Dissertation/Thesis Abstract

Alternative Augmentative Care Planning in Patients with a Cognitive Decline
by Milane, Russell Edward, D.N.P., Grand Canyon University, 2018, 163; 10976265
Abstract (Summary)

Nurse dissatisfaction occurs when the quality in communication of persons affected by a cognitive decline is impacted during the transmission process. It is necessary to understand the nurse’s perception of this situation and how alternative augmentative communication (AAC) patient-centered care intervention (PCCI) care planning provides the most advantageous strategy. The purpose of this Direct Practice Improvement (DPI) project is to understand how ten nurses perceived their level of dissatisfaction while communicating with patients with a cognitive decline before and after implementation of an AAC PCCI care plan intervention at a Long Term Care Home (LTCH) in Southeast Iowa. This project demonstrated the importance of implementing AAC PCCI care planning as a means to decrease nurse dissatisfaction when caring for individuals with cognitive decline. Their perception was measured prior and following implementation of the care plan. The project utilized Watson’s theory of human caring to support the perceptual and qualitative nature of this project. A case study framework using qualitative open-ended questions solicited the nurse’s personal perceptual view and experiences in answering the clinical questions. The data results of (N=10) nurse’s narratives were analyzed. A confidence interval of 95% provided statistical significance supporting AAC PCCI care planning implementation as a means to improve nurse satisfaction. The measurable practice outcome of this project’s AAC PCCI care planning implementation is effective in decreasing nurse dissatisfaction. A future recommendation is to provide a quantitative approach as a means to provide additional reliability.

Indexing (document details)
Advisor: Thomas, Maria
Commitee: Hertel, Larry, Thomas, Maria
School: Grand Canyon University
Department: Nursing and Health Care Professions
School Location: United States -- Arizona
Source: DAI-B 80/03(E), Dissertation Abstracts International
Subjects: Nursing, Occupational psychology, Health care management
Keywords: Alternative augmentative communication, Care planning, Nurse dissatisfaction, Patient-centered care intervention
Publication Number: 10976265
ISBN: 978-0-438-62092-6
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