Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Susan Hayden

Abstract

The dynamic and ever changing world of health care depends on bedside nurses to exercise effective leadership skills, including communication, to provide safe quality care. At the long-term health care facility where this project took place, there was a lack of effective communication between team members, especially at change of shift. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose was to plan, implement, and evaluate a staff education program on handoff report communication using the TeamSTEPPS 2.0 for Long Term Care program. Sources of evidence included validation of the pre- and posttest items by the content experts, evaluation of the educational program by participants, and change in knowledge from pre- to posttest by participants. The validation of the pre- and posttest items by the content experts revealed an item-level content validity index and a scale-level content validity index score of 1, indicating that test items could be considered to have good content validity. Participants (n=23) demonstrated a gain in knowledge from the in-service with a pretest group mean score of 42.6% and the posttest group mean score 85.2%, with a group mean gain in knowledge of 42.6%. Participants were asked to evaluate the staff education program by indicating if each objective was met by answering “yes” or “no.” All 23 participants answered “yes” that all four objectives had been met. Positive social change can occur through the promotion of effective communication. Nurses who develop communication skills are equipped to use their skills, education, knowledge, and experience to be able to promote cost effective, safe, quality nursing care, creating a positive social change by improving the human condition.

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