Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Martin

Abstract

AbstractThe absence of clinical practice guidelines (CPGs) and collaboration with significant stakeholders may lead to gaps in the delivery of patient care. Specimen handoff in the endoscopy unit plays a critical role in patient diagnosis and treatment plans; errors can compromise patient safety. The purpose of this project was to provide endoscopy nursing staff with a CPG to improve the accuracy of the specimen handoff process during the endoscopy procedure. The practice-focused question addressed the feasibility of developing a quality and usable CPG to improve the accuracy and efficacy of handling the specimen handoff process during endoscopy procedures. Walden University guidelines and the Appraisal of Guidelines for Research and Evaluation Instrument (AGREE II) provided a framework for CPG development. Evidence came from peerreviewed articles available from the Cochrane Database of Systematic Reviews, PubMed, and MEDLINE. A panel of four experts with experience in leadership, education, pathology, and procedural areas evaluated the newly developed CPG finding it to be of high quality with no revisions needed. Domain scores were 100% in scope and purpose, 99% in stakeholder involvement, 100% in the rigor of development, 100% in clarity of presentation, and 100% in editorial independence; the overall assessment was 100% for usability. This newly developed guideline may bridge the gap in practice by clarifying handoff in specimen collection in the endoscopy unit. If implemented, it may promote positive social change through improvements in patient safety, cost-savings incentives, and confidence in correct diagnosis for final treatment plans.

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