Abstract W MP2: Daily Goals Poster Supports Effective Patient Education
Background: Patient education is a central component of any stroke program. Patients are educated on their stroke etiology, warning signs of stroke, activation of EMS, individualized stroke risk factors, medications prescribed at discharge and follow-up care. Patients are frightened and overwhelmed with the sudden change in their life leading to information overload. Education is further challenged due to the average LOS of 4 days during which patients are busy with tests, therapy and frequent nursing assessments.
Purpose: The purpose of this process improvement is to develop a tool to support and facilitate effective stroke education.
Methods: Stroke team members met to develop an interactive daily goals poster to address patient education and to serve as a communication tool between staff members, patients and families. This tool focused on the first four days, included all of the core measures and reflects documentation in the electronic medical record. The tool allows the staff to customize educational components to address patient-specific risk factors, is used as a teaching chart between the nurse and patient to track individual progress and remains with the patient from admission thru discharge. After discharge, the tool continues to serve as a reference for personal risk factors and prevention education.
Results: This poster served as a communication tool to educate the patient and families on daily expectations and prompted questions of their individual treatment plan. After the tool was implemented, the stroke education core measure compliance improved from 75% in June 2011 to 86% in June 2013. Additionally, there was a marked improvement in patient satisfaction rating of 74% (n=322) in June 2011 to 88% (n=976) in June 2013. Indirectly, the tool served as a guide for new staff and fostered continuity of care between units.
Conclusion: This tool proved to be an effective means to support and facilitate stroke patient and family education. Based on the new self- management standards implemented by The Joint Commission, this tool can easily be revised to successfully include an area to establish mutually agreed upon goals between patient and practitioners.
Author Disclosures: D.S. Motz: Consultant/Advisory Board; Modest; American Heart Association/American Stroke Association SouthWest Affiliate Stroke Advisory Committee. J.A. Sharp: None. T. Garcia: None. T. Moore: None. D. Huey: None. T. Austin: None.
- © 2014 by American Heart Association, Inc.