Graduation Year

2016

Degree Type

Open Access Capstone

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Department Name when Degree Awarded

Baccalaureate and Graduate Nursing

First Advisor

Donna J. Corley

Department Affiliation

Nursing

Second Advisor

Mary DeLetter

Department Affiliation

Nursing

Third Advisor

Gina L. Purdue

Department Affiliation

Nursing

Abstract

There is an estimated 98,000 to 400,000 hospital errors that result in patient harm or death annually (David, Gunnarsson, Waters, Horblyuk and Kaplan, 2013; James 2013). As a member of the health care team nurses coordinate and provide continual care to the hospitalized patient (American Association of Colleges of Nursing, 2011; Parker, 2014). Patient safety is promoted when nurses are competent in their knowledge, skills, attitude, and performance related to evidence-based practice, protocols, and standards of care (; American Nurses Association, n.d; Schroeter, 2009). The purpose of this evidence-based project was to promote patent safety by developing and maintaining competency and skills performance in the nursing care of patients with respiratory compromise requiring management of chest tubes. Twenty-three Registered Nurses participated in the project and completed the simulation in nine groups. Individual chest tube knowledge was significantly increased following the simulation. Group scores showed competency in care of patients with a chest tube, and the individual satisfaction with simulation as learning modality was high. The simulation offered the participants the opportunity to increase knowledge and maintain competency in care of patients with a chest tube and offers an experience that helps to provide safe care when they are required to care for a patient with chest tubes.

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