Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Carolyn Sipes

Abstract

The time period after an acute myocardial infarction (AMI) can be overwhelming for patients; while glad to be discharged from the hospital, they may not have the knowledge nor resources to properly manage secondary prevention measures and treatment of residual coronary artery disease (CAD). The gap in nursing practice this project addressed is the lack of follow up of care leading to increased rates of readmission. The goal of this quality improvement (QI) initiative was to evaluate pre/post data and synthesize results to make recommendations for possible practice change whether a 30-day transition of care program could decrease readmission rates for patients with a recent AMI compared to prior standard of care. The readmission rates were compared pre- and post- implementations of an NP led AMI readmissions reduction program. De-identified data revealed an average of thirteen AMI readmission prior to the implementation of the AMI transition of care program, compared to an average of fifteen readmission post initiation of the QI project. Findings from the independent samples t-test showed p-value was greater than 0.05, the care program did not decrease readmissions rates, suggesting no effect on the readmission rates in patients with a recent AMI. However, the initial results of the AMI program may have been limited by the current coronavirus pandemic. Given the limited data set during this study, findings indicate further research is needed to fully evaluate the effectiveness of the AMI program. There is growing consensus regarding the need for social practice change to improve transition of care interventions to reduce preventable readmissions and improve quality of life among patients who have experience an AMI.

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