NURS 8100 Advocating Through Policy

NURS 8100 Advocating Through Policy

NURS 8100 Advocating Through Policy

Nurse-Led Discharge planning to Reduce Readmissions

The nurse-led discharge planning is a process that can benefit from advocacy in healthcare settings. The process support the reduction of readmission policy and comprises of different interventions (Qui et al, 2021). Key among them include having daily rounds to identity those to be discharged next and any potential difficulties that they may have, provision of written instruction on discharge and providing pre-scheduled follow up visits to the outpatient unit and the physicians in-charge (Chaka et al., 2019). The process also entails involvement of patients and caregivers in planning and decision-making that comprise of patient education and a better understanding of the discharge process.

Stakeholders

The stakeholders in this process include the patients and their families or caregivers, nurses, physicians and pharmacists. The case manager, the nutritionists and even the healthcare organization and its management are also critical stakeholders in this process. Through them, it is possible to advocate for changes in policy processes to improve the Readmission Reduction policy’s outcomes.

Nurse-Led Discharge Process

The multidisciplinary team will comprise of different professionals with well-documented roles and responsibilities.

NURS 8100 Advocating Through Policy
NURS 8100 Advocating Through Policy

The team will conduct discharge planning with the patient and family through educating them using layman’s language (Vernon et al., 2019). For instance, the physician will discuss the management of the disease and prognosis while the nurse will offer education on medication and administration of medicines (Mabire et al., 2018). The pharmacist will review medications before discharge while the case manager will ensure that all home needs that the patient requires are available. The nutritionist or dietitian will discuss effective and appropriate food options for the patients.

The use of multidisciplinary approach in rounds on a constant basis improve the ability of the facility to address barriers to effective patient management. Secondly, it improves patient compliance to treatment upon discharge and reduces readmissions that are costly, especially when not done sufficiently. The process reduces the cost of care and improves clinical outcomes. The implication is that advocating for this process imprpvement allows the facility to attain the goals of its Readmission Reduction policy.

Conclusion

The use of multidisciplinary approach in rounds on a constant basis improve the ability of the facility to address barriers to effective patient management. Secondly, it improves patient compliance to treatment upon discharge and reduces readmissions that are costly, especially when not done sufficiently. The process reduces the cost of care and improves clinical outcomes. The implication is that advocating for this process imprpvement allows the facility to attain the goals of its Readmission Reduction policy.

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References

Chaka, R., Karki, N., Ketlogetswe, K., & Ayala, T. (2019). Multidisciplinary

rounds in prevention of 30-day readmissions and decreasing length

of stay in heart failure patients: A community hospital based

retrospective study. 98(27). doi: 10.1097/MD.0000000000016233.

Mabire, C., Dwyer, A., Garnier, A., & Pellet, J. (2018). Meta-analysis of the

effectiveness of nursing discharge planning interventions for older

inpatients discharged home. Journal of Advanced Nursing 74(4),788–799.

Qiu, X., Lan, C., Li, J., Xiao, X., & Li, J. (2021). The effect of nurse-led

interventions on re-admission and mortality for congestive heart failure: A

meta-analysis. Medicine, 100(7). doi: 10.1097/MD.0000000000024599.

Vernon, D., Brown, J. E., Griffiths, E., Nevill, A. M., & Pinkney, M. (2019). Reducing

readmission rates through a discharge follow-up service. Future healthcare

  journal, 6(2), 114. doi: 10.7861/futurehosp.6-2-114