Date of Graduation

Winter 12-15-2017

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




DNP Completion

First Advisor

Brian Budds

Second Advisor

Robin Buccheri


Cardiovascular disease is a global issue affecting millions of lives around the world. Today, countries like the U.S. and China have joined forces to take on the global issue. In the U.S., the American Heart Association is the largest organization dedicated to reducing the mortality rate of cardiovascular disease by requiring healthcare services to uphold standard cardiovascular guidelines. Astonishingly, within the last 10 years, the U.S. has reduced their cardiovascular mortality rate by 30%.

This quality improvement project sought to determine the gap between the United States and China’s standard nursing education and practices and to help Chinese nurses achieve International Center of Excellence Accreditation by developing a self-administered competency assessment and checklist to determine the content, training, and evaluation for an advanced cardiovascular program. As a part of this project, Dignity Health International obtained and administered a self-administered exam to Chinese nurses of BOE Hospital. The results of the self-administered exam indicate that additional research is needed to fully understand China’s nursing practices, roles, and responsibilities.

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