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Show Impact of Nurse-Led FollowUp Educational Phone Calls BACKGROUND Patients with chronic liver disease require health literacy to adhere to individualized treatment plans to reduce poor outcomes and worsening prognosis. This lack of adherence contributes to decreased nursing confidence, increased workload and disruption of workflow. • A lack of individualized treatment plans may improve patient outcomes.1 Kylee Kendell, BSN, RN, MSN Student JoAnn Tolman, DNP-L, MSN-Ed, RN, CNE KarLee Dayton, BSN, RN, MSN INTERVENTIONS • Step 1: Pre intervention survey of RN Coordinators • Step 2: RN Coordinators attend in-service to discuss need for follow-up education, telephone follow-up process and receive the guided checklist. • Step 3: RN Coordinators are introduced to the checklist and how to use it • Step 4: RN Coordinators apply the checklist to the workflow for 1 month • Step 5: Post intervention survey of the RN Coordinators conducted to identify if implementation of follow-up phone call has improvement in nursing confidence and job satisfaction. • There is a need for timely, nurse driven, follow-up education.2 • Poor health literacy negatively impacts patients’ ability to selfmanage their disease.3 IMPACTS • Improving workflow interventions reduces workload and improves job satisfaction and nursing confidence.4 METHODS • Lewin’s Theory of Change provides the framework • Pre- and Post-survey • Educational presentation: Guide to Nurse-Led Telephone Followup Education • Reference tool: Educational Follow-Up Phone Call Checklist REFERENCES • Increases health literacy and shared decision making, allowing patients to make informed decisions. 3 • Implementing secondary educational phone call provides opportunity to close knowledge gap and enhance health literacy.5 • Improves workflow contributing to job satisfaction, reduced turnover and increased nursing confidence.4 Educational Follow-Up Phone Call Checklist CONCLUSIONS Implementation of a secondary touchpoint in the form of telephone follow-up call can increase patient health literacy, therefore contributing to increased patient outcomes.5 1.Cleveland Clinic. (2023, October 4). Liver Disease https://my.clevelandclinic.org/health/diseases/17179-liver- disease 2 Brathwaite, B. M., Marino, M. A., & Bruckenthal, P. (2018). Nurse practitioner confidence and attitudes towards brief motivational interventions to improve compliance with health and wellness recommendations. Journal of Community & Public Health Nursing, 4 (212). https://doi.org/4172/2471-9846.1000212 3 Coughlin, S.S., Vernon, M., Hatzigeorgiou, C., & George, V. (2020). Healthy literacy, social determinants of health, and disease prevention and control. Journal of Environment and Health Sciences¸ 6(1). Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC7889072/ 4 Niskala, J., Kanste, O., Tomietto, M., Miettunen, J., Tuomikoski, A., Kyngas, H., & Mikkonen, K. (2020). Interventions to improve nurse' job satisfaction: A systematic review and meta-analysis. Journal of Advanced Nursing, 76(7). https://doi.org/10.1111/jan.14342 5Woods, C., Jones, R., O'Shea, E., Grist, E., Wiggers J., & Usher, K. (2019). Nurse-led postdischarge telephone follow-up calls: A mixed systematic review. Journal of Clinical Nursing, 28(19-20), https://doi.org/ 10.1111/jocn.14951 Implementing interventions to reduce workload and enhance nursing workflow improves nurse confidence and enhances job satisfaction leading to staff retention.4 |
