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
Abstract
Background Each year, preventable adverse events in hospitals lead to numerous deaths. Research consistently indicates a strong correlation between nurse competency and improved patient outcomes, emphasizing the importance of healthcare organizations prioritizing the continuous development of their staff's skills. Bay Area Children’s Hospital A is taking a proactive step by adopting the Donna Wright Competency Model (DWCM), changing from the traditional approach competencies to a collaborative, shared governance model that incorporates the input and perspectives of the nursing staff. Objectives The project aims to utilize the DWCM to enhance the competencies of 90 nurses in the pediatric perioperative units at Bay Area Children’s Hospital A. The purpose is to facilitate a microsystem that promotes safer practices and delivers higher-quality patient care. Methods A needs assessment was conducted to identify the department staff’s top five priority competencies. Nurses were then asked to self-assess their competency levels on these five topics through a survey. The QI project team provided an educational session that focused on the highest-priority competency and later conducted a post-survey to evaluate changes in self-reported competency levels, assessing the effectiveness of the training module provided. Results The data revealed that following a pilot test conducted with six nurses, the number of nurses who self-rated as “Novices” decreased from three to zero, those identified as “Competent” increased from two to four, and those identified as “Expert” rose from one to two. Conclusions The findings of this QI project demonstrated enhanced competency levels after implementing the interventions. A subsequent questionnaire displayed that nurses experienced an increase in perceived value and knowledge retention, as well as a reduction in frustration, particularly with competencies that were relevant and chosen by them. The limitations of the QI project constrained the assessment of long-term outcomes and sustainability, including the brief timeframe and the possibility of bias in survey responses, as nurses might overreport their competency levels.
Recommended Citation
Amezcua, Benjamin, "Implementing the Donna Wright Competency Model in Pediatric Perioperative Units for Nursing Professional Development" (2024). Master's Projects and Capstones. 1841.
https://repository.usfca.edu/capstone/1841
