Date of Award

Spring 2024

Project Type

Thesis

Department

Nursing

First Advisor

Pamela Kallmerten

Abstract

Abstract

Background At a macrosystem in New England hospital nurses are requesting more training for better preparedness in situations of clinical deterioration in the patient. Current education offerings were focused on cardiac and respiratory arrest situations. Review of the literature reveals the need for training in recognition and response to clinical deterioration. Simulation training can be a useful training tool.

Methods Several assessments were conducted to determine the need for a new course that focuses on recognition and response for stabilization. These assessments included an AHRQ Gap Analysis, a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis, Stakeholder feedback using Qualtricsä, and an examination of Resource Allocation.

Results Analysis of the development of a new program for training that involves simulation revealed the implementation of this new course is possible. It will be cost saving for the facility in education hours in comparison to other educational offerings. The outcome on improved patient outcomes will be studied through the rest of 2024 and throughout 2025.

Discussion The implementation of this course is feasible due to the reduction of resources compared to other course offerings. Attendees of this course will be able to maintain a full clinical point of care work week, with minimal overtime. Outcomes on the confidence of the nurses prior to the course and post-course will be tracked with evaluations of the subjective experience. Patient outcomes will need to be trended prior to the implementation and post course to validate its effectiveness.

Keywords: Patient deterioration, new nurse, training, recognition, emergency preparedness, rapid response team.

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