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

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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