Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cheryl Holly

Abstract

Clostridioides difficile infection (CDI) is a local, national, and global issue impacting patient outcomes and healthcare organizations. CDI is costly to treat, painful, and at times deadly. Given an increase in CDI over the past year at the project site, the current gap in practice is the nonadherence of nursing staff to using a CDI bundle. This project addresses that gap. The practice-focused question targeted at nursing staff (N = 18) on an adult medical-surgical unit in an acute care hospital and asks whether education on use of a CDI bundle would result in a knowledge gain about the importance of adhering to the bundle components. Lewin's theory of change model was used to guide the project. A one-hour educational program was provided for the 18 nurses on both day and night shifts. During class, nurses discussed their lack of familiarity with the CDI bundle. There was clearly a knowledge gap. The average pretest score was 72.22, with the lowest score being 55 and the highest 90. The posttest score average was 91.66, with the lowest being 80 and the highest 100. All students had a knowledge gain except for one, whose pretest score was 90, and posttest 85. Knowledge gain was calculated at 0.64, with the lowest at (-)0.5 and the highest at 1. The knowledge gain was calculated utilizing the knowledge gain formula; (posttest-pretest)/ (maximum score posttest – pretest score). This project demonstrated that education successfully improved knowledge regarding the use of the CDI bundle, as evidenced by a knowledge gain of 0.64, which will promote social change in this patient population.

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