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Dissertation
A Home Activity Support Tool (HAST) for Ischemic Stroke Patients
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Stroke patients transitioning from the hospital to home often face many challenges adapting to their typical daily tasks and routines. Other problems stroke survivors experience include finding supportive community resources, post-stroke depression, and the high risk of having another stroke. The implementation of evidence-based discharge education tools, such as the Home Activity Support Tool (HAST), is crucial in addressing these challenges and improving patient outcomes. Purpose: This Doctor of Nursing Practice Project aimed to evaluate the impact of the HAST on three outcomes regarding the hospital-to-home transition for stroke patients. These included increasing patient confidence at discharge, assisting with daily tasks at home with the utilization of the HAST, and assisting in the discharge education process with an efficient and evidence-based tool. Methods: A non-experimental exploratory design was utilized for this project. The HAST was created in coordination with the current literature, the hospital’s stroke program coordinator, physical and occupational therapists, and current resources from certified organizations including the American Heart Association. Likert-scale surveys were administered to patients and staff members in an intermediate neuroscience unit in a large Midwest tertiary hospital. Descriptive statistics including the mean, range, and standard deviation were calculated for each survey item response. Findings: The implementation of the HAST resulted in increased confidence scores before discharge. Post-discharge patient follow-up revealed low utilization of the HAST for daily tasks, but patients generally found the tool easy to use. Most staff members agreed that the HAST was helpful and good for all stroke patients and felt knowledgeable about the HAST. Discussion: Providing the HAST at the time of discharge increased patient’s confidence about discharge and participating in daily tasks once home. Providing evidence-based discharge resources specific to the needs of stroke population improved patient and staff satisfaction. Clinical implications included the importance of providing evidence-based discharge education tools to increase patient knowledge retention, motivation, and autonomy in managing a new lifelong health condition.
Details
- Title: Subtitle
- A Home Activity Support Tool (HAST) for Ischemic Stroke Patients
- Creators
- Malea Suzanne Delcambre - University of Iowa
- Contributors
- Daniel Liebzeit (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Malea Suzanne Delcambre
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627351502771
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