eLearning and Mobility: An Electronic Education to Evaluate Surgical Intensive Care Unit Registered Nurse Knowledge and Adherence to an Institution-Specific Mobility Protocol

Autor/in	Pascual, Natalia Maria
Titel	eLearning and Mobility: An Electronic Education to Evaluate Surgical Intensive Care Unit Registered Nurse Knowledge and Adherence to an Institution-Specific Mobility Protocol
Quelle	(2023), (55 Seiten) PDF als Volltext Verfügbarkeit D.N.P. Dissertation, Georgetown University
Sprache	englisch
Dokumenttyp	gedruckt; online; Monographie
ISBN	979-8-3794-4860-8
Schlagwörter	Hochschulschrift; Dissertation; Electronic Learning; Surgery; Nurses; Hospitals; Guidelines; Clinical Experience; Compliance (Psychology); Patients; Professional Continuing Education + Suchen Sie Ihr Suchwort? Thesis; Dissertations; Academic thesis; Chirurgie; Krankengymnast; Krankenhaus; Richtlinien; Patient; Berufsfeldbezogener Unterricht; Weiterbildung
Abstract	Clinical practice guidelines (CPGs) are systemic evidence-based recommendations devised to assist healthcare workers in standardizing and improving patient care quality. Despite CPG's ability to bridge evidence to practice, adherence occurs only 36% of the time. A barrier to CPG uptake is a lack of formal education and training. Evidence indicates that consistent education, specifically electronic, can improve care practices and patient outcomes. Therefore, this quality improvement (QI) project aimed to evaluate the effect of an eLearning education on SICU RN knowledge and adherence to an institution-specific mobility protocol. This project was conducted on a 24-bed SICU within a large urban tertiary care center. A pre-post design was used to assess both knowledge and adherence outcomes. Baseline adherence and knowledge assessments occurred over six and two weeks, respectively. After gathering baseline data, an eLearning educational module on the PUMP Plus© mobility guidelines was distributed to SICU RNs and completed over two weeks using the site's continuing education server. Following the eLearning intervention, adherence and knowledge were re-evaluated over identical six- and two-week periods. Adherence data were collected via SICU RN charting in the medical record. Knowledge data was collected using Qualtrics-administered assessments. To assess adherence rates, a total of npre=950 and npost=882 patient encounters were evaluated between the pre and post-period. Using a Z-test of proportions, a statistically significant increase in encounters that met adherence was seen, from 47.6% pre to 59.2% post, p < 0.001. Of the eligible SICU RNs, N=10 completed the pre and post-knowledge assessments for data analysis. Using a paired samples t-test, the percentage of correct knowledge assessment scores from pre (43.6%) to post (68.2%) was statistically significant, p < 0.001, but underpowered. During the two-week intervention period, 49.1% of SICU RNs completed the eLearning education. Overall, this project found increased SICU RN knowledge and adherence to the PUMP Plus© mobility guidelines due to an eLearning education. These results reveal that this eLearning education may be effective for use beyond the SICU and expandable to the entire implementation site. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.] (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01