Publication Date
Spring 2024
Degree Type
Doctoral Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Lisa Walker-Vischer
Second Advisor
Tzielan Lee
Keywords
pediatric rheumatology, nurse-led telehealth discharge, continuity of care, access to care, ambulatory care nursing
Abstract
When pediatric rheumatology patients are discharged from a hospital, they are given a complex discharge plan which involves responsibilities in self-managing their care at home. This creates an overwhelming time for patients and families who may have questions or concerns during this time. In order to address this care gap and provide continuity of care, this quality improvement project implemented a nurse-led telehealth discharge visit intervention to 15 pediatric rheumatology patients during the transition from hospital discharge to outpatient care. This quality improvement (QI) project also aims to describe the patients’ perceptions of the nurse-led telehealth discharge intervention on continuity of care through the use of the Patient Continuity of Care Questionnaire (PCCQ) #1 – Hospital discharge and PCCQ #2 - Post nurse led telehealth visit survey at a large pediatric teaching hospital in Northern California.
A cross sectional, descriptive analysis of the quantitative data from the 14 participants who completed the PCCQ #1 – Hospital discharge survey and 13 participants who completed the PCCQ #2 – Post nurse led telehealth visit survey were performed. Content analysis of the qualitative data from the open-ended questions of both PCCQ #1 and PCCQ #2 were also performed. The results of this QI project showed that utilizing a nurse-led telehealth discharge visit to pediatric rheumatology patients within 30 days post hospital discharge had shown high patient satisfaction and provided continuity of care between the critical transition from hospital discharge to outpatient care. Emotional support, psychosocial support, knowledge support, care coordination support and patient safety such as avoidance of medication errors were provided to pediatric rheumatology patients through the utilization of the nurse-led telehealth discharge visit.
Recommended Citation
Ramirez, Adrienne, "The Perceptions of a Nurse-Led Telehealth Discharge Program on Continuity of Care for Pediatric Rheumatology Patients" (2024). Doctoral Projects. 175.
DOI: https://doi.org/10.31979/etd.wt6s-32tv
https://scholarworks.sjsu.edu/etd_doctoral/175
