Date of Graduation

Spring 5-19-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Dr Elena Capella

Abstract

Abstract

The aim of this CNL internship project is to improve the current nursing practices by closing the performance gap among nurses on splint applications and crutch training within the 3-month course of this project. This project was implemented in a urgent care setting where Minor injuries such as sprains, strains or fractures are commonly seen by immobilization by application of splints which is given by the nursing staff. Micro assessment of the work flow of unit showed that only a few members of the staff routinely do these procedures and results from a self- assessment survey showed that 50% of the staff need assistance when they are task to complete these orders. These factors revealed that a primary cause of this disparity is a gap in knowledge and skill. The data complied supports that this gap can be addressed through the implementation educational training sessions. The format of training sessions was composed of a pre -intervention assessment, training/teaching, hands on practice by learner . The learners were later re-assessed during the post interventional assessment to evaluate their level of improvement which was measured by the competency checklist used throughout the training session to measure the individual learner’s baseline knowledge and skill as well as tool guide during the teaching portion of the training sessions. The materials used as a reference to confirm standards of care are the organization’s policy and procedures of splint applications and crutch training for patients, the organization’s education training manual of orthopedic procedures and crutch training, written after-care splint instructions for patients used in the unit, manufacture instructions sheets of splint materials, picture posters and signage sheets posted on each room of the unit as visual aids. Practice materials for hands on training are same splint materials and crutches used in the unit. Of the 15 nurses available to participate, seven nurses were willing to take part in the training sessions. Pre-interventional assessment of these seven nurses revealed varying degrees of knowledge and competency. Post -interventional assessment of these seven nurses revealed that improved their skill and knowledge on each of the objectives in the checklist, however they all they not yet gained enough mastery to independently practice them on patients. The results of post training self -assessment survey given to the seven nurses showed that they all believed that their competency has improved, had more interest and felt more confident in doing these procedures. They all responded that they felt that continuation of their training by partnering up with a mentor is effective method in improving their practice, which was recommended as the next phase of this project. The nurse manager gave support of continuing the next phase of this project on an informal basis. However, I believe due to the support of the staff the next phase will be realized.

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