Staff Education on Heart Failure Weight Monitoring to Improve Patient Adherence Practices

Date
2024
Authors
Chang, Amy Kaakim
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Kataoka-Yahiro, Merle
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Nursing Practice
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Problem Statement: In the U.S., about 50% of heart failure (HF) related hospitalizations occur due to inadequate patient self-care. Daily weight monitoring is one of the main strategies for monitoring and managing heart failure, as weight gain is one of the earliest indicators of exacerbation. Nurse-led education on HF management is essential to the improvement of patient compliance and adherent to self-management of disease progression. Purpose: The purpose of this project was to create and provide a heart failure daily weight log protocol and handout for the nursing staff to use and to distribute to HF patients as part of discharge education. Methods: This was a survey evaluation of a HF weight log protocol and daily weight log handout created and distributed to registered nursing staff at a Honolulu non-profit hospital alongside a training session on how to use the handout. The staff education training on a daily weight log protocol and handout were implemented from August 2023 to January 2024. A post-survey was created and used to evaluate whether the nursing staff found the daily weight log helpful during HF discharge instructions from January 2024 to March 2024. Results: Three out of 24 nurses responded to the post-survey. Of the three objectives, only the first was met. Discussion: The daily weight log was found to be helpful, comfortable to use, and patients appeared to understand the contents of the handout during nurse-led discharge education. The limitations were related to the accessibility and usage of the handout and low survey response rates and recommendations were discussed.
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Nursing, heart failure, nurse-led education, patient education, weight monitoring
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44 pages
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