Date of Graduation

Winter 12-15-2023

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. Mohamad El Najm


The purpose of this quality improvement project was to use evidence-based practices to determine if personalized education on disease self-management would lead to improved treatment adherence in a residential facility. The target population consisted of four elderly female patients who had been diagnosed with congestive heart failure (CHF) and were struggling with the self-management of their disease. Contributing barriers to effective CHF self-management were determined using a root cause analysis, and included a lack of educational templates, declining cognitive ability of the residents, and no electronic health record (EHR). Using the Self-Determination theory, the interventions were implemented. Phase one was focused on the educational materials. During this phase the team developed individualized teaching handout templates and disease management tri-fold brochures, which were submitted to the director of nursing (DON) for approval. Phase two was the cognitive assessment where the team used the Medi-Cog assessment tool and reported all residents who scored below eight to the DON. The final phase was the educational program. In this phase, the team assessed the residents' learning needs, prepared the individualized teaching handouts, conducted a 1:1 educational session with each resident, and presented each with a post-education oral test. The outcome for phase one was the approval of the educational templates. The outcome for phase two was the completion of all patient assessments. Lastly, the outcome for phase three was the completion of individualized educational sessions for each of the residents. The educational materials were made into blank templates which can be modified to address any future educational need on any disease process, making it a sustainable intervention for the residential facility.