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

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Implementation of an Advanced Training Program to Increase Nurses' Knowledge of Continuous Renal Replacement Therapy Management./
作者:	Brost, Shane M.
面頁冊數:	1 online resource (59 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-10, Section: B.
Contained By:	Dissertations Abstracts International84-10B.
標題:	Hemodialysis. -
電子資源:	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.
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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.
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