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Dissertation/Thesis Abstract

Paving the Way to Quality Care: Improving Sepsis Care in Illinois Critical Access Hospitals
by Blumenstock, Erica, D.N.P., McKendree University, 2020, 110; 27835484
Abstract (Summary)

Executive Summary The project was centered on providing an evidence-based tool-kit to empower healthcare providers with current evidence necessary to combat sepsis morbidity and mortality in the 57 critical access hospitals (CAHs) throughout the state of IL. The project design involved collaborative work with the Illinois Critical Access Hospital Network (ICAHN) to identify strengths and weakness of current sepsis care using a gap analysis. Hospitals are required from both state and national organizations to develop sepsis care policies and report quality improvement data. In order to meet reporting guidelines, it is essential that hospitals have current evidence-based sepsis recommendations in an easy to use format as they work to improve patient care and report quality improvement data. The project consisted of three phases. The first phase was assessment of current practice within existing CAHs. Phase two was divided into two parts. The first step of phase two consisted of a review of the assessment findings. The second phase of phase utilized the assessment findings in the development of an electronic tool-kit and presentation of findings to ICAHN members. The final phase of the project was evaluation of the presentation and tool-kit. A gap analysis was used to identify learning needs for the health care organizations in order to develop a sepsis care tool-kit and the associated sepsis education-based presentation for all members of ICAHN. Malcolm Knowles’ Adult Learning Theory was used to ensure the tool-kit and educational offering met the needs of adult learners. In order to influence change within ICAHN organizations, John Kotter’s Leading Change, and Jeffery Hiatt’s ADKAR model for change provided the framework to influence individual and organizational change. The tool-kit provided organizations with current evidence-based practice guidelines, as well as provided samples of best-practice currently used by ICAHN organizations. Certification by The Joint Commission (TJC) is viewed as demonstrating exemplary care practices. Information was provided in the tool-kit on the necessary steps to obtaining TJC disease-specific care certification for sepsis. The post-presentation survey identified a need for more information on other agencies offering certification. This demonstrated a desire and interest in pursuing certification. A presentation was provided to ICAHN leaders regarding the findings of the gap analysis, as well as the use of the tool-kit to improve patient care. The effectiveness of the tool-kit and presentation were evaluated using a post-presentation survey. Participants of the survey were very satisfied with the content of the tool-kit and presentation. The information from the gap analysis, post-presentation survey, were used to develop a model for hospitals interested in improving existing sepsis guidelines and applying for TJC certification.

Indexing (document details)
Advisor: Rennegarbe, Richelle
Commitee: Albers, Janice, Charlet, Angie
School: McKendree University
Department: School of Nursing and Health Professions
School Location: United States -- Illinois
Source: DAI-B 81/10(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Critical access, Critical access hospital, Sepsis, Sepsis guidelines, Toolkit
Publication Number: 27835484
ISBN: 9798607323257
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