Date of Graduation

Spring 5-17-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

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


Problem The acute care unit microsystem of a California children’s hospital encounters issues involving the incorrect set up and administration of prolonged intravenous (IV) antibiotics and medication errors, such as delivery at the wrong rate or time. These problems can result in negative patient health outcomes, delayed healing, antibiotic resistance, and increased length of hospital stay and costs. Context A collaborative quality improvement (QI) project was launched to target the pediatric population of this particular microsystem. The aim of this project was to standardize prolonged IV antibiotic practices, disseminate knowledge while using evidence-based practice (EBP), and improve patient outcomes. Interventions The QI team performed an intervention of nurse education. Registered nurses (RNs) were educated on the recommended process of prolonged IV antibiotic setup and administration via a comprehensive educational video demonstration and supplemental PowerPoint presentation. Measures The outcome measurements are increased percentage of inpatient pediatric RN self-reported knowledge and a reduction in medication errors. Self-reported knowledge was measured via a pre- and post-video quiz. Results There were increases in RN participation, self-reported knowledge, and confidence level. The results’ effect on improvement of the microsystem’s units, patients, and staff could not be analyzed due to the limited timeframe of this project. Conclusions The QI team surpassed the specific aim and expectation of increasing RN self-reported knowledge from 5% to 8.5%. Although increases in knowledge and confidence level were observed, the effectiveness of the intervention and RN performance should be continuously evaluated, reflecting accurate, up-to-date information.