Abstract NS 8: Aiming for Excellence: Targeting Stroke Patient Education
Background and Issues Patient education is a required component of hospitalization. Effective patient education in acute stroke care is a critical part of the patient experience because it greatly impacts the hospital and recovery phases. In order to effectively manage co-morbidities and positively impact modifiable risk factors, efficient patient education is required. Due to the detail and amount of education required for stroke patients, the education the nursing staff was providing was inconsistent. Therefore, a detailed education plan was developed in order to guide the nursing staff in providing detailed and comprehensive stroke education that aligned with the required components set forth by The Joint Commission.
Purpose A three-phase education pathway was developed in order to highlight the five required components of patient education. The pathway was developed to ensure comprehensive and consistent patient education was being provided. Critical elements were identified for each of the three phases and are considered to be required components of the education and treatment plan. These elements center on the stroke performance measures and clinical practice guidelines in order to ensure the provision of evidence-based stroke care.
Methods The education is initiated upon admission and is used throughout the hospital stay. During daily interdisciplinary rounds, the plan is reviewed and modifications are made as necessary. The bedside nurse oversees the completion of the education plan by obtaining updates from the interdisciplinary team each shift.
Results Since implementation of the tool in early 2008, we have seen great improvement with adherence to the required components of stroke education as well as with the stroke performance measures. Each of the stroke measures have remained above the national benchmark (Get With The Guidelines, 2011). In addition, stroke patient satisfaction specific to discharge preparation has increased annually since the inception of the pathway and currently our performance is in the 89th percentile nationally (Press-Ganey, 2011). Finally, re-admission rates for the TIA patient population have decreased from 8.26% to 5.5% (Aultman Hospital Annual Report, 2010). Re-admission rates for the ischemic stroke population have also decreased from 10.92% to 10.4%.
Conclusions Continued focus on the importance of comprehensive, patient-specific education is required in order to maintain the integrity of the stroke program. In addition, exemplary education during the acute hospital phase positively impacts readmission rates which in turn impacts financial stability. Opportunities for improvement in the area of preventing re-admissions were identified and were included in the 2011 performance improvement plan.
- © 2012 by American Heart Association, Inc.