"Implementing Donna Wright’s Competency Model for Enhancing Nursing Pro" by Justin C. Chu

Date of Graduation

Fall 12-13-2024

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

Lisa Brozda RN, MSN, CNS

Abstract

Background Hundreds of thousands of deaths occur in hospitals annually due to preventable adverse events. As literature shows nurse competency is positively associated with improved patient outcomes, it is the mission of any healthcare organization to continually improve staff competency. Bay Area Children’s Hospital X is looking to adopt the Donna Wright Competency Model (DWCM) to change the way they approach this process, transitioning from traditional methods of manager-selected competencies to a collaborative, shared governance approach. Objectives Utilizing the DWCM, the project goal is to enhance competencies among 90 nurses in pediatric perioperative units. The ultimate goal is to create a work environment conducive to providing safer and higher quality care. Methods A needs assessment identified the top five competencies that were a priority for the unit. A baseline survey then asked nurses to self-rate their competency levels with these topics. An educational session was conducted with the most frequently identified topic. A pre- and post-survey evaluated for a change in reported competency levels to study effectiveness of the training. Results Data shows all levels of nursing competency increased after a pilot test was given to 6 nurses. Conclusions The results highlight an increase in competency following the interventions. A follow-up questionnaire found that nurses reported greater perceived value, decreased frustration, and greater knowledge retainment with competencies that actually mattered to them and were selected by them. Limitations include short timeframe, affecting the ability to measure long-term outcomes and sustainability, and potential response bias due to subjectivity of self-reporting.

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