Date

4-17-2024

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Kristene Diggins

Keywords

Bariatric, Fast-Track, Rural community, Surgery

Disciplines

Medical Sciences | Nursing

Abstract

The delivery of health care for postoperative bariatric patients remains a challenge in rural settings, often leading to varied patient outcomes and inefficient resource allocation. This study aims to develop and implement a strategic model of care for postoperative bariatric patients at Castleview Hospital in Rural Utah. Grounded in the Iowa Model of Evidence-Based Practice, this initiative focuses on creating a cohesive and comprehensive postoperative care pathway, tailored to the unique patient demographics and facility constraints of a 39-bed hospital serving 35-45 bariatric patients annually. Methodology includes ethical considerations, secured through CITI training and pending IRB approval, robust data collection protocols, and clinically measurable outcomes. The model leverages a multidisciplinary team involving approximately 25 nurses and encompassing evaluation metrics like patient satisfaction, complication rates, and hospital readmission rates. Preliminary data points towards the effectiveness and scalability of the model, proposing an enhancement in the quality of patient care and hospital resource management. This strategic plan serves as a catalyst for improving bariatric postoperative care in rural healthcare settings, offering valuable insights for policy changes and nursing practice.

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