Date of Award
Doctor of Nursing Practice (DNP)
Dr. Theresa Pape
Dr. Patricia McLaughlin
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.
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
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