients with heart failure dying each year is steadily increasing (Hunt et al., 2009, p.6). In fact, hospitalization due to heart failure has been cited as a predictor of shortened survival in patients diagnosed with heart failure (Jessup et al., 2009, p. 27). After a patient with heart failure experiences a hospital admission, the rate of readmission for this patient is nearly 50% at the 6-month mark, with an estimated 25% to 35% incidence of death at the 12-month mark (Hunt et al., 2009, p. 48). Clearly these numbers indicate a need for medical and nursing staff to demonstrate the importance of providing the highest quality of care possible to ensure the best quality of life for these patients with heart failure. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and American Heart Association (AHA)/American College of Cardiology (ACC) have developed guidelines for the care of the patient with heart failure, which can be applied to the heart failure patient at both the inpatient and outpatient level. One particular guideline emphasized strongly by both the Joint Commission and the AHA/ACC is the process of providing heart failure education to patients prior to discharge from the hospital (Hunt et al., 2009). Most often, the primary provider of this information is the registered nurse (RN), who verbally reviews this information with the patient and family prior to discharge, as well as providing a written copy. Lack of adherence to these NURSES’ KNOWLEDGE OF HEART FAILURE 2 guidelines is often cited as a reason for hospital readmission of the heart failure patient; however, noncompliance has also been attributed to a lack of patient understanding of the provided information (Jessup et al., 2009, p. 21). For patients to be successful in their home management of heart failure, they need to be well-educated on various aspects of heart failure so that they may effectively manage their disease in their home environment. Additionally, for quality education to be provided to patients, it is integral that RNs teaching heart failure education also display competence in understanding these key teaching points. This chapter focuses on the importance of ensuring that nurses understand the guidance they impart to patients about their heart failure management, as well as exploring the overarching purpose of this research. The purpose of the research will be stated, as well as the corresponding questions that will be the focus of the research. Finally, some background on heart failure standards and education will be reviewed, as well as an overview of the major topics covered during the education process of the patient living with heart failure." @default.
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• W63846501 title "Nurses' Knowledge of Heart Failure Education Topics at a Regional Midwestern Hospital" @default.
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