Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Molly Bradshaw O'Neal

Department Affiliation


Second Advisor

Nancy G. Owens

Department Affiliation



Respiratory assessments by healthcare workers, particularly counting the respiratory rates, have been found to be inadequate and ineffective. As a result, patient care may be delayed, reimbursement may be inaccurate, and the nurse may risk legal consequences. The purpose of this project was to fully examine the current accuracy of respiratory rate counts and documentation on two identified units within an acute care hospital, offer evidence-based solutions in the accurate count and documentation of respiratory rates, and perform follow-up chart audits to evaluate if application of learning occurred. Baseline audits demonstrated that respiratory rate counts were not even skewed and, therefore, were not accurately being counted and recoded. The comprehensive post education and re-training audits showed respiratory rates were more evenly skewed and, therefore, more accurately counted and documented. A Background Survey, Video Respiratory Assessment, Student Satisfaction and Self-Confidence in Learning (SSSCL), and Evaluation via Survey Monkey was also administered.

Keywords: respiratory assessment, current practice, documentation

Included in

Nursing Commons