Date of Graduation

Spring 5-17-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Dr. Nicole Beamish, DNP, PHN, FNP-BC, BC-ADM, CNL

Abstract

Problem Children’s Hospital A's incidence report tool, iCares, demonstrates that 50% of the issues related to prolonged intravenous (IV) antibiotics are categorized as administration issues. This leads to the medication being delivered at the wrong time or rate. Having these issues increases patient length of stay, increasing hospital costs. Context The microsystems for this quality improvement project include inpatient pediatric patient care units (PCU) 300, 360, and 400. Children’s Hospital A is a 361-bed San Francisco Bay Area hospital. Interventions The Clinical Nurse Leader students implemented a presentation defining prolonged IV antibiotics, their rationale, and a video demonstrating the correct pump setup. This presentation was shown at an in-person staff meeting on April 11, 2024, to 90 nurses and nurse managers. Measures To assess nurses’ baseline knowledge, a pre-video quiz was deployed before the intervention was presented. A post-video quiz was utilized to assess the impact of the video on nurses’ knowledge. Results When comparing baseline knowledge to post-intervention knowledge, the results went from 86.9% to 95.5%, reflecting an 8.6% improvement. Conclusions This project comprehensively assessed the microsystem using a needs assessment tool, identified the problem, and conducted a root-cause analysis. The students analyzed data to implement an educational tool that increased nurse knowledge regarding prolonged IV antibiotics. The tool is cost-effective, and easily attained ensuring sustainability. The video will be evaluated biannually utilizing iCares data to assess long-term impacts.

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