Date of Award

Summer 2022

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP) in Adult-Gerontology Acute Care Nurse Practitioner



Faculty Chair

Dr. Heather Wallace


Dr. Stephanie Jones


Background: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) provides accreditation to hospitals, including “heart certification.” The facility was successful at meeting the four measures previously assigned to them. As a result, they were given four new measures. One of these standards is providing discharge education based on “heart scores.”. Only 35% of patients are receiving discharge/follow-up education at discharge from the emergency department (ED).

Purpose: The purpose of this study is to increase the number of patients receiving chest pain education and follow-up instructions in the ED as evidenced by the improvement in documentation of the interventions.

Methods: In person education was provided to ED staff on the packet that patients will be receiving, content of the packets, and how to document the education to prove that it was provided. The pre/post intervention results will be compared to determine results of the study.

Results: The study results did demonstrate a marked improvement in the documentation and delivery of chest pain follow-up education. The overall compliance improved from 35% to 61%.

Conclusion: Educating the emergency department staff effectively improved the documentation and delivery of chest pain education and follow-up instructions. However, frequent reeducation is needed to maintain compliance.

Included in

Other Nursing Commons



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