Date of Conferral
2021
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Sue E. Bell
Abstract
AbstractDisparities exist between the quality and safety of care provided to patients seen in rural critical access hospitals and patients seen in metropolitan and suburban hospitals. These disparities result from lack of education opportunities and the infrequent exposure of staff to high-risk patient situations. The project addressed the lack of continuing education opportunities by introducing the hospital’s nurse leaders to simulation-based education to improve staff competence. The practice-focused questions asked if providing the nurse leaders of the hospital with information about the benefits of simulation-based staff education would lead to increased knowledge about and support for this type of education. The participants (n = 7) completed a pretest; attended the educational presentation, which included viewing the film To Err Is Human; and completed a posttest. Kirkpatrick’s four-level training evaluation model was used to support the project. The pretest and posttest survey findings were compared using counts and percentages to determine whether knowledge was gained from the education. The pretest findings showed good initial knowledge about simulation (100% correct answers on 7 of 10 questions). After the presentation, participants scored 100% on 9 of 10 knowledge questions. Two additional questions on the posttest determined that the nurse leaders were satisfied with the education and reported interest in adopting simulation-based staff education. Undertaking the disparities in rural nurses’ knowledge and skills through simulation training and exposure to high-risk patient scenarios will promote social change, quality of care, and safety of rural critical access hospital patients.
Recommended Citation
Duke, Jaime Lynn, "Introduction of Simulation to a Rural Health Care Facility" (2021). Walden Dissertations and Doctoral Studies. 10489.
https://scholarworks.waldenu.edu/dissertations/10489
