Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



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Baccalaureate and Graduate Nursing

First Advisor

Donna J. Corley

Department Affiliation

Baccalaureate and Graduate Nursing

Second Advisor

Keri New

Department Affiliation

Baccalaureate and Graduate Nursing


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.

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