Doctor of Nursing Practice (DNP) Projects

Access Control

Campus Access

Embargo Period

4-28-2020

Degree Program

Doctor of Nursing Practice

Degree Track

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Year Degree Awarded

2020

Month Degree Awarded

May

Keywords

education, training, clinicians, community mental health, psychiatric re-hospitalization, intervention

Advisor

Gabrielle Abelard, DNP

Abstract

Abstract

Background: The need for preventative means to reduce the high percentage of adult psychiatric readmission rates is striking. Increased cost of readmission for psychiatric higher level of care and the decline in the individuals’ ability to live in the community are clear indicators of this crisis.

Purpose: The aim of this quality improvement project was to present the current evidence around the READMIT clinical risk index to identify adults who may be at risk for early psychiatric readmission to community based behavioral health clinicians.

Methods: The project was designed using a quality improvement (QI) approach with the aim of enhancing nursing knowledge of clinicians through a presentation covering the use of the READMIT clinical risk index. Data collection included the analyzation of scores from a pre presentation and post presentation test; a Likelihood of Use survey and the percentage of clinicians who used the index during a two-month roll out period.

Results: Twenty-two behavioral health clinicians participated in the presentation on the READMIT index. The results of the pre and post-test analysis demonstrated the average learning gain was 87.50%, which exceeded the objective of 80%. Additionally, the majority (76.18%) of the behavioral health clinicians responded that they felt the clinical risk index is a valuable assessment tool. However, data retrieval demonstrated that none of the participants had used the READMIT clinical risk index during the roll out period.

Conclusion: The participants responded positively about the effectiveness of the risk index as evidenced by the responses on the Likelihood of Use survey. Further steps are needed to encourage the targeted use of the READMIT index in everyday practice.

Keywords: education, training, clinicians, community mental health, psychiatric re-hospitalization, intervention, guidelines, patient outcomes

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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