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Background: Caring for patients after a neurovascular incident is common for advanced practice registered nurses (APRNs). Most neurological readmission studies focus on a small subset of neurovascular incident groups, but advanced practice nurses in primary care attend to a diverse neurovascular population and lack time to adequately search hospital records. Purpose: The aim of this study was to determine readmission risk factors after a neurovascular incident to guide APRNs in the primary care setting. Methodology: The study is a retrospective observational study that used a crude single predictor model to determine potential risks for readmission. Results: A total of 876 neurovascular participants were studied. Of these, only 317 experienced at least one hospital readmission, with 703 readmissions within 1 year, indicating some were readmitted more than once. Risks for readmission varied across neurovascular events. The main reasons for readmission were because of neurological, cardiovascular, and musculoskeletal complications. Conclusions: Stroke readmission rates are high and require intervention by APRNs. To prevent readmission includes timely follow-up within 30 days and should also include longitudinal follow-up beyond 90 days to prevent hospital readmission. Implications: Future studies are needed to create guidelines for APRNs that implement rehabilitation strategies to decrease hospital readmission for the neurovascular population that focus on interdisciplinary communication. [ABSTRACT FROM AUTHOR]

The article addresses the challenge of preparing new graduate registered nurses (NGRNs) for the complex healthcare landscape by bridging the academic-practice gap. It advocates for the integration of realistic and complex simulated experiences, such as a collaboration with clinical partners in the classroom using Mask-Ed or standardized patients, to enhance students' clinical reasoning skills and better align academic preparation with clinical expectations.