IRB Number

Pro2024000581

Date of Award

Summer 7-24-2024

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Theresa Pape

Second Advisor

Shazam Bacchus

Abstract

Practice Problem: In a high-volume clinic without current follow up practices post visit, a telephone follow-up (TFU) intervention was implemented within three days of patient outpatient appointments.

PICOT: The PICOT question that guided this project was: In adult patients in a high-volume clinic (P), does the implementation of telephone follow-up calls by nurses (I) compared to current practices (C) improve patient compliance and post-office follow-up visits (O) over 10-weeks (T)?

Evidence: The literature provided recommendations and evidence that supported the effectiveness of following up with patients within three days of leaving the healthcare clinic. TFU’s are a cost-effective intervention that provides opportunities for patient education, improvements in patient compliance and reduction of adverse events.

Intervention: Nurses utilized a TFU checklist where they assessed patient compliance and awareness with individualized care plan, required lab work, medication, diet and exercise regimen prior to their follow up visit.

Outcome: The Fisher’s exact test was not significant based at an alpha value of .05, OR = 0.00, p = 1.00. However, clinical significance was found because of the increase in patients attending follow-up clinic visits.

Conclusion: The implementation of TFU within three days of patient outpatient visit resulted in 83% of patient’s verbalizing awareness of their individual care plan and 88% of patients attending their follow up visit.

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

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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