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Predictors of Excess Heart Failure Readmissions: Implications for Nursing Practice

Stamp, Kelly D. PhD, ANP-C; Flanagan, Jane PhD, ANP-BC; Gregas, Matt PhD; Shindul-Rothschild, Judith PhD, RNPC

doi: 10.1097/NCQ.0000000000000042

In this study of California, Massachusetts, and New York hospitals, 6 factors predicted 27.6% of readmissions for patients with heart failure (HF). We found that higher admissions per bed, teaching hospitals, and poor nurse-patient communication increased HF readmissions. Conversely, the HF readmissions were lower when nurse staffing was greater, more patients reported receiving discharge information, and among hospitals in California. The implications for nursing practice in the delivery of care to patients with HF are discussed.

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Boston College, School of Nursing, Chestnut Hill, Massachusetts (Drs Stamp, Flanagan, and Shindul-Rothschild); and Research Services, Boston College, Chestnut Hill, Massachusetts (Dr Gregas).

Correspondence: Kelly D. Stamp, PhD, ANP-C, Boston College, School of Nursing, 140 Commonwealth Ave, Cushing Hall 307, Chestnut Hill, MA 02467 (

No funding was received to complete this project.

The authors have no conflicts of interest or funding disclosures.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: November 25, 2013

Published ahead of print: December 30, 2013

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