Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lynda Crawford

Abstract

AbstractEnd-stage renal disease is a growing public health problem associated with high healthcare costs and high morbidity and mortality rates. Dialysis patients’ vascular access is a critical component to their survival, and knowledge in managing patients’ vascular access can reduce access complications and improve vascular access outcomes including in community settings. This DNP project is an education program developed for healthcare staff who attend church services to provide ongoing vascular access education to address vascular access outcomes in dialysis patients. The education project was developed using the ADDIE model. The site of the project was a rural city in the Mid-Atlantic United States. The 6-item pre and post-test findings demonstrated an improvement in health care staff’s knowledge in the technique of properly applying direct pressures to manage and to prevent a fatal hemorrhaging accident in the dialysis vascular access. The potential impact of this DNP vascular access project is to promote a positive social change in healthcare staff out in the community to prevent and reduce vascular access hemorrhaging fatalities in dialysis patients. Preventing and reducing fatal incidents due to dialysis vascular access hemorrhage is an uncommon catastrophic but potentially preventable event when healthcare staffs receive ongoing education. Educating healthcare staff is vital to preventing vascular access fatalities. This DNP project has the potential to promote a positive social change by improving the care of dialysis patients in their communities when fatal access hemorrhaging incidents are prevented and reduced.

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