Date of Graduation

Fall 12-17-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Dr. Nneka Chukwu


The term congestive heart failure (CHF) is a chronic condition that occurs in a person when the heart stops doing its normal activity of pumping blood to the rest of the body for the body. Heart failure normally occurs when the heart can no longer pump (systolic) or fills (diastolic) pressure adequately to the body. Because heart failure is one of the leading causes of death in the United States this project was conducted on one of the Northern California San Francisco Bay- Area hospitals to assess patients understanding and knowledge on the presenting signs and symptoms of heart failure and what to do in an event of an emergency. Heart failure can be caused by many factors including genetics and others like coronary artery disease also known as atherosclerosis or hardening of the arteries, heart attack (HF-rEF when it gets bigger, or HF-PEF when the heart is stiff), cardiomyopathy, heart defects present at birth, diabetes, high blood pressure, high cholesterols, arrhythmia, kidney diseases, obesity, and medications. When these life abnormalities happen, the burdening can be devastating and costly to all parties involved. Therefore, providing early effective individualized discharge education can help in reducing readmission rates and greater patient care outcomes ratio. This quality improvement project incorporated qualitative interviews, an anonymous survey, and database analysis to examine the rates of early individualized effective discharge patients’ education. The project concluded with a recommendation for the facility to embark on effective, continuous, and timely patients discharge teaching and making sure that the heart failure video is played by nurses for patients and there should be a way of enforcing compliance on the part of the nurses in making sure the video is the play of during hospitalization before discharge. “A Just Culture” for nurses.

Included in

Nursing Commons