Date of Award

Summer 2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



Committee Chairperson

Veronica Wilbur, PhD



This quality improvement project was implemented to improve self-care in home health patients using video education provided on the tablet-based monitoring system. Heart failure is a chronic, progressive disease with high hospital readmission rates. However, consistent use of self-care behaviors improves patient quality of life and reduces hospital readmission rates in heart failure patients. Literature has shown that continued self-care education is essential for the success of the heart failure patient. The use of Bluetooth tablet systems for home health care and monitoring has expanded in recent years. The Self-Care of Heart Failure Index (SCHFI) was administered to heart failure telehealth participants as a pre-test. Over the next four weeks, project participants watched several American Heart Association educational videos on their telehealth tablets. At the end of the 30 days, the SCHFI was administered as a post-test. The project showed a statistically favorable increase in self-care scores for 8 of the 29 items.