Campus Location

Dallas Campus (Online)

Date of Award


Document Type

DNP Project



Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Danielle A. Sarik

Second Committee Member or Secondary Advisor

Colleen Marzilli


There is a gap in case management professional practice with a lack of consistent, research-based transition evaluation (TE) tools available and used in practice. An evidence-based case management TE is necessary to develop a holistic and comprehensive discharge plan for hospitalized patients. Updating and implementing an evidence-based case management TE would positively impact the transition of care and promote improved health outcomes including a reduction in readmissions. This quality improvement project used a quantitative nonexperimental, interventional pretest-posttest design. Kirkpatrick’s multidimensional knowledge attitudes assessment (KAP) education evaluation model was used to assess (1) the influence an educational offering on evidence-based assessment practices of case managers had on professional knowledge and clinical practice, and (2) the impact of an evidence-based TE on unplanned 30-day all-cause hospital readmissions. The KAP model and evaluation tools enabled an objective assessment of the practice change. Level one (attitudes) revealed favorable reactions from the participants. Level two (learning) showed a positive 2% change in pretest to posttest scores. Level three (behavior) assessment showed a practice change (significance p < .001). Level 4 (result) assessment revealed that completion of the updated, evidenced-based TE and 30-day unplanned readmission were independent. The KAP model is an objective and structured tool to assess the impact of educational offerings on professional practice, and the impact of the practice change on health outcomes. Currently, there is insufficient data to support that an evidence-based case management TE produces a decrease in 30-day unplanned hospital readmissions.

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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