Date of Doctor of Nursing Practice Project Completion
2026
Faculty Advisor
Dr.Christen Goolsby DNP,ARRN,FNP-C
Abstract
Abstract
Purpose: This quality improvement (QI) project evaluated the effectiveness of a telehealth-enabled post-discharge follow-up program in improving patient satisfaction among adult medical–surgical patients discharged following arteriovenous (AV) fistula placement.
Background: Ineffective communication during transitional care contributes to poor patient understanding, decreased confidence in self-management, and lower patient satisfaction. Internal organizational data identified a baseline satisfaction rate of 55%, demonstrating the need for a structured post-discharge intervention.
Methodology: A 12-week QI initiative was conducted using the Plan–Do–Study–Act framework. Registered nurses completed standardized telehealth follow-up calls within 24–48 hours of discharge to reinforce discharge education, assess symptoms, and address patient concerns. Forty-eight eligible patients were enrolled, and 22 completed a QR code–based patient satisfaction survey. Descriptive statistics and run chart analysis were used to evaluate changes in patient satisfaction and follow-up completion rates.
Results: Patient satisfaction increased from 55% at baseline to 75% after implementation, a 20 percent improvement. The telehealth follow-up completion rate reached 85%, exceeding the project target of 80%. Patients reported improved understanding of discharge instructions, stronger connection with the healthcare team, and greater confidence in self-management.
Implications: Telehealth-enabled post-discharge follow-up is a feasible and effective strategy to improve patient satisfaction and strengthen transitional care communication. Sustained implementation may support improved patient experience outcomes and enhance care continuity in medical–surgical settings (Lin et al., 2022).
Keywords
Enhancing Patient Satisfaction in Nursing
Recommended Citation
Helen T. Idowu and Helen Temitope Idowu, "Enhancing Patient Satisfaction Through a Telehealth -Enabled Post-discharge Follow-Up Program in an Adult Medical-Surgical Unit" (2026). Doctor of Nursing Practice Final Project Abstract. 180.
https://digitalcommons.library.tmc.edu/dnp_abstract/180