The impact of nurse-led interventions on reducing hospital readmissions at the Federal Teaching Hospital, Gombe
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Background of the Study
Hospital readmissions represent a significant challenge for healthcare systems worldwide, contributing to increased healthcare costs and a reduced quality of care for patients. In Nigeria, the issue of readmissions is particularly critical due to limited healthcare resources and the growing burden of chronic diseases (Olafare et al., 2024). Readmissions are often associated with inadequate post-discharge care, medication non-adherence, and poor patient education. In response, nurse-led interventions have emerged as a promising strategy to reduce hospital readmissions by improving patient outcomes through follow-up care, patient education, and disease management (Adesina et al., 2023).
At the Federal Teaching Hospital in Gombe, nurses are integral to patient care, particularly in providing education, monitoring patients' conditions, and facilitating discharge planning. Nurse-led interventions, such as discharge planning, follow-up phone calls, and home visits, have shown potential in reducing hospital readmissions by ensuring patients understand their treatment plans, adhere to medications, and seek timely medical attention when needed (Okonkwo et al., 2023). However, while these interventions have been widely studied in Western settings, there is a lack of research on their effectiveness within the Nigerian healthcare context, particularly in regional hospitals like the Federal Teaching Hospital, Gombe.
This study aims to investigate the impact of nurse-led interventions on reducing hospital readmissions at the Federal Teaching Hospital in Gombe, exploring factors such as patient engagement, follow-up care, and the overall quality of the discharge process. The findings could inform the development of tailored nurse-led interventions that address the unique challenges faced by the hospital and improve patient outcomes.
Statement of the Problem
Hospital readmissions are a significant concern at the Federal Teaching Hospital in Gombe, leading to overcrowding, increased healthcare costs, and diminished quality of life for patients. The hospital has made efforts to reduce readmissions, but there is insufficient evidence regarding the effectiveness of nurse-led interventions in this context. Nurses at the hospital play a critical role in post-discharge care, yet there is no systematic approach to utilizing their skills to reduce readmission rates. Understanding the impact of nurse-led interventions could provide valuable insights into strategies for improving patient outcomes and reducing the burden of readmissions.
Objectives of the Study
1. To assess the effectiveness of nurse-led interventions in reducing hospital readmissions at the Federal Teaching Hospital, Gombe.
2. To evaluate the factors influencing the success of nurse-led interventions in reducing readmissions.
3. To identify the barriers and challenges faced by nurses in implementing interventions to reduce hospital readmissions.
Research Questions
1. How effective are nurse-led interventions in reducing hospital readmissions at the Federal Teaching Hospital, Gombe?
2. What factors influence the success of nurse-led interventions in reducing hospital readmissions?
3. What challenges do nurses face in implementing interventions aimed at reducing hospital readmissions?
Research Hypotheses
1. Nurse-led interventions significantly reduce hospital readmissions at the Federal Teaching Hospital, Gombe.
2. Factors such as patient engagement, timely follow-up, and medication adherence contribute to the success of nurse-led interventions in reducing readmissions.
3. Barriers such as lack of resources, insufficient training, and patient non-compliance hinder the effectiveness of nurse-led interventions in reducing hospital readmissions.
Scope and Limitations of the Study
This study focuses on nurse-led interventions at the Federal Teaching Hospital in Gombe, with an emphasis on the effectiveness of these interventions in reducing hospital readmissions. The study will examine factors such as patient education, discharge planning, and follow-up care. Limitations include the potential for selection bias, reliance on self-reported data from patients and nurses, and the generalizability of the findings to other healthcare settings in Nigeria.
Definitions of Terms
• Nurse-led interventions: Healthcare interventions initiated and managed by nurses, such as discharge planning, follow-up calls, and patient education.
• Hospital readmissions: The occurrence of a patient being admitted to the hospital within a specific time period after being discharged.
• Follow-up care: The post-discharge support provided to patients, including monitoring, education, and ensuring adherence to treatment plans.
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