Campus Location
Dallas Campus (Online)
Date of Award
12-2024
ORCID
https://orcid.org/0009-0004-4629-3897
Document Type
DNP Project
Department
Nursing
Degree Name
Doctor of Nursing Practice
Committee Chair or Primary Advisor
Dr. Christina Ryan
Second Committee Member or Secondary Advisor
Dr. Molly Kuhle
Abstract
The lasting physical and cognitive deficits associated with the complexities of newly acquired
disabilities resulting from an acute ischemic stroke (AIS) may lead to hospital readmissions. The
participating healthcare facility on the U.S. West Coast reported a hospital readmission rate for
AIS survivors of 24.29% within 30 days of discharge. This doctoral nursing project aimed to
determine if implementing the Comprehensive Post-Acute Stroke Services (COMPASS) model
would reduce 30-day readmission rates compared to no standardized transition-of-care model in
adult AIS survivors over 30 days. Implementing the COMPASS model in this patient population
was expected to better educate and support stroke survivors during their transition from acute
care to home. A quantitative quasi-experimental design was used to implement the COMPASS
model to support postdischarge education in a project sample of 20 adult AIS survivors. A two-
proportion z test analysis demonstrated that the elements implemented using the COMPASS
model significantly improved AIS 30-day readmission rates. Results from the two-proportion z
test were significant based on an alpha value of .05, z = 2.73, p = .006, 95% CI [0.05, 0.33],
which demonstrated that the readmission rate was reduced from 24.29% prior to the
implementation of the COMPASS model to 5% following implementation. These findings
support the COMPASS model as an effective model aiming to address readmission rates among
AIS survivors following discharge. It is recommended that by implementing the COMPASS
model, providers can improve 30-day readmission rates for AIS survivors.
Keywords: adult acute ischemic stroke (AIS) survivors, readmission, COMPASS model,
transition-of-care model, ischemic stroke
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Akacsos, Megan, "Implementation of a Transition-of-Care Model for Adult Ischemic Stroke Survivors" (2024). Digital Commons @ ACU, Electronic Theses and Dissertations. Paper 812.
https://digitalcommons.acu.edu/etd/812