Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Robert McWhirt

Abstract

AbstractThere was an underlying issue with nurses improperly drawing blood cultures resulting in false results that impact patient care. The project examined the question whether a staff education program for Veteran’s Affairs Registered Nurses on the effects of correct blood culture specimen collection can demonstrate an increase in knowledge in the VA’s collection procedure leading toward increasing compliance. The purpose was to correct a knowledge deficit leading to a lack of compliance of the VA nurses on the target unit. The project was directed by the principles of the Knowles’ adult learning model. The sources that generated evidence for the project were problematic daily nursing behaviors observed directly for data collection in three different patient care locations at the veterans’ medical center. An educational presentation based on clinical environment observations and 28 de-identified registered nurse participants who completed an implemented educational in-service were means of data collections consisting of 10 questions pre- and post- tests based on VA specimen collection policies and standards. A basic t-test determined the number of participants’ pretests scored 80 or better compared to the number of participants’ posttest scored 80 or better after education was provided to determine a positive or negative improvement. The results show that there was an educational improvement in nursing practice that will be beneficial to participants, patients, and lead towards the long-term goal of increased compliance. The project contributes to a positive change by strengthening nursing skills and self-knowledge; improving costs and delivery of appropriate care to a vulnerable population within the community.

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