The Advanced Practice Nurse Will See You Now: Impact of a Transitional Care Clinic on Hospital Readmissions in Stroke Survivors.

Abstract:

BACKGROUND:There is a paucity of evidence-based, posthospital stroke care in the United States proven to reduce preventable hospital readmissions. LOCAL PROBLEM:Follow-up with a provider after hospitalization for stroke or transient ischemic attack had low compliance rates. This may contribute to preventable readmissions. METHODS:A retrospective, descriptive chart review to determine whether an advanced practice registered nurse (APRN)-led transitional care clinic for stroke survivors impacted 30- and 90-day hospital readmissions. Readmissions between clinic patients and nonclinic patients were compared. INTERVENTIONS:The site implemented an APRN-led transitional care stroke clinic to improve patient transitions from hospital to home. RESULTS:The 30-day readmission proportion was significantly higher in nonclinic patients (n = 335) than in clinic patients (n = 68) (13.4% vs 1.5%, respectively; P = .003). The 90-day readmission proportion was numerically higher in nonclinic patients (12.8% vs 4.4%, respectively; P = .058). CONCLUSIONS:The results suggest the APRN-led clinic may impact 30-day hospital readmissions in stroke/transient ischemic attack survivors.

journal_name

J Nurs Care Qual

authors

McClain JV 4th,Chance EA

doi

10.1097/NCQ.0000000000000414

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

147-152

issue

2

eissn

1057-3631

issn

1550-5065

pii

00001786-202004000-00009

journal_volume

35

pub_type

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