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Dissertation
Improving Nursing Compliance with Intravenous Insulin Protocol: Using the Plan Do Study Act Methodology
Doctor of Nursing Practice (D.N.P.), Drexel University
06 Jun 2021
DOI:
https://doi.org/10.17918/00001524
Abstract
Nursing compliance with intravenous insulin policy includes strict adherence to the next scheduled point of care testing blood glucose. Point of care blood glucose is an essential nursing task. Nurses not completing the finger sticks at the prescribed times contribute to treatment-induced iatrogenic hypoglycemia in the acute care setting. Hypoglycemia is a preventable patient safety risk resulting in cardiac arrhythmias, altered mental status, potential coma, and death. The purpose of this project is to develop a hypoglycemic performance tret program consisting of a collaborative, multidisciplinary team tasked to uncover the root cause of testing delays. The project design deploys the Plan-Do-Study-Act improvement methodology achieved a 31 percent a reduction in testing delays. The multifaceted approach includes targeted educational materials to improve the glycemic management software, rapid improvement cycles, and data analysis pre-and post-intervention. This project sets out to enhance awareness of the direct association of the point of care testing timing and reduce iatrogenic hypoglycemia and potential harm. Pre and post intervention ANOVA F-Ratio valued at 16.52 and p-Value 0.0001121 significant at p < 0.05. In additional a Welch two sample t-test pre-intervention mean of 19.1-minute delay to a 5.69 post intervention mean with a significant p-value of 0.0001121. The project improvement program and interventions successfully reduced the collection delay in the pilot unit and there zero hypoglycemic events occurred during the project on the pilot unit.
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Details
- Title
- Improving Nursing Compliance with Intravenous Insulin Protocol
- Creators
- Louis F. Fetscher
- Contributors
- Patti Rager Zuzelo (DNP Chair)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 44 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991020220771004721