Dissertation/Thesis Abstract

Transitional care unit design and implementation
by Gorsuch, Penelope Franklin, D.N.P., Touro University Nevada, 2012, 65; 3528428
Abstract (Summary)

The purpose of this project was to design and implement a Transitional Care Unit (TCU) to meet the clinical needs of the inpatient population served at a Federal Medical Center. A plan was devised which defined, organized, and created a new TCU. This project measured the impact and outcomes of implementing the TCU (Berke & Ecklund, 2003; Stacey, 2011; McCabe & Kalpin, 2005 & Quintero, 2003). DiCenso, Guyatt & Ciliska (2005) provides a framework based on the Diffusion of Innovations theory, which applied to change the practice in a unit through the implementation of an evidence-based practice intervention. The design and implementation of the TCU was evaluated utilizing the framework designed by Centers for Disease Control and Prevention (CDC) “Framework for Program Evaluation in Public Health” (Milstein & Wetterhall, 2000). The transition to the TCU was smooth with admission guidelines found to meet the patient population’s needs and the nursing staff transitioned well to practicing in the TCU where their astute skills of surveillance were utilized (CDC, November 2, 1999). Analyze for hospital flow was conducted which measured the time it took for a patient to arrive to the inpatient unit after their ED admission order were written with no significant differences found McNemar from counts Chi Sq = 0.3667, p (a) = 0.5448 (Federal Medical Center, 2012 & Munro, 2005). The medication error rate was calculated post TCU implementation and was compared against the medication error rate prior to implementation with significant differences found with McNemar from counts Chi Sq = 12.5, p (a) = 0.00004 (Federal Medical Center, 2012 & Munro, 2005). Further research is recommended to validate the effectiveness of the utilizing the framework for adopting an evidence-based innovation in an organization (DiCenso, Guyatt, & Ciliska, 2005).

Indexing (document details)
Advisor: Fildes, Elizabeth
School: Touro University Nevada
School Location: United States -- Nevada
Source: DAI-B 74/01(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Inpatient population, Transitional care units
Publication Number: 3528428
ISBN: 978-1-267-60092-9
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