Date of Graduation

Summer 8-12-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

Kaiser cohort MSN capstone

First Advisor

David Ainsworth

Second Advisor

Susan Spencer

Abstract

Abstract

Problem: In home healthcare services, care experience scores are increasingly the strategy for evaluating the continuity of care to patients who require post-hospital follow up and guidance on medication management. Clinician understanding of how to use the available medication education tools impacts how well patients are able to manage their own care.

Context: The organization’s Home Health clinicians have not done well providing medication education on side effects as evidenced by low survey scores. The focus of the project is improving the medication education provided to patients and documentation thereof. The project takes place in a home health microsystem that serves 370 homebound patients.

Intervention: Clinicians were re-educated on the My Medication Matters teach back tool to improve care practice and standardize documentation of medication side effect education.

Measures: The outcome measure is the percentage of Yes answers to the survey question on medication side effects education completed by Home Health patients. To establish the baseline, the data was collected from October 2020 through September 2021. Rolling mean data was collected over the course of the intervention from January 2022 through April 2022.

Results: The baseline survey score for medication side effects was 68%. After three months of interventions, the score was 75.7%, an increase of 11.32%. In the fourth month the rolling mean decreased to 73.3%, a 7.8% increase over baseline.

Conclusion: Consistent medication side effects instruction and documentation using the My Medication Matters tool raised the survey scores on medication side effects education over the four-month intervention. Clinicians trained in patient education on medication side effects are well positioned to encourage home health patients to be part of the care team and support better health outcomes.

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