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Scholarly Project. Stephanie Monroe Ferris State University . Presentation Objectives . Define purpose of scholarly project State project goal and objectives Describe personal and professional accountability Analyze project outcomes Provide summary of evaluations

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Scholarly project

Scholarly Project

Stephanie Monroe

Ferris State University


Presentation objectives
Presentation Objectives

  • Define purpose of scholarly project

  • State project goal and objectives

  • Describe personal and professional accountability

  • Analyze project outcomes

  • Provide summary of evaluations

  • State recommendations for similar projects


Project description
Project Description

  • To develop, implement, and evaluate a clinical simulation for the cardiothoracic unit nursing staff at Munson Medical Center


Project goal and objectives
Project Goal and Objectives

  • Goal: A2 nurses will improve their documentation of procedures using sedation and cardiac rhythm strips after completion of the simulation

  • Objectives:

    • Demonstrate proper set up of a room for a cardioversion per a2 protocol

    • Demonstrate competency in documenting a procedure requiring sedation per MMC standards

    • Describe proper documentation of cardiac rhythm strips per A2 protocol

    • Demonstrate competency in the use of a biphasic defibrillator including application

    • Apply Teamwork principles to performance of BCLS/ACLS algorithms




Project outcomes
Project Outcomes on A2

At completion of the clinical simulation the cardiothoracic nurses were able to:

  • Demonstrate proper set-up of a room for a cardioversion per A2 unit standards

  • Demonstrate competency in documenting a procedure requiring sedation per Munson Medical Center’s standards of care

  • Describe proper documentation of cardiac rhythm strips per A2 unit standards

  • Demonstrate competency in the use of a biphasic defibrillator including application

  • Apply teamwork principles to performance of BLS/ACLS algorithms



Analysis of outcomes adherence to legal and ethical standards
Analysis of Outcomes: on A2Adherence to Legal and Ethical Standards

  • Autonomy: Utilization of pre-procedure checklist ensures patient has given informed consent

  • Beneficence & Nonmaleficence: Being compliant to policies and standards of care we ensure quality care and protect patients from harm

  • Fidelity: compliance to the hospital policies and standards of care demonstrate commitment to safe and quality care

  • Justice: All patients on the cardiothoracic unit will receive a level of care that is in compliance with hospital policies and standards of care

    (ANA, 2011)


Analysis of outcomes adherence to organizational standards
Analysis of Outcomes: on A2Adherence to Organizational Standards

  • Congratulations A2 staff! In post-simulation chart audits of documentation of procedural sedation the staff was found to be nearly 100% complaint to the hospitals policies and standards of care.


Analysis of outcomes adherence to nursing standards
Analysis of Outcomes: on A2Adherence to Nursing Standards

As a future nurse educator it is my responsibility to be in compliance with the National League for Nursing’s [NLN] (2005) Core Competencies of Nurse Educators:

  • Facilitate Learning

  • Facilitate Learner Development and Socialization

  • Use Assessment and Evaluation Strategies

  • Participate in Curriculum Design and Evaluation of Program Outcomes

  • Function as a Change Agent and Leader

  • Pursue Continuous Quality Improvement in the Nurse Educator Role

  • Engage in Scholarship

  • Function within the Educational Environment

    (NLN, 2005)


Personal and professional accountability
Personal and Professional Accountability on A2

  • Project was implemented in an organized way

  • I completed all project tasks within the agreed timeframe

  • I provided excellent communication to all individuals involved

  • A2 staff was provided with all necessary materials needed to successfully complete the simulation

  • I have served as a valuable resource to staff on all aspects related to the project



Evaluation of project1
Evaluation of Project on A2

Q: What did you find most helpful about the simulation?

A: The education related to procedural sedation was most helpful

Q:What would you like to seen done differently in the future?

A: Incorporate open chest at the bedside and sterile procedures

Q: How will you apply the information learned in clinical practice?

A: I will now utilize the proper form to document procedural sedation


Recommendations for future simulations
Recommendations for Future Simulations on A2

  • Offer a variety of opportunities to complete simulation

  • Assign roles to participants and ensure understanding of role

  • Allow enough time for participants to switch roles and repeat the simulation

  • Start simulation planning early


Summary
Summary on A2

  • Simulation has been proven to be an effective learning tool for the staff on A2

  • Pre-simulation audits identified a learning gap in procedural sedation documentation

  • Post-simulation audits found A2 staff to be nearly 100% compliant with hospital policies and standards of care

  • In the future staff would like to see open chest at the bedside incorporated into simulation


References
References on A2

  • American Nurses Association (2011). Short definitions of ethical principles and theories familiar words, what do they mean? Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Resources/Ethics-Definitions.pdf

  • National League for Nursing (2005). Core competencies of nurse educators with task statements. Retrieved from http://www.nln.org/profdev/corecompetencies.pdf 


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