Date of Graduation

Spring 5-22-2015

Document Type

Project/Capstone

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Elena Capella

Second Advisor

Melissa Vandeveer

Abstract

The objective of this CNL internship project is to improve team response to emergencies through staff education and protocol development with 100% participation within six months. This need was determined after an intense analysis following a near code on a pediatric patient. After an investigation, two problems were chosen as a focus for improvement: limited educational opportunities, and poor coordination and delegation during codes. Lewins’s theory of change was used as the theoretical framework, which involves the concept of unfreezing, movement, and refreezing. The method utilized was to offer education and training sessions twice per month in the form of a mock code blue scenario. The timeline was six months and included the following action items: investigate the microsystem, conduct development meetings, develop an educational curriculum, conduct mock codes, and evaluate the outcomes. The action items were carried out by a combination of the CNL, the CNS/educator, and the team. The activities in the timeline were completed through the first PDSA cycle and its evaluation. Six nurses attended the course along with the CNS/educator. A debriefing was held and questionnaires were handed out and later returned for analysis. The final outcome for the specific aim was not completed but current participation stands at 24%. The participants overwhelmingly state an improvement in skills and a reduction in the stress with regard to their involvement in the mock code and their confidence about functioning in an emergency situation in the future. The recommendation is to continue with the PDSA cycles twice per month until all of the pediatric nurses have received the course, and then continue with the cycles once per month to engage the remainder of the staff.

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