Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a group of diseases that causes difficulty in breathing and is a leading cause of hospital admission and 30-day readmissions. A COPD 30-day readmission is defined as any return visit to the hospital resulting in admission following a discharge for COPD exacerbation treatment within 30 days. The purpose of this project was to evaluate the impact of a post-discharge callback within 72 hours of discharge on medication adherence, attendance to post discharge follow up clinic visit, and 30-day readmissions in COPD patients. A secondary purpose was to explore reasons why patients who are discharged with a diagnosis of COPD exacerbation, did or did not adhere to their medications and keep their post-discharge follow up clinic visit during the 30-days following hospital discharge. A comparison group of 10 subjects who did not receive a 3-day post discharge callback. The intervention group, including 9 subjects who received a post discharge callback. Four of the 10 individuals in the comparison group experienced a 30-day readmission compared to the two of the 9 individuals in the intervention group experiencing a 30-day readmission (Chi Square 0.69, p<0.41). Of the patients experiencing a 30-day readmission, four of six had poor medication adherence less than 80%. A post discharge clinic visit did not appear to have significance on readmission and medication adherence (Chi Square = 0.15, p<0.26). Patients that were readmitted reported lower perceived severity, benefit, and self-efficacy. High perceived benefit and cue to action were the Health Belief Model core concepts in order to describe medication adherence. Patients that did attend a post discharge clinic visit reported high perceived benefit and cue to action. Patients that did not attend a post discharge clinic visit reported low perceived severity, low perceived benefit, low perceived susceptibility, and high barriers.

Author Details

Stephanie L. Staten MSN, FNP-C

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Post Discharge, Post Discharge Callback, COPD, Readmissions

Advisors

Topp, Robert||Mitchell, Kathleen||McFadden, Margaret

Degree

DNP

Degree Grantor

The University of Toledo

Degree Year

2021

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2021-07-30

Full Text of Presentation

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