Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Anna M. Valdez

Abstract

Caring for patients with autism spectrum disorder (ASD) that present to a pediatric emergency department (ED) poses many challenges for nurses. The multifaceted characteristics and needs exhibited by a child with ASD presenting to an ED has the potential to lead to poor patient outcomes. The purpose of this doctoral project was to increase registered nurses’ knowledge and confidence level for caring for patients with ASD in a pediatric ED. The practice-focused question for this doctoral project explored whether the implementation of an ASD educational intervention increase registered nurses’ knowledge and confidence level for caring for patients with ASD in a pediatric ED. Knowles’ andragogy theory was utilized to help construct an educational learning that was appraised by a panel of experts for face validity and alignment with the aims of the staff education. Sources of evidence included current peer-reviewed articles, the American Psychological Association, Autism Speaks Inc., Lippincott, and an Autism Training Workshop for Educators. The staff education was delivered in an interactive, in-person learning environment to 10 pediatric ED nurses. Findings demonstrated a 10 point mean test score increase on the posttest from the pretest measuring knowledge about ASD. Additionally, more than half the participants increased their posttest confidence level score by 1 point. The findings also demonstrated clinical significance as nurses reported intent to change their clinical practice based on the educational intervention. Recommendations for a formal education on ASD for all pediatric ED nurses adds value by promoting social change to support improved knowledge and confidence, which may lead to improved patient outcomes for pediatric patients with ASD.

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