Date of Award

8-13-2024

Document Type

Restricted Access Thesis

Degree Name

Master of Arts in Nursing (MAN)

Department

Nursing

First Advisor

Joyce P. Miller, DNP, RN

Second Advisor

Katherine Martin, PhD., CNM, RN

Third Advisor

Karen Warfield, APRN, CNS, MS

Abstract

The Consultative Medicine practice at a major Midwestern teaching hospital specializes in diagnosing and developing care plans for adults across the United States who have struggled to receive accurate diagnoses for their complex or rare conditions. Recognizing that patients often face challenges implementing these care plans upon returning to their local healthcare settings, the health care team within the Consultative Medicine practice developed Nurse Closure Visits based on Margaret Newman’s theory of Health as Expanding Consciousness. The Nurse Closure Visits consist of two sessions: an in-person meeting immediately following the physician’s consultation and a virtual follow-up within one to two weeks. These visits aim to reinforce diagnoses, address patient concerns, and proactively identify and resolve any barriers to implementing the care plan locally, ultimately empowering patients to manage their health and follow-up care effectively. The project will be deemed effective by seeing a decrease in patients’ electronic messages after receiving a 30-day closure of care letter and an increase in patient satisfaction scores.

Identifier

SC 11.MAN.2024.Poteruch.M

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