Date of Conferral

8-28-2024

Date of Award

August 2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Joan Hahn

Abstract

Venipuncture is an integral process in clinical care, and it has an indispensable role in diagnostics and determining therapeutic interventions. The process of phlebotomy has faced several challenges that have compromised patients’ safety. The risk of incorrect venipuncture, or preanalytical errors, leading to severe patient complications of hematoma and thrombosis calls for training using current, evidence-based practices. The goal of this project was to develop a clinical practice guideline (CPG) to determine the efficacy of venipuncture simulation training using an arm task trainer to enhance the phlebotomy skills of nurses. Based on the outcome, present, state, test model and Nightingale’s theory of nursing, in this project a CPG was developed that focused on enhancing venipuncture simulation and improving the practice in nursing to reduce analytical errors. A team of multidisciplinary experts reviewed the CPG using the Appraisal of Guidelines for Research and Evaluation Evaluative II tool. The findings, based on the tool’s six domains, showed the phlebotomy content experts’ evaluations of the CPG’s scope and purpose, stakeholder involvement, rigor of development, and clarity. The results indicated that the CPG generally had room for improvement, with growth opportunities regarding information on the rigor of development, the clarity of presentation, applicability, and editorial independence. The quality domain scores ranged between 31% to 64% with a mean domain score of 52.1%. The CPG was rated as needing some refinement, with 100% of the expert panelists recommending use of the guideline with modification. Application of the evidence-based practice of using the CPG has the potential to improve patient outcomes, which is a positive social change.

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