A discharge protocol initiative to decrease hospital readmission following amputaton in adults with type 2 diabetes

Simple item page
dc.contributor.advisorZhao, Meng
dc.contributor.authorVasquez, Jennifer
dc.contributor.committeeMemberPark, Gloria
dc.contributor.committeeMemberGobert, Melissa
dc.contributor.committeeMemberWatson, Joshua
dc.date.accessioned2022-04-15T12:54:25Z
dc.date.available2022-04-15T12:54:25Z
dc.date.issued2021-08
dc.description.abstractIntroduction: In the United States, lower limb amputations are more common in patients, than in those without diabetes, and can result in infections and unplanned hospital readmissions, that cost the U.S. billions of dollars annually. However, very few hospitals focus on amputation discharge education to prevent such readmissions. The purpose of this quality improvement project is to improve the quality of diabetic amputee discharge education by implementing a Diabetes-Amputation Protocol, with the intent of reducing infection related hospital readmissions. Methods: A Quality Improvement (QI) project conducted in an acute care, nonprofit hospital. A one group, pre-and-post design was used to conduct this project. Inclusion criteria: Participants >21 years of age, with T2DM, with initial amputation received the Diabetes-Amputation Protocol. Paired sample t-tests were used to compare patient knowledge, pre-and-post education. Descriptive statistics were used to calculate monthly percentages of patients who were readmitted and received the protocol. Results: The total number of participants was 30, with a mean age of 59.7 years. Findings from the DWCK questionnaire scores showed a statistically significant positive change from pre-to-post knowledge scores, with t(29) and p <0.01. The readmission rate decreased significantly from 20% to 7%, and 100% of participants received the Diabetes-Amputation Protocol. Conclusion: Improved the discharge material and individualized discharge information based on patient needs can improve patient knowledge, increase independent self-care and reduce hospital readmissions.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent53 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/90433
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectamputationen_US
dc.subjectdiabetesen_US
dc.subjectdischarge educationen_US
dc.subjecthospital readmissionen_US
dc.subjectwounden_US
dc.titleA discharge protocol initiative to decrease hospital readmission following amputaton in adults with type 2 diabetesen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

Files

Original bundle

Now showing 1 - 1 of 1
Thumbnail Image
Name:
Vasquez_Jennifer_Dissertation.pdf
Size:
669.6 KB
Format:
Adobe Portable Document Format
Description:
Dissertation
Download

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Dissertations
Doctor of Nursing Practice Project Reports