DOI

10.21007/con.dnp.2025.0109

Faculty Advisor

Michelle Rickard, DNP, CPNP-AC, CHPPN

Document Type

Poster

Publication Date

Spring 4-28-2025

Disciplines

Health and Medical Administration | Investigative Techniques | Medicine and Health Sciences | Nursing | Nursing Administration | Pediatric Nursing | Pediatrics | Quality Improvement

Abstract

Abstract Assignment

Purpose/Background

Children with multiple chronic health conditions account for a significant portion of hospital readmission and healthcare expenses. A scoping review was completed to analyze and summarize the available research regarding the effectiveness of discharge education on readmission rates and associated outcomes in children with chronic conditions. The following PICOT question was created: In pediatric patients with chronic disease, how does a discharge education bundle compared to no discharge education bundle affect readmission rates within 30 days of discharge?

Methods

A systematic approach was utilized for analysis to determine article eligibility. The initial search yielded 30 articles; however, through critical appraisal 10 articles met specified criteria. The types of available evidence were mainly a mix of meta-analyses, systematic reviews, and quality improvement projects. These articles are depicted in the synthesis table to visualize data points of interest including 30-day readmission rates, impacts on healthcare utilization and costs, and the effectiveness of discharge bundle components in reducing readmission rates. Data points of interest were analyzed to evaluate the impact of discharge education practices (discharge education bundle vs no bundle) on 30-day readmission rates in pediatric patients with one or more chronic diseases.

Results

100% of the literature analyzed demonstrated the benefits of a discharge education bundle, whether through verbal or written education or specific elements of the discharge bundle, on readmission rates. Specifically, studies explicitly found decreased healthcare costs (90%), decreased readmission rates (80%), increased patient satisfaction (60%), and reduced healthcare utilization (30%) associated with proper discharge education.

Implications for Nursing Practice

The findings that a discharge education bundle reduces 30-day readmission rates, healthcare utilization, and costs indicate the need for the implementation of core discharge education bundles with specific methods for common chronic pediatric diagnoses. In the future, these results should be used to study the efficacy of the various discharge education methods and protocols to identify the most effective teaching strategies for optimal patient education. Focusing additional research on more specific data will help identify evidence-based education methods to continue improving discharge education bundles and further reduce pediatric hospital readmissions of chronic pediatric patients within 30 days of discharge

Comments

References

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