Course Title
Student Name
Institution Affiliation
Date
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Introduction of DNP Project Proposal
Identified Need and Problem Statement
Although hospitals have been striving to cut the cost, the problem of unscheduled return
visits to the emergency department has not been completely addressed. Most hospitals in the
state of Florida have been concentrating on reducing 30-day readmission with a few activities
and intercessions (CDC, 2017). In Florida, it is estimated that 28% of the acute care visit and half
of the hospital admissions emerge from the ED per Center of Disease and Control (2017). The
authorization of Patient Protection and Affordable Care Act has shown the requirement for
coordinating patient care voice in structuring the conveyance of social insurance (Rising et al.,
2014). The clarifications for patients to come back to the ED, the plausibility of future return,
and the rehashed return can be inspected from the administrative information. Some basic
variables have been related with high rates of readmission of patients to the ED. They
incorporate low follow up care and language boundary that bars patients from understanding the
discharge guidelines. Other variables include old age, no ambulatory status, and absence of
family support.
Background and Significance of Problem to Health Care/Nursing
Unscheduled return visits to the emergency department is a significant issue that several
healthcare facilities face on a regular basis. These visits are not only cumbersome to the
healthcare personnel, but also an important indicator of the quality of care. Hospital emergency
departments (ED) constantly face the issue of restricted assets, high rates of patient admissions,
aging populace, and deficiency of human services suppliers. Most EDs have gotten amazingly
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stuffed. They are described by long holding up time that contributes negatively to the patients'
outcomes.
Patients returning to the emergency department have medical issues that have either
failed to go away or improve, or have gotten worse. Being an important metric to measure the
quality of healthcare, the problem of unscheduled return visits to the emergency department is
very important to healthcare or nursing since it provides the healthcare personnel with essential
information regarding their performance or health output. A reduction in the rate of return visits
to the ED is a marker of high quality care, while an increase in the rate signifies poor healthcare
performance and poor patient outcomes.
Needs Assessment
The daily number or volume of patient received in the ED is 72-98, with 35% of these
patients returning back to the ED because they did not have instructions for follow up, diagnoses
explained, or test results given so they can provide to their PCP.
They were told to return to ED
for further treatments. From that 35%, 12% end up being admitted due to their failure to
complete treatment due to the lack of instructions in care after they had been discharged. There
