Title
Patient Deterioration Simulation Education and New Graduate Nurses' Self-Confidence and Competence
Graduation Year
2018
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
Keri New
Department Affiliation
Nursing
Abstract
Inconsistent identification and intervention for patient deteriorations has been identified as a global healthcare issue that has a profound effect on patient outcomes. Failure to rescue (FTR) rates are influenced by the quality of care a hospital provides in the event of patient deterioration. Rapid Response Teams (RRTs) are summoned to the bedside in the event of a patient deterioration to assess the patient and intervene quickly. Efficient use of RRTs prevents cardiopulmonary arrests and decreases hospital mortality, thirty-day morality, and length of stay. Patient deterioration simulation education can improve the use of RRTs and positively influence patient outcomes. New graduate nurses and their preceptors report that new graduate nurses need additional patient deterioration education. A rural community hospital provided patient deterioration simulation education for new graduate nurses in an attempt to improve the utilization of an existing Rapid Response Team and patient outcomes by improving new graduate nurses’ self-confidence and competence. The pre- and post-intervention self-reported self-confidence scores were compared. The scores increased post-intervention, with a large effect size and a clinically significant eta squared value (.48). This pilot project supports further studies exploring new graduate nurses’ self-confidence levels with patient deterioration simulation education.
Copyright
2018 Heather Norris
Recommended Citation
Norris, Heather B., "Patient Deterioration Simulation Education and New Graduate Nurses' Self-Confidence and Competence" (2018). Doctor of Nursing Practice Projects. 31.
https://encompass.eku.edu/dnpcapstones/31
