RESPECT: Reducing 30-day Emergency Department Visits and Readmissions of Bariatric Surgical Patients Effectively Through Cultural Competency Training of Nurses
Suzanne K. Coleman, DNP, RN, FNP-BC, ENP-BC
Beth C. Garretson, DNP, RN, FNP-BC, CBN
Hiba Wehbe-Alamah, PhD, RN, FNP-BC, CTN-A
Marilyn McFarland, PhD, RN, FNP-BC, CTN-A
Michael Wood, MD, FACS

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Suggested APA 6th Edition Formatted Reference
Coleman, S. K., Garretson, B. C., Wehbe-Alamah, H., McFarland, R., & Wood, M. (2016). RESPECT: Reducing 30-day emergen- cy department visits and readmissions of bariatric surgical patients effectively through cultural competency training of nurses. line Journal of Cultural Competence in Nursing and Healthcare, 6(1), 31-51. doi: 10.9730/


The purpose of this translational study, conceptualized within Leininger’s Culture Care Theory and the Reducing Avoidable Readmissions Effectively (RARE) campaign, was to determine whether educational strategies to enhance culturally congruent nursing discharge process would reduce 30-day Emergency Department (ED) visits and readmissions for bariatric surgery patients of a Midwestern U.S. teaching hospital. This mixed-method quality improvement (QI) study incorporated pre and post testing of the online cultural competency course entitled “Course I: Delivering Culturally and Linguistically Competent Nursing Care;” two-month pre/post implementation chart reviews of nursing documentation, 30-day ED visits and 30-day read-missions; as well as content analysis of nursing comments and feedback to open ended questions. The project successfully educated the participants and enhanced culturally competent discharge process. Additional studies are needed over a prolonged time span to determine statistical significance of project’s effect on 30-day ED visits and readmissions.

Keywords: bariatric, emergency department, readmissions, cultural competency, quality

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