Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Barrett

Abstract

Suicide and suicidal ideations are among the leading causes of death in the United States. The Joint Commission identifies inpatient suicide as a sentinel event that should never happen. Nurses working on the medical/surgical (M/S) unit in a hospital located in the midwestern region of the United States voiced their concern that they were not prepared to recognize the signs that may indicate an escalating emotional situation in patients with suicidal ideation; in addition, there were no guidelines in the hospital to use as a resource. The purpose of this project was to determine whether an evidence-based (EB) clinical practice guideline (CPG) could serve as a resource for nurses when providing care to patients who are admitted to an M/S unit who are at risk for suicidal ideation. The theory that guided this project was Orlando’s nursing process discipline theory. Orlando’s theory assumes that if the problem is unknown, it cannot be solved. A panel of six professionals provided formative evaluation of an EB CPG using the AGREE II instrument, a guideline development tool. Using a scale of 1-7 (1 = strongly disagree to 7 = strongly agree) to rate the individual elements of the CPG, the panelists’ average score of each element ranged from 5.2 to 7. The overall quality of the guideline was a score of 6.7 out of 7, which represents a 95% quality score. All six panel members indicated that they would recommend the guideline for use. This EB CPG has the potential to positively impact social change for patients, nurses, the hospital, and the community served. Providing this EB CPG to nurses to use as a resource can empower them to develop holistic care plans that incorporate this CPG for patients admitted to the M/S unit with suicidal ideation.

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