Date

Fall 2023

Document Type

Scholarly Project

Department

College of Nursing

First Advisor

Jacqueline Haverkamp

Abstract

Problems Statement: Current incarcerated patient policy prohibits communicating discharge information to the patient on day of discharge to mitigate elopement risk. Purpose: The purpose of this DNP project is to improve hospital quality metric 30-day readmission rates in the incarcerated patient population by implementing a trial period of discharge teaching the day of discharge. Method: Implementation of discharge teaching utilizing the Krames patient education standardized discharge teaching tool integrated within the health system’s electronic health record. Analysis: The project’s initial plan to use the Pearson correlation coefficient to evaluate relationship between 30-day readmission rates and standardized discharge teaching on the day of discharge demonstrates a weak (positive) linear correlation. However, the Chi-square test of independence indicates a statistically significant relationship between 30-day readmission rates and standardized discharge teaching on the day of discharge in the incarcerated patient population. Implications for practice: The lack of discharge teaching the day of discharge can result in patients returning to prison being unable to communicate post-discharge expectations, thereby increasing risk of hospital readmission.

Rights

© 2023, Natasha P Walker

Available for download on Wednesday, December 31, 2025

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