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A Clinical Pathway for Congestive Heart Failure

Hoskins, Lois M. PhD, RN, FAAN; Clark, Helene M. PhD, RN; Schroeder, Mary Ann DNSc, RNCS; Walton-Moss, Benita DNS, RNCS, FNP; Thiel, Sr.Linda DNSc, RNCS, FNP

Home Healthcare Nurse:
Management Matters
Abstract

Part II of a study that compared two groups of elderly home health patients with congestive heart failure (CHF) is presented. One group’s plan of care was guided by a clinical pathway while the other group’s was not. As described in the first part of the study (published last month), the rehospitalization rate in the group not on the clinical pathway was 22.9% versus 12.5% in the clinical pathway group, a 45% reduction. In this article the pathway is presented, intermediate patient outcomes are described, and selected variables are analyzed for their impact on rehospitalization.

Author Information

Lois M. Hoskins, PhD, RN, FAAN, is Professor Emerita, School of Nursing, The Catholic University of America, Washington, DC where Helene M. Clark, PhD, RN, is an Assistant Professor, and Mary Ann Schroeder, DNSc, RNCS, is an Associate Professor, Retired.

Benita Walton-Moss, DNS, RNCS, FNP, is an Assistant Professor, School of Nursing, Johns Hopkins University, Baltimore, MD.

Sr. Linda Thiel, DNSc, RNCS, FNP, is Director of Health Services, Grand Rapids Dominicans, Grand Rapids, MI, and Clinical Adjunct Faculty, Kirkhof School of Nursing, Grand Valley State University, Allendale, MI.

Address for correspondence: Lois M. Hoskins, PhD, RN, FAAN, School of Nursing, The Catholic University of America, Cardinal Station, Washington, DC 20064; e-mail: hoskins@cua.edu

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