The impact of nurses' confidence in the GRACE CARE model on improving 30-day readmission rates for geriatric patients

[Audio] Title: "Enhancing Geriatric Patient Outcomes: The Influence of Nurse Confidence in the GRACE CARE Model on 30-Day Readmission Rates" Speaker Note: As a pioneer in evidence-based practice Lori Simsek's research delves into the pivotal role of nurse confidence in the GRACE CARE model. This study explores how bolstering nurse confidence within this framework can significantly mitigate 30-day readmission rates among geriatric patients ensuring enhanced care outcomes..

Clinical Question & Purpose. Why is the 30-day readmission rate on a 20-bed geriatric care unit greater than 45%? Does a specific Nursing Care Model impact the readmission rate? This presentation explores the impact of the GRACE care model on geriatric patient outcomes when nurses are confident in its use. I conducted a study to determine whether a particular model could enhance the confidence of nurses and decrease the rate of readmissions within 30 days..

[Audio] As a seasoned geriatric RN with diverse experience spanning various medical environments including teaching hospitals and community healthcare I understand the intricacies of providing effective care for elderly patients. Recognizing the inadequacy of one-size-fits-all models in gerontology I spearheaded the implementation of the G-R-A-C-E care model in our A-C-E unit. Over 30 days we maintained a robust census and through dedicated lunch and learn sessions I ensured all RNs were well-versed in G-R-A-C-E principles fostering improved patient outcomes and staff satisfaction..

[Audio] Moving forward The GRACE Care Model as highlighted in the literature review underscores the importance of a multidisciplinary team comprising nursing medical allied health and social work professionals. This collaborative approach aims to provide comprehensive and people-centered care for older adults. Research such as the R-C-T study by Schubert and others (2022) emphasizes the significant role of proper discharge planning patient education multidisciplinary collaboration and home services in reducing readmissions within 30 days..

[Audio] This slide details the comprehensive approach taken in implementing interventions within our unit. It highlights the collaboration between the case manager unit manager Chief Nursing Officer and Quality Improvement department. The study focusing on 100 geriatric patients evaluates the effectiveness of the G-R-A-C-E model. Notably adherence to H-I-P-A-A policy is emphasized with participation from full-time and part-time RNs excluding nursing managers and assistants for a consistent perspective. Lunch and learn sessions further facilitated nursing education on the G-R-A-C-E care model fostering a well-rounded approach to intervention implementation..

[Audio] In this slide we delve into the Project Methodology particularly focusing on the Potentially Preventable Readmission (P-P-R--) method and its significance in healthcare quality assessment. By utilizing administrative data the P-P-R method helps identify readmissions indicative of suboptimal care quality. Notably the G-R-A-C-E care model showcased promising results with a readmission rate below 15%. This methodology offers valuable insights into readmission patterns considering factors like illness severity and age. Additionally quantitative tools like patient education play a pivotal role. Evaluation of the G-R-A-C-E care model involved systematic reviews and comparative studies reinforcing its efficacy. Moreover a demographic survey highlighted a widespread lack of awareness among nursing staff regarding geriatric care models irrespective of cultural background or experience..

[Audio] As we delve into the dissemination of our plan and rationale it's imperative to grasp the comprehensive approach we're taking. Our assessment plan integrates both quantitative and qualitative methodologies to meticulously evaluate our project's impact on clinicians' practice. Quantitative analysis will delve into primary and secondary outcomes encompassing factors like hospital staff satisfaction scores readmission rates and patient-reported outcomes. Additionally qualitative methods including focus groups and interviews will provide insights from various stakeholders—nurses healthcare workers patients and caregivers—highlighting the barriers enablers and overall experiences with the GRACE Care Model implementation..

[Audio] In this slide we delve into the critical aspect of evidence evaluation within our healthcare system. The case managers' assumption that discharge education and patient services were adequately addressed during hospitalization highlights the importance of clear communication channels. The G-R-A-C-E care model's emphasis on medication management and its correlation with reduced readmission rates underscores its significance. Moreover the lack of coordination between nursing and case management teams underscores the necessity for a multidisciplinary approach like GRACE. Understanding Bandura's self-efficacy theory further emphasizes the pivotal role of nurses' confidence in implementing evidence-based practices. This integration ultimately enhances healthcare quality..

[Audio] Our evaluation plan encompasses a collaborative effort involving nursing management case managers and the nursing education department. We've decided on a 30-day extension to monitor the program's impact on readmission rates. Additionally we administered a 5-question survey to the nursing staff post-implementation. Impressively 100% of respondents expressed increased confidence in discussing discharge planning and coordinating care with a multidisciplinary approach. This data highlights the positive influence of the G-R-A-C-E care model on our team's abilities and underscores its potential benefits for patient outcomes..

[Audio] Incorporating the G-R-A-C-E care model into the nursing unit's orientation process signifies a pivotal shift in nursing practice. The observed improvements in confidence interdisciplinary communication and reduction in 30-day readmission rates underscore its significance. As evidenced by the substantial decrease in readmission rates among patients involved with GRACE this model holds promise for enhancing patient outcomes. Being tasked with teaching new graduate nurses during their residency further emphasizes the commitment to promoting evidence-based practice and fostering a culture of continuous learning in nursing..

[Audio] Welcome to the conclusion of our discussion on innovation in healthcare specifically focusing on the G-R-A-C-E model. The G-R-A-C-E model stands as a beacon of innovative solutions enhancing primary care for older patients facing complex needs. Backed by rigorous trials and adaptable to diverse environments it addresses the challenges inherent in outpatient care for seniors. Through its innovative strategies G-R-A-C-E not only lowers hospital readmissions but also elevates patient satisfaction safety and engagement as affirmed by CMS.gov. Most importantly it fosters an improved quality of life as evidenced by the positive feedback from G-R-A-C-E patients..

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