Date of Graduation

Spring 5-15-2025

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

Elizabeth Lopes

Abstract

Objective Implementing the Donna Wright Competency Model at a Bay Area Children’s Hospital in its peri-anesthesia units. Throughout available literature it was possible to observe the positive effects of implementing a competency model such as the DWCM has on the confidence of nursing staff and patient outcomes. An important point shown by literature was addressing more than technical skills and incorporating critical thinking and ethical considerations regarding patient care. Aim We aim to improve nurse competency in pediatric peri-anesthesia units at a Bay Area Children's Hospital by implementing Donna Wright’s Competency Model. Data obtained in August 2024 from a series of surveys identified areas of need. Executed over a two-month period, foreseeing a 15% increase in competency self-assessment ratings from 65% to 80%. Improving nurses' knowledge and skills by avoiding unnecessary repetition and being goal oriented, enhancing patient safety and care quality. Methods Areas of need were addressed throughout several skill days where nursing staff were able to reinforce their understanding through didactic, simulations, and hands-on learning. The nurse’s self-rate their competency levels prior to and after participating in the skill days. Results Data obtained from the surveys showed a competency increase greater than 15%. Additionally, nurses provided useful feedback that will be used to make future changes to skill days, further improving competency amongst nurses. Conclusion Results obtained from implementing the DWCM showed that having a standardized form of competency assessment where nursing staff take ownership and control of their learning leads to an increase in competency and confidence.

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