Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Marilyn L. Losty

Abstract

Effective communication is vital to nursing practice, as it can ensure quality care delivery and promote positive patient and organizational outcomes. In most organizations, the exchange of information between nurses is done during the end of shift (EOS) reporting. The purpose of this DNP project was to determine if an educational intervention focused on effective communication in EOS reporting increased knowledge and confidence among nurses working in a home healthcare setting. Fifty-seven nurses were invited to participate in the educational intervention, and 49 nurses took part for an 85% response rate. The average age of the sample was 45.51 years (SD = 11.63), with 82% (n = 40) of the participants being female. The participants had 16.35 years (SD = 11.57) of nursing experience and were in their current position for 9.21 years (SD = 8.30). The average pretest score was 93.67 (SD = 11.49), with the average posttest score being 95.10 (SD = 7.67). Using a paired t-test to estimate the data, there was no statistical difference between the pretest score and the posttest score (t = -0.86, p > 0.05). Participants of the educational intervention were asked about their confidence level of EOS reporting and use of SBAR on a scale of 1 to 7, with 1 = no confidence of use and 7 = fully confident of use. The average pretest score of confidence was 5.76 (SD = 1.43), and the average posttest score of confidence was 6.53 (SD = 0.68). Using a paired t-test to estimate the data, there was a statistically significant difference in pretest confidence and posttest confidence (t = -3.86, p < 0.001), showing an increase in confidence among the participants. The DNP project has shown a positive social change by increasing nursing confidence in using the SBAR to improve communication among nurses.

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