Date of Award

Fall 2022

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. Carolyn Coleman

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Marti Jordan

Committee Member 2 School

Leadership and Advanced Nursing Practice


Emergency room visits and hospitalizations are commonly a result of preventable circumstances related to improper treatment of chronic health conditions due to inadequate medication reconciliation during the transition from hospital to another setting. Approximately one-third of residents in long-term care facilities will take an average of nine medications daily, significantly increasing the risk of medication errors, particularly during a transition from hospital to LTC facility (Grissinger, 2016). Chronic health conditions such as diabetes mellitus and congestive heart failure (CHF) require continued education, monitoring, and change in interventions to manage. The changes in interventions during hospital stays such as medication changes are necessary to manage acute illnesses, however, following discharge, medication reviews, and patient monitoring are essential to reducing rehospitalization for chronic healthcare conditions. The goal is to research the best evidence-based practice to determine the root cause of why certain residents require recurrent emergency room visits and rehospitalization for complications related to diabetes mellitus and CHF, to improve patient’s quality of life and reduce rehospitalizations as well as find a solution to effectively treat and manage the chronic health conditions.