Mattina Kimberly, Dabney Beverly W, Linton Mary
University of Michigan-Flint School of Nursing, Flint, MI.
University of Michigan-Flint School of Nursing, Flint, MI
J Dr Nurs Pract. 2021 Jan 19. doi: 10.1891/JDNP-D-19-00076.
Heart failure (HF) has become a national concern, with approximately 5.7 million adults in the United States suffering from this life-altering disease. Improved education of these patients prior to discharge helps patients manage their disease adequately and reduce symptom exacerbations.
This quality improvement initiative aimed to determine the effectiveness of an educational intervention in improving nurses' knowledge of HF discharge teaching and documentation of this education in patient charts.
This project was conducted at a Magnet-recognized acute care hospital with 39 critical care step-down beds. Twenty-nine nurses employed on the step-down unit participated in the educational intervention. Pre/post nurse knowledge and chart review data were analyzed.
There was a statistically significant increase in the percentage of patients receiving HF education from unit nurses from preintervention 77.0% ( = 81) to postintervention 96.4% ( = 138) ( < .001). There was also a statistically significant increase in the mean number of days patients were educated from 1.64 to 2.58 days ( < .001). Nurse knowledge also increased from pretest (69.7%) to posttest scores (100%) ( < .001).
Providing HF educational opportunities enhanced nurse knowledge and increased their documentation of HF education in patient charts.
Nurse educators may use the study results to improve nurse education and practices aimed at reducing HF readmissions.
心力衰竭（HF）已成为全国关注的问题，美国约有570万成年人患有这种改变生活的疾病。在出院前加强对这些患者的教育有助于患者充分管理疾病并减少症状加重。
这项质量改进计划旨在确定一项教育干预措施在提高护士对心力衰竭出院指导的知识以及在患者病历中记录该教育内容方面的有效性。
该项目在一家获得磁体认证的急性护理医院进行，该医院有39张重症监护病房降级病床。29名在降级病房工作的护士参与了教育干预。对干预前后护士的知识和病历审查数据进行了分析。
接受科室护士心力衰竭教育的患者比例从干预前的77.0%（n = 81）显著增加到干预后的96.4%（n = 138）（P <.001）。患者接受教育的平均天数也从1.64天显著增加到2.58天（P <.001）。护士的知识水平也从预测试（69.7%）提高到了后测试分数（100%）（P <.001）。
提供心力衰竭教育机会提高了护士的知识水平，并增加了他们在患者病历中对心力衰竭教育的记录。
护士教育者可以利用研究结果来改进护士教育和实践，以减少心力衰竭患者的再入院率。
