Improving confidence and perceptions among nurses using a clinical decision tool for wound care management
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Author: Candice Schnoor, DNP-S, BSN, RN, FNP-S; Co Author: Dr. Valerie Anderson, DNP, MSN-Ed, APRN, FNP-C
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Background and purpose: Wound care can vary among all health care providers, which is why it is important to limit practice variations by using clinical decision-making support tools. Education for wound care is very limited among health care providers, and the purpose of the paper is to examine if confidence and perceptions among nurses increases when using a clinical decision support tool for wound care management.
Methods: The clinical decision-making tool, recognized as the TIME CDST, focuses on tissue, inflammation/infection, moisture balance and edges of the wound to properly manage wound care patients. An education session was recorded for day shift nurses prior to the implementation of using the tool, and then was utilized for a period of 6 weeks in a critical access hospital. The perceptions and confidence levels among the nurses were measured using a Likert-style questionnaire prior to the education session and after completing the 6-week implementation period.
Conclusion: The 5-point Likert style questionnaire was self-reported as (1 = strongly disagree, 2 = disagree, 3 = agree nor disagree, 4 = agree, 5 = strongly agree) on statements regarding confidence and perceptions of various components of wound care. Overall, there were improved responses on the post survey related to tissue identifiability, type of wound, and appropriate dressing selection after using the TIME CDST model. Although the sample size was small, an average of 21.5% increase was noted in the nurse’s responses on confidence and knowledge after the 6 weeks of implementation.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | Qualitative Research |
Keywords | Wound Care; Perceptions; Confidence; Clinical Decision-Making Tools; Wound Care Education; Wound Care Management; Would Care Support |
Grantor | Nebraska Methodist College |
Advisor | Anderson, Valerie |
Level | DNP |
Year | 2022 |
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