Author Biographical Info

Kiran N. Gupta, MHA, BSN, RN, CWCN, CWS, CPC-I, is a Doctor of Nursing Practice student in the Family Nurse Practitioner program at Cizik School of Nursing at UTHealth Houston. Clinical interests include wound care, patient education, transitions of care, and improving outcomes for patients with complex health needs. The DNP project focuses on improving patient preparedness through a structured wound care discharge protocol.

Date of Doctor of Nursing Practice Project Completion

Summer 8-11-2026

Faculty Advisor

Dr. Rashmi P. Momin, DNP, APRN, FNP-C

Abstract

Purpose: The purpose of this quality improvement project was to implement a structured wound care discharge protocol to improve patient preparedness and confidence in wound self-management after hospital discharge.

Background: Patients discharged with active wounds may experience complications, delayed healing, and unplanned health care use when discharge education and follow-up support are inconsistent. Standardized education may strengthen readiness for self-care and improve transitions from hospital to home.

Methodology: A three-month project used the Plan-Do-Study-Act framework in an inpatient medical-surgical setting. Thirty adults discharged with active wounds received standardized wound care education, written instructions, teach-back verification, and a follow-up telephone call within two to three business days. Preparedness was measured before and immediately after education using a five-point Likert-type scale. Teaching completion, follow-up needs, and 30-day readmission status were summarized with descriptive statistics and monitored over time.

Results: Education was completed for all 30 participants. Mean preparedness increased from 2.33 before education to 4.23 afterward, an improvement of 1.96 points. Eight participants (27%) required additional reinforcement. Two participants (6.7%) were readmitted within 30 days; one readmission was wound-related and the other unrelated.

Implications for Practice: A structured wound care discharge protocol improved patient preparedness and supported continuity of care. Teach-back and early follow-up identified knowledge gaps that might not have been recognized at discharge.

Keywords: discharge education, patient preparedness, quality improvement, teach-back, wound care.

Keywords

discharge education patient preparedness quality improvement teach-back wound care

Abstract.docx (63 kB)

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