Implementation of an Advanced Practice Registered Nurse-Led Clinic to Improve Follow-up Care for Post-Ischemic Stroke Patients.
| dc.contributor.author | Mitchell, Erin | |
| dc.contributor.author | Reynolds, Staci S | |
| dc.contributor.author | Mower-Wade, Donna | |
| dc.contributor.author | Raser-Schramm, Jonathan | |
| dc.contributor.author | Granger, Bradi B | |
| dc.date.accessioned | 2022-09-29T14:45:06Z | |
| dc.date.available | 2022-09-29T14:45:06Z | |
| dc.date.issued | 2022-10 | |
| dc.date.updated | 2022-09-29T14:45:05Z | |
| dc.description.abstract | AbstractBACKGROUND: Ischemic stroke continues to be a leading cause of serious disability within the United States, affecting 795 000 people annually. Approximately 12% to 21% of post-ischemic stroke patients will be readmitted to the hospital within 30 days of discharge. Studies suggest that implementation of a follow-up appointment within 7 to 14 days of discharge improves 30-day readmission rates; however, implementation of these guidelines is uncommon, and follow-up visits within the recommended window are not often achieved. The purpose of this project was to evaluate the impact of an advanced practice registered nurse (APRN)-led stroke clinic on follow-up care for post-ischemic stroke patients. The aims were to improve time to follow-up visit and reduce 30-day unplanned readmissions. METHODS: A pre/post intervention design was used to evaluate the impact of a process to access the APRN-led stroke clinic. The intervention included a scheduling process redesign, and subsequent APRN and scheduler education. RESULTS: The time to clinic follow-up preintervention averaged 116.9 days, which significantly reduced to 33.6 days post intervention, P = .0001. Unplanned readmissions within 30 days declined from 11.5% to 9.9%; however, it was not statistically significant, P = .149. Age was not statistically different between preintervention and postintervention groups, P = .092, and other demographics were similar between the groups. CONCLUSION: An APRN-led clinic can improve follow-up care and may reduce unplanned 30-day readmissions for post-ischemic stroke patients. Further work is needed to determine the impact of alternative approaches such as telehealth. | |
| dc.identifier | 01376517-990000000-00018 | |
| dc.identifier.issn | 0888-0395 | |
| dc.identifier.issn | 1945-2810 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Ovid Technologies (Wolters Kluwer Health) | |
| dc.relation.ispartof | The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses | |
| dc.relation.isversionof | 10.1097/jnn.0000000000000670 | |
| dc.subject | Humans | |
| dc.subject | Aftercare | |
| dc.subject | Patient Discharge | |
| dc.subject | Patient Readmission | |
| dc.subject | United States | |
| dc.subject | Advanced Practice Nursing | |
| dc.subject | Practice Patterns, Nurses' | |
| dc.subject | Ischemic Stroke | |
| dc.title | Implementation of an Advanced Practice Registered Nurse-Led Clinic to Improve Follow-up Care for Post-Ischemic Stroke Patients. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Reynolds, Staci S|0000-0002-0366-1328 | |
| duke.contributor.orcid | Granger, Bradi B|0000-0003-0828-6851 | |
| pubs.begin-page | 193 | |
| pubs.end-page | 198 | |
| pubs.issue | 5 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Nursing | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Duke - Margolis Center for Health Policy | |
| pubs.publication-status | Published online | |
| pubs.volume | 54 |
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