Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Niedz

Abstract

Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project was Rosswurm and Larrabee's model for evidence-based practice. The sources of evidence were data from pretest and posttest surveys completed by seventeen nursing staff after reviewing the self-guided education. The paired t-tests were used to determine if a statistically significant improvement concluded with return demonstration competency. The results showed a statistically significant increase in confidence for navigating the clinical monitoring systems (p=.012), The competency demonstrated that the staff knew how to navigate the monitoring system with small amount of coaching. This project contributes to positive social change by increasing nurses’ confidence in addressing alarms safely and increasing patient and family satisfaction, which would lead to better scores to support the organization’s quality metrics and thereby impact service reimbursements.

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