IRB Number
HP-00105300
Date of Award
Summer 7-20-2023
Document Type
Scholarly Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Dr. Theresa Pape
Second Advisor
Dr. Patricia McLaughlin
Abstract
Practice Problem: Patients who have had endovascular aortic repair (EVAR) require lifelong monitoring and imaging surveillance due to the increased risk of developing serious complications. Despite specific EVAR follow-up and guideline recommendations, patient adherence remains poor.
PICOT: In adult patients who have undergone endovascular aortic repair (P), does the use of a designated follow-up plan(I), compared to the current routine follow-up care (C), increase annual adherence of patients to the recommended post-surgical surveillance (O) over 10 weeks (T)?
Evidence: The literature supported the need to improve lifelong surveillance for EVAR patients, noting a positive correlation between improved patient adherence and using defined follow-up processes. Thirteen articles met the inclusion criteria and were used in the literature review.
Intervention: The intervention for this project included a plan for improving EVAR patient follow-up surveillance and imaging. Data collection included the use of a tracking tool for monitoring patient surveillance, documenting patient calls 30 days prior to due dates for annual surveillance, and mailing letters to those who were non-adherent or lost to follow-up.
Outcomes: Post-implementation data revealed no increase in EVAR patient annual surveillance and follow-up, though clinically significant results were noted through the reconnection of six patients to necessary care.
Conclusion: Though the implementation of a designated EVAR follow-up plan did not result in statistically significant findings, clinically significant outcomes resulted through the reconnection of patients to necessary care and surveillance. These clinically significant outcomes validate using a designated follow-up plan in practice.
Recommended Citation
Basta, S. (2023). Implementing a Designated Follow-up Plan to Increase Patient Adherence to Surveillance Recommendations After Endovascular Aortic Repair. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.VHRB3629
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Included in
Cardiovascular Diseases Commons, Health and Medical Administration Commons, Nursing Administration Commons, Surgical Procedures, Operative Commons
Comments
Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice