Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Valerie Griffin

Project Team Faculty Member

Debra Jenkins


certified nursing aid, heart failure, skilled nursing facility, nursing home, rehospitalization, readmission, heart failure knowledge, volume overload, daily weight, nursing education


Heart failure (HF) is one of the leading causes of hospitalization among patients over the age of 65 years. Many are transitioned to skilled nursing facilities (SNF) following hospital discharge. HF-specific SNF staff education was designed for early detection of changes and improved management of this patient population. Computer-based education modules and hands on skill demonstration stations were created to provide basic HF knowledge and specific guideline recommended care measures for the SNF environment. A pretest, post-test, and skill demonstration were implemented and included weight assessment, application of compression stockings, volume status monitoring, and low sodium diet recommendations. Pretest scores ranged from 4 to 10 (M = 7.8, SD 1.4) and post-test scores ranged from 6 to 10 (M = 8.9, SD 1.0). This demonstrated a significant improvement in knowledge (p < .000). This pilot study demonstrated that a sustainable staff education intervention will improve knowledge based on current guidelines and skill in the SNF environment. This is necessary for quality care delivery and decreased HF related rehospitalization. Further study is warranted that explores implementation of this educational program in other SNFs and assessment of long-range outcomes.

Download Full Text Above

Background Introduction_amcdann.docx (13 kB)

Problem Statement_amcdann.docx (12 kB)
Problem Statement

Clinical Relevance_amcdann.docx (12 kB)
Clinical Relevance

Literature Review_amcdann.docx (31 kB)
Literature Review

Conceptual Framework_amcdann.docx (15 kB)
Conceptual Framework

Project Methods_amcdann.docx (15 kB)
Project Methods

Evaluation Process_instruments_amcdann.docx (11 kB)
Evaluation Process

Final Reference List_amcdann.docx (25 kB)
Final Reference List



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.