Graduation Year
2017
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 Clements
Department Affiliation
Nursing
Abstract
Failure to monitor early warning signs of patient deterioration can result in cardiopulmonary arrests and patient death. Implementation of team building programs emphasizing vital sign data, with consistent monitoring and trending have demonstrated positive outcomes in multiple health care environments. This project implemented TeamSTEPPS© education for 23 registered nurse (RN) residents in an acute care medical center. Specific aims included: (a) increased knowledge of team communication techniques; (b) improved attitudes towards vital sign monitoring, especially respiratory rate assessment; and (c) improved attitudes towards early rapid response system activation. The education program included support tools, behavioral-modeling, simulation exercises based on de-identified patient data and debriefing. Paired t-tests evaluated the impact of the intervention on total TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) and V-Scale scores. There were statistically significant increases in T-TAQ and V-Scale scores post intervention (1.78 p =.04 and 1.87 p = .04 respectively). Eta square calculation indicated a large effect size for T-TAQ and V-Scale measures. The TeamSTEPPS simulation-enhanced curriculum was successful in improving RN residents’ attitudes toward teamwork, and vital signs monitoring and surveillance practices.
Copyright
2017 Rosemarie A. Patrick
Recommended Citation
Patrick, Rosemarie A., "TeamSTEPPS Training and Vital Signs Chart to Improve Situational Monitoring for Clinical Deterioration" (2017). Doctor of Nursing Practice Projects. 22.
https://encompass.eku.edu/dnpcapstones/22
Comments
Acknowledgements
This project would not be possible without the vision, expertise, and guidance of my DNP Project Committee: Dr. Donna Corley (chair) and Dr. Mary Clements. Sincere gratitude is extended to Saint Joseph Hospital in Lexington, Kentucky for support of this project. Heartfelt appreciation is also extended to my mentor, Chris Slaughter, for her unwavering dedication to patient safety. Lastly, I would like to express a personal note of gratitude to my husband, Mark, for his love and encouragement on this journey.