Date

7-2020

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Folashade Odedina

Keywords

Readmissions, Rehospitalizations, Psychiatric, Mental Health, Influences of Readmissions, Previous Hospitalizations.

Disciplines

Nursing | Psychiatric and Mental Health Nursing | Psychiatry and Psychology

Abstract

This scholarly project aimed to decrease adult readmission rates of psychiatric patients in a Nonprofit Behavioral Health Hospital (NBHH). The project aims to decrease the number of readmissions to an NBHH by 25% using specific interventions that have been revealed through a literature review of evidence-based practices (EBPs). A literature review revealed focused EBP interventions that could decrease readmissions. The PICOT question for this project was, "In adult mentally ill patients who are in an NBHH, what is the effect of focused interventions compared with usual care on readmission rates in 2 months?" Reducing the number of psychiatric readmissions is a high priority in terms of health service efficiency and improving service user outcomes since the rate of psychiatric admissions is strongly correlated with inadequate care. The evidence-based literature review found that many focused interventions could decrease readmission rates. Some interventions were unachievable in the United States due to being cost prohibited or due to the United States' psychiatric system differing from that in numerous socialized or one payer systems of other countries. A scholarly EBP change project was done utilizing the Iowa Model to employ focused interventions to decrease readmissions. Pre-intervention data was collected for six months from August 2019 until March 2020. Post-intervention data were collected for two months, from April to May 2020. Comparison of data from pre- and post-intervention using Intellectus software indicated that there was no decrease in readmissions in adult psychiatric patients resulting from the focused interventions at the NBHH.

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