Date of Conferral
1-17-2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Jill Walsh
Abstract
This evaluation of the effectiveness of a quality improvement initiative project aimed to reduce ER readmissions and improve medication adherence among homeless individuals with schizophrenia by implementing an integrated care model. These individuals face substantial barriers to healthcare, including housing instability and limited access to resources, leading to frequent ER visits that strain healthcare systems. Addressing this issue is essential for nursing practice to optimize resource use and improve patient outcomes. The project examined whether a coordinated approach integrating medical and social services could lower ER visits and enhance adherence to treatment. Statistical analyses showed that postimplementation medication adherence increased significantly from 72.97% to 81.46%, indicating the model’s effectiveness in supporting adherence among this high-risk population. ER readmission rates showed a slight, statistically insignificant decline from 58.82% to 57.14%, suggesting that additional interventions may be needed to achieve substantial reductions. The findings underscore the value of integrated care in enhancing medication adherence and managing complex needs in vulnerable populations. Recommendations include expanding integrated care models for similar groups and implementing additional strategies to reduce readmissions. This project highlights the role of nursing in addressing both medical and social determinants of health, promoting positive social change by advancing diversity, equity, and inclusion in healthcare for underserved populations.
Recommended Citation
Nnah, Chiamaka, "Executive Summary: Quality Improvement Initiative Reducing ER Readmissions Among Homeless Individuals with Schizophrenia Using Integrated Care" (2025). Walden Dissertations and Doctoral Studies. 16780.
https://scholarworks.waldenu.edu/dissertations/16780
