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    Neurological Nursing Assessment Education at Intermountain Medical Center: A Quality Improvement Project

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    Author
    Jones, Candice
    Issue Date
    2018
    Advisor
    Ritter, Leslie
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background and Aims: Nursing assessments are an integral part of the nursing process that may have significant impact on patient outcomes. Nursing assessments often identify potentially life threatening conditions such as acute neurological events. Inconsistencies of neurological assessments can occur for nurses who do not routinely perform these exams; furthermore, nurses need to be able to identify normal vs. abnormal neurological findings. The Aims of this project were to deliver neurological assessment education and assess nurses’ 1) ability to identify neurological assessment components 2) ability to identify normal vs. abnormal neurological findings and 3) and their perceptions of a one-time face-to-face neurological assessment education. Design, Setting and Population: This quality improvement project uses a descriptive study design. The study took place at Intermountain Medical Center (IMC) in Murray, Utah. Full time nurses (N=31) from medical surgical units participated in the study. Methods and Data Analysis: A 40 minutes neurological assessment PowerPoint education modules was developed and presented in lecture format in five different sessions. A 17 question pre- and 17 question post-education survey was conducted at the time of the education. Overall pre- and post-survey scores and scores representing ability to identify neurological assessment components and normal vs. abnormal assessment findings were described as means +/-SD and compared using t-tests. Perceptions of the education were assessed using a Likert scale. Results: There was a significant increase in overall post-survey scores (88.6+/-13.3) vs. pre-survey scores (77.2+/-16.7) (p=0.001). After the education, there was significant increase in the ability to identify neurological assessment components (p=.002) and a significant increase in the ability to identify normal vs. abnormal neurological findings (p=.004). A large percentage (90%) of the nurses perceived the education as beneficial. Conclusion: A one time, face to face neurological assessment education significantly increased the ability of medical surgical nurses at IHC to identify neurological assessment components and identify normal vs. abnormal neurologic findings. Nurses perceived the education as beneficial. Findings support the need for ongoing education for neurological assessments to increase knowledge and confidence in neurological assessment which ultimately could improve patient outcomes.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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