Date of Conferral

2018

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Joanne Minnick

Abstract

Cerebral hemorrhages are a type of stroke causing bleeding in the brain from a ruptured brain vessel or an aneurysm. In the emergency department (ED), advanced practice nurses (APNs') play a pivotal role in identifying cerebral hemorrhages. Many APNs' lack the skills necessary to assess, diagnose, and manage this type of stroke. A delay in diagnosis of cerebral hemorrhages carries a high risk of morbidity and mortality and can lead to lifelong disability or death. The framework of this project is the Patricia Benner theory of novice-to-expert, which is a 5-step approach designed to strengthen nursing skills with the goal of developing nurses into experts in the neuroscience field. This project addressed whether a validated educational program for APNs' in the ED will increase knowledge to improve the assessment, diagnosis, and management of the cerebral hemorrhage stroke patient. A panel of experts were provided a comprehensive educational plan with multiple case scenarios. A 5-point Likert questionnaire was administered and a statistical analysis was performed. Results indicated the panel strongly agreed that the educational initiative increased APNs' knowledge and fostered a culture of change for APNs' in the ED. Potential implications of this educational module will be considered in satellite organizations impacting APNs' growth and improving patient care throughout the health system. The project determined that the significance of social change included increased APNs' knowledge and advanced professional growth, lowers mortality rates, and promotes an evidence-based quality improvement project.

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