Date of Conferral

10-3-2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Marilyn Losty

Abstract

Heart failure (HF) is the primary reason for hospital admissions in the United States, accounting for almost 6.5 million hospital days per year and for 8.5% of cardiovascular deaths. As part of care delivery and supported by the evidence, providers use intake and output (I&O) to guide a HF patient’s overall treatment plan. Following several reviews in the local organization, it was determined that I&O documentation sheets were incomplete or not completed at all. Thus, organizational leadership determined that an educational intervention focused on I&O monitoring and documentation as part of the HF patient treatment plan would address this gap-in-practice. The purpose of this doctor of nursing practice project was to evaluate an educational intervention focused on the importance of I&O monitoring and documentation for HF patients among registered nurses (RNs) and nursing technicians (NTs). To meet the objectives of the project, an educational intervention and posttest evaluation was created. With the support of the organizational leadership, 33 participants attended the educational intervention. Their average age was 39.37 years (SD = 12.25) and the mean years working in nursing was 11.07 (SD = 8.67). The evaluation was strongly positive with the participants agreeing that the presenter excelled in the instruction of the intervention, demonstrated knowledge of the material, was authentic in disposition, and used technology appropriately. Furthermore, the intervention was beneficial to nursing practice and had the potential to improve patient outcomes. It is recommended that this educational intervention on I&O documentation be included as part of continuing education for all RNs and NTs to promote positive patient, provider, and organizational outcomes.

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