Dissertation/Thesis Abstract

Neonatal Intensive Care Unit Orientation Strategies to Improve Quality of Patient Care
by Holley, Bonnie Louise, D.N.P., Grand Canyon University, 2019, 157; 27735529
Abstract (Summary)

Neonatal nursing is complex and requires the implementation of evidence-based interventions to meet the needs of the critically ill neonate that result in positive patient outcomes. The purpose of this quantitative correlational project was to determine the effectiveness of a preceptor-led orientation program in improving documented compliance with safe sleep practice and the use of human milk in a 30-bed level III Neonatal Intensive Care Unit in a community hospital. Benner’s novice-to-expert model detailed the transition stages and acquisition of patient care interventions into practice. Bloom’s taxonomy detailed the cognitive aspects of nursing care objectives. The quantitative method was used to incorporate a pre- and post-survey query and quantify nurses’ documentation. Ten novice nurses(n = 10) from the same 30-bed level III NICU in southern California participated in the project. Sixty inpatient charts were reviewed. Data analysis using the mean correlation on safe sleep documentation had a significant mean score of (M = 5.8, SD = 0.45) in the preceptor-led orientation and a mean score of (M = 3.4, SD = 0.55) in the skills-based orientation. The independent sample t-test showed that there was no significant difference in the number of completed documentation on patient care interventions on use of human milk per(t(8) = 1.00, p = 0.35) between the skills-based orientation and preceptor-led structured program. Findings indicate the need to implement education on safe sleep positioning and the benefits of human milk at the level of compliance before, during, and after orientation to sustain positive patient outcomes. It is recommended that future projects investigate clinical and didactic emphasis on modeling safe sleep practice and promoting use of human milk.

Indexing (document details)
Advisor: Schroetter, Shay
Commitee: Wood, Lori Jean
School: Grand Canyon University
Department: College of Nursing and Health Care Professions
School Location: United States -- Arizona
Source: DAI-A 81/8(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Nursing, Sustainability, Health care management
Keywords: Human milk use, Novice nurse, Preceptor-led orientation, Safe sleep
Publication Number: 27735529
ISBN: 9781392525432
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