Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Francisca Farrar

Abstract

Studies have found a shortfall in nurses' skills in caring for patients with a significant risk of failure to rescue in an acute care setting. The practice gap the healthcare facility was experiencing today was a gap in relation to failure to rescue with an increased rate of sentinel cases. There was a knowledge deficit among critical care nurses. The importance of educating nursing staff is to increase their knowledge and help decrease the occurrence of failure to rescue in an acute care setting. The practice-focused question for this education project asked if educating nursing staff with a medical-surgical competency module would increase their knowledge on failure to rescue and close the gap. The purpose of the DNP project was to educate the nursing staff using the medical-surgical competency plan to improve their ability to identify patients at risk. The Model for Evidence-Based Practice in the acute clinic was utilized as a conceptual framework. A total of 35 nursing staff participants volunteered and attended the education program. Six nurse panelists approved the content. A pre and post-test were administered with an assigned code for matching, and the data obtained were analyzed using descriptive statistics on the aggregate data. Findings showed a change with increased posttest scores of participants. Presurvey results showed an average score of 50%, and post-education survey results showed an average score of 96%. This change of condition triggers an urgent response to rescue the patient. This could include calling a code. Nurses can prevent complications, reduce risk of morbidity and mortality and increase positive patient outcomes.

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