Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cassandra Taylor

Abstract

A health care organization’s success is impacted by its leaders’ knowledge, confidence, and training. A quality improvement (QI) project was undertaken by a 300-bed acute care medical center to determine the impact of providing nurse leaders with education and training in increasing the leader’s knowledge and confidence in their role and in improving nursing satisfaction, catheter-associated urinary tract infection (CAUTI) rates, and fall rates. The FOCUS-PDSA QI model and the nurse manager leadership collaborative learning domain framework were used to guide the QI project and its evaluation. There were four primary sources of evidence. A nurse leader professional development pre- and postsurvey was used to assess the leader’s knowledge and confidence in their role. Twenty-four leaders completed both surveys. The National Database of Nursing Quality Indicators (NDNQI) Registered Nurse (RN) Practice Environment Survey (NDNQI) measured nursing satisfaction and was analyzed pre- and postintervention. Over 53% of the nurses in 23 areas participated in the NDNQI RN surveys. CAUTI rates and fall rates were also used as sources of evidence. Descriptive statistics and t tests were used to analyze the findings, which showed that leaders increased their knowledge and confidence in their roles in multiple areas. Nursing satisfaction and clinically significant CAUTI and fall rate improvements were also noted. The QI project may have been a contributing factor to improvements in the leader’s knowledge and confidence in their role, nursing satisfaction, CAUTI rates, and fall rates. Leader training and its contribution to improved patient outcomes and nursing satisfaction have positive social change implications through improved nursing practice.

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