Dissertation
Improving self-efficacy of the rapid response team in fluid resuscitation during septic shock
Doctor of Nursing Practice (D.N.P.), Drexel University
Sep 2018
DOI:
https://doi.org/10.17918/29qz-p943
Abstract
Abstract Purpose: This educational project focused on developing clinical skills and knowledge through the improvement of self-efficacy of the rapid response team (RRT) in the management of fluid resuscitation in septic shock. Problem: Despite evidence that a large amount of fluid administration is necessary in the process of resuscitation in sepsis/septic shock to reduce morbidity and mortality, quite a few caregivers are apprehensive to initiate the large amount of fluids indicated in the Centers for Medicare and Medicaid Services (CMS) and the Surviving Sepsis Campaign International Guidelines (30ml/kg of crystalloids within 3 hours). Method: This evidence-based quality improvement project using the CETEP model involved an educational program comprised of a lecture component, followed by a skill demonstration by the RRT members in the simulation laboratory utilizing high-fidelity human simulation (HFHS) including training on the use of the EV1000 hemodynamic monitor. Bandura's theory of self-efficacy and the application of the theory to nursing by Resnick provided a framework for the project. The General Self-Efficacy Scale survey was used to compare pre and post intervention results. Results: Self-efficacy of the members of the RRT with the management of fluid resuscitation in the presence of septic shock had a significant increase after the educational offering. Advance nurse practitioners' satisfaction responses were overwhelmingly positive regarding the educational offering, especially the HFHS experience. Conclusion: This study supports the use of an educational offering comprised of a didactical component and HFHS to improve self-efficacy in knowledge and skills of the RRT in the management of fluid resuscitation in septic shock.
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Details
- Title
- Improving self-efficacy of the rapid response team in fluid resuscitation during septic shock
- Creators
- Alvaro F. Mendez - DU
- Contributors
- Linda Wilson (Advisor) - Drexel University (1970-)Frances Haider Cornelius (Advisor) - Drexel University (1970-)Nancy Huertas-Savino (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 81 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 8207; 991014632840204721