Date of Graduation
Summer 8-14-2026
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Department/Program
Public Health
Program
MSN project
First Advisor
Tania Borja-Rodriguez
Abstract
Parkinson’s disease is a movement disorder that greatly impacts one’s quality of life due to its worsening progression and impact on cognitive and physical functions. Objective: The purpose of this quality improvement project is to strengthen staff confidence and competence in caring for residents with Parkinson’s disease (PD) living in a skilled nursing facility. Aim: Clinical nurse leader (CNL) students aim to increase staff confidence and competence in PD care from 60% to 75% over a six-week period, from June 18, 2026, to July 30, 2026. Method: A total of thirteen interdisciplinary staff members (e.g. registered nurses, licensed vocational nurses, and certified nursing assistance) completed pre- and post-surveys using a 5-point Likert scale. The survey assessed their confidence and knowledge in topics such as medication management, escalation of care, common PD symptoms, and communication barriers. The survey also measured their comfort level in clinical decision-making and workflow processes. Pre- and post-surveys were collected and analyzed to interpret the effectiveness of the intervention. Intervention: An evidence-based education program was developed to address specific topics identified by staff in the pre-surveys in areas they required supplemental education on. Results: The pre-survey data reported that scores were high across the outcome measures of confidence, competence, and workflow. The post-intervention scores showed slight improvement in confidence, knowledge, and workflow regarding topics such as medication management, recognition of advanced PD symptoms, knowing when to escalate care, and communication barriers. Conclusion: Establishing a structured interactive educational program on PD showed positive outcomes in strengthening staff confidence, competency, and workflow. This quality improvement project can pave the way for adopting continuous staff education processes in this microsystem to enhance resident’s safety and well-being.
Recommended Citation
Nicdao, Jerlyn T., "Steady Steps: Building Confidence in Parkinson’s Disease Care" (2026). Master's Projects and Capstones. 2065.
https://repository.usfca.edu/capstone/2065
