Date of Award

Summer 2022

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP)



Faculty Chair

Dr. Lynnette Lewis Djonret-Hall


Background: Heart failure is a high-risk health condition that impacts a patient's heart, causing it to pump at a weaker pace than a healthier person's heart (Mayo Clinic, 2020). Associated with frequent hospital admissions, heart failure affects millions of Americans in the United States (Fleg, 2018) and results in repeated readmissions, costing thousands of dollars per admission and decreased quality of life.

Purpose: This DNP project aims to implement an evidence-based educational model of care for nurse case managers within a community setting focused on Heart Failure (HF) that will improve the heart failure patient's ability to self-manage their disease process, reducing hospital readmissions.

Methods: This quality improvement project consisted of an educational program offered to all community-based case managers to educate them on heart failure to help patients self-manage their heart failure in the home environment.

Results: Key results included statistically significant reported a significant difference in the scores prior to the education (M=16.19 SD=1.66) compared to after (M=18.03 SD=2.12); t(30)=-5.294, p

Conclusion: This project revealed the importance of implementing a standardized HF education program for community-based case managers based on evidenced-based HF guidelines and self-management practices.

Included in

Nursing Commons



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