A Health Literacy Algorithm Impact on Readmissions and Patient Satisfaction
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The purpose of this quality improvement (QI) project was to explore the relationship between health literacy levels and readmission rates and patient satisfaction scores. The medical-surgical unit in the studied community hospital had higher-than-expected readmission rates for patients with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) and decreased scores for patient satisfaction with nurse communications. In patients with (P) CHF and COPD admitted to the fifth-floor medical-surgical unit, does a (I) two-tiered health literacy algorithm used by nurses decrease CHF and COPD readmission rates by 5% and improve patient communication scores by 5% compared (C) with current patient education methods in a (O) 10-week period? During the project, the Short Assessment of Health Literacy-English (SAHL-E) was used at the bedside with patients meeting the inclusion criteria. This project took place over a 10-week implementation period that allowed for a 4-week follow-up on 30-day readmission rates and patient satisfactions scores. The QI project increased organizational awareness of the low level of health literacy for patients served in the medical-surgical unit. The nurses on the floor displayed improved communication strategies based on the results of the patients’ health literacy assessment. This was demonstrated by the improved patient satisfaction scores related to nurse communications following project implementation. This project succeeded in accumulating new knowledge on health literacy data and providing a correlation between low literacy levels and the readmission risk. However, the nurse intervention failed to achieve the expected outcome owing to lack of compliance with the health literacy algorithm and utilization of resources. The lack of nurse participation and compliance with the project algorithm may have contributed to an increase in 30-day readmission rates for the floor. Keywords: health literacy, patient education, readmission rates, patient satisfaction scores
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | Pilot/Exploratory Study |
Keywords | Readmission Rates; Patient Satisfaction Scores |
CINAHL Subject(s) | Health Literacy; Patient Education; Readmission--Statistics and Numerical Data; Patient Satisfaction--Evaluation; Nursing Interventions; Patient Satisfaction; Readmission |
Grantor | Capella University |
Advisor | Peraza-Smith, George; Vanriel, Yolanda; Harris, Anita |
Level | DNP |
Year | 2019 |
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