東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Linked to FindBook

Google Book

Amazon

博客來

Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management./
Author:	Brost, Shane M.
Description:	1 online resource (59 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-10, Section: B.
Contained By:	Dissertations Abstracts International84-10B.
Subject:	Hemodialysis. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30361844click for full text (PQDT)
ISBN:	9798377680727

Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management.
Brost, Shane M.

Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management. - 1 online resource (59 pages)

Source: Dissertations Abstracts International, Volume: 84-10, Section: B.

Thesis (D.N.P.)--West Virginia University, 2022.

Includes bibliographical references

Background: Continuous renal replacement therapy (CRRT) is a complex, life-preserving treatment for unstable patients who require hemodialysis in the intensive care unit (ICU). Nurses responsible for managing the CRRT machine in this large academic medical center's cardiovascular ICU (CVICU) complete a one-hour basic training course focused on setting up the machine, responding to basic alarms, and changing out the CRRT circuit when necessary. Staff nurses, advanced practice providers (APPs), and nursing administrators agree that training is insufficient. Research evidence supports rigorous staff training as essential to improving the quality of CRRT delivery.Purpose: This Doctor of Nursing Practice (DNP) project purposed to implement an advanced CRRT training program for nurses and APPs in the hospital's CVICU to (a) increase participants' CRRT knowledge and to improve management and troubleshooting skills; (b) improve CRRT delivery in the CVICU; (c) evaluate participants' perception of training program effectiveness.Intervention: An advanced CRRT training program was implemented. Participants attended a four-hour CRRT training course provided by the clinical educator for the CRRT machine manufacturer.Methods: To assess the impact of the intervention on CRRT knowledge, participants completed a CRRT knowledge test before and after the training course. To assess the impact of the intervention on CRRT delivery, postintervention data from the CRRT machines was compared to pre-intervention data for the following CRRT-specific outcomes of interest: downtime, dosing target accuracy, filter life, number of unnecessary filter changes, filters used per treatment day, and filter expense. To assess the impact of the intervention on perceived competency, participants were asked to complete pre- and post-intervention surveys. Statistical analyses were performed to compare preintervention to post-intervention data.Results: The advanced CRRT training course was attended by 25 participants. Participants had a statistically significant increase in knowledge as evidenced by the difference between pre- (59.37%, SD=8.46%) and post-intervention (82.54%, SD=6.63%) CRRT knowledge test scores (p=<.001). Although there was some improvement in downtime, dosing target accuracy, and filter life, it was not statistically significant. Participants reported an increase in perceived CRRT competency and satisfaction as evidenced by their responses to the post-intervention survey and feedback suggesting it should be offered at least yearly if not more frequently.Conclusions: Implementation of an advanced training program is an essential first step toward increasing nurses' knowledge and improving CRRT management and troubleshooting skills.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798377680727Subjects--Topical Terms:

802778
Hemodialysis.
Index Terms--Genre/Form:

542853
Electronic books.

Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management.
LDR:04240nmm a2200445K 4500 001 2361875
005 20231027102341.5
006 m o d
007 cr mn ---uuuuu
008 241011s2022 xx obm 000 0 eng d
020 $a 9798377680727
035 $a (MiAaPQ)AAI30361844
035 $a (MiAaPQ)WVirginia12365
035 $a AAI30361844
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Brost, Shane M. $3 3702565
245 1 0 $a Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management.
264 0 $c 2022
300 $a 1 online resource (59 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-10, Section: B.
500 $a Advisor: Ostrowski, Aaron;Gotses, John.
502 $a Thesis (D.N.P.)--West Virginia University, 2022.
504 $a Includes bibliographical references
520 $a Background: Continuous renal replacement therapy (CRRT) is a complex, life-preserving treatment for unstable patients who require hemodialysis in the intensive care unit (ICU). Nurses responsible for managing the CRRT machine in this large academic medical center's cardiovascular ICU (CVICU) complete a one-hour basic training course focused on setting up the machine, responding to basic alarms, and changing out the CRRT circuit when necessary. Staff nurses, advanced practice providers (APPs), and nursing administrators agree that training is insufficient. Research evidence supports rigorous staff training as essential to improving the quality of CRRT delivery.Purpose: This Doctor of Nursing Practice (DNP) project purposed to implement an advanced CRRT training program for nurses and APPs in the hospital's CVICU to (a) increase participants' CRRT knowledge and to improve management and troubleshooting skills; (b) improve CRRT delivery in the CVICU; (c) evaluate participants' perception of training program effectiveness.Intervention: An advanced CRRT training program was implemented. Participants attended a four-hour CRRT training course provided by the clinical educator for the CRRT machine manufacturer.Methods: To assess the impact of the intervention on CRRT knowledge, participants completed a CRRT knowledge test before and after the training course. To assess the impact of the intervention on CRRT delivery, postintervention data from the CRRT machines was compared to pre-intervention data for the following CRRT-specific outcomes of interest: downtime, dosing target accuracy, filter life, number of unnecessary filter changes, filters used per treatment day, and filter expense. To assess the impact of the intervention on perceived competency, participants were asked to complete pre- and post-intervention surveys. Statistical analyses were performed to compare preintervention to post-intervention data.Results: The advanced CRRT training course was attended by 25 participants. Participants had a statistically significant increase in knowledge as evidenced by the difference between pre- (59.37%, SD=8.46%) and post-intervention (82.54%, SD=6.63%) CRRT knowledge test scores (p=<.001). Although there was some improvement in downtime, dosing target accuracy, and filter life, it was not statistically significant. Participants reported an increase in perceived CRRT competency and satisfaction as evidenced by their responses to the post-intervention survey and feedback suggesting it should be offered at least yearly if not more frequently.Conclusions: Implementation of an advanced training program is an essential first step toward increasing nurses' knowledge and improving CRRT management and troubleshooting skills.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Hemodialysis. $3 802778
650 4 $a Software. $2 gtt. $3 619355
650 4 $a Nursing education. $3 3685078
650 4 $a Clinical medicine. $3 804916
650 4 $a Continuing education. $3 527504
650 4 $a Communication. $3 524709
650 4 $a Intervention. $3 3435307
650 4 $a Adaptation. $3 3562958
650 4 $a Hospitals. $3 616081
650 4 $a Distance learning. $3 3557921
650 4 $a Teachers. $3 529573
650 4 $a Nurses. $3 617628
650 4 $a Patients. $3 1961957
650 4 $a Nursing care. $3 1962274
650 4 $a Benchmarks. $3 3548256
650 4 $a Intensive care. $2 gtt $3 1068710
650 4 $a Computer science. $3 523869
650 4 $a Education. $3 516579
650 4 $a Educational technology. $3 517670
650 4 $a Health education. $3 559086
650 4 $a Higher education. $3 641065
650 4 $a Medical personnel. $2 itrt. $3 774747
650 4 $a Medicine. $3 641104
650 4 $a Nursing. $3 528444
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0651
690 $a 0459
690 $a 0984
690 $a 0515
690 $a 0710
690 $a 0680
690 $a 0745
690 $a 0454
690 $a 0207
690 $a 0564
690 $a 0569
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a West Virginia University. $3 1017532
773 0 $t Dissertations Abstracts International $g 84-10B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30361844 $z click for full text (PQDT)