Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Sally Willis

Abstract

AbstractAdult homeless patient 30-day readmission is a concern for nursing healthcare leaders who still have problems in providing effective strategies for revisit reduction in various acute care settings across the United States. The purpose of this quantitative comparative study was to examine the association between nursing healthcare leadership strategies, 30-day homeless patient readmission rates, and hospital discharge rates at hospitals in California. The theoretical foundation for the research study was Pender’s health promotion model theory, which identifies preventative health measures and describes the critical function of nurses in helping patients to prevent illness by self-care and bold alternatives. Research questions focused on the relationship between nursing healthcare leadership strategies and 30-day readmissions of adult patients who suffered from substance abuse and mental health setbacks between 2013 and 2015. The most recent publicly available data was used from the database of California Health and Human Services. The Mann-Whitney U tests were used to determine whether there was a significant difference between the three variables. The findings indicated that homeless patients are more likely to be readmitted within 30 days in hospitals that do not practice patient placement programs and that homeless patients who suffer from substance abuse and mental health setbacks in California hospitals are more likely to be readmitted in 30 days in hospitals that do not practice postdischarge follow-up for routine medical and mental health visits. The study contributes to positive social change by enabling creative solutions and strategies that may positively impact the quality of the health services sector for the homeless community globally.

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