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Certified Nurse Leader (CNL) Capstone Project

  • 1.
  • 2. PDQ data offers: 1) timely statistical information as opposed to dated information; 2) larger pool size; 3) immediate response to emergent issues; 4) improved client provider relationship; 5) patient's recollection of events.
  • 3. Recommend further study of the PDQ’s usefulness in data gathering
  • 4. PDQ has a greater sample population than Press Ganey and HCAHPS, which increases the likelihood of accurately representing a patient’s discharge satisfaction.
  • 5.
  • 6. Process – starts with treatment phase; ends with evaluation phase of “microsystem assessment.
  • 7. Anticipates improved satisfaction scores by 10 percent; better understanding and use of discharge patient packet as evidenced by the patient questionnaire.
  • 8.
  • 9. 101 of the 115 Patient Discharge Questionnaires (PDQs) deemed eligible (improperly completed) gave a sample population of 41.7%.
  • 10. HCAHPS survey returns for month of June 2011: 0.83%
  • 11. Press Ganey survey returns for month of June 2011: 21.5%
  • 12. The Ordinal Scale -- 100% respondents strongly satisfied with P7's post-discharge medication regimens. Scored above 90th percentile in patients satisfaction re: preparedness for discharge, self- and at-home care instructions, and overall discharge process. Below 80th percentile re: satisfaction with info in discharge packet.
  • 13. The Patient Quiz -- Scored above 90th percentile re: diagnosis and purpose of treatment. Scored below 80th percentile recalling tests performed and results.
  • 14. Comments -- 83% positive re: thorough information, quality of care, and self-care teaching; 6% too much discharge info; 9% lack of communication and fragmented care; 4% dissatisfied with amenities.
  • 15. Mean score -- overall satisfaction 85.7%.
  • 16. Press Ganey Mean Trends – increased 0.6% in June 2011.
  • 17. HCAPS – increase by 25% for patient satisfaction in June 2011.
  • 18.
  • 20. Overall patient satisfaction with care received
  • 21. Satisfaction with the discharge process
  • 22. Questionnaire consisted of three components:
  • 23. The Ordinal Scale – questions measure patient satisfaction re: discharge process. Strongly agree to strongly disagree.
  • 24. Patient Quiz – patients recall health care information given (or omitted) by health care team
  • 26. Administration of PDQ conducted by: 1) CNL student; 2) newly employed RN; or 3) RN not associated with patient. RN’s notify the student of discharge time and numbers.
  • 27.
  • 28. Test results, medications, treatment, post-test and follow-up care,
  • 29. Poor organization results in patient anxiety and confusion
  • 30. Leads to adverse perception of discharge process.Insufficient data collected re: these experiences. Sample sizes are underrepresented2-8.