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CC BY-NC-ND V4.0, Open Access
Dissertation
Identifying and Prioritizing Clinical Content to Support Nurse Practice Readiness
Washington State University
Doctor of Philosophy (PhD), Washington State University
2023
DOI:
https://doi.org/10.7273/000005321
Abstract
Newly licensed nurses are often not sufficiently competent, effective, or safe to care for patients. As a result, national nursing organizations have directed educational facilities to implement competency-based education to increase new nurse readiness. Embedded in this direction is the foundational need to identify the knowledge, skills, and abilities that can contextualize and situate competencies to prepare students to practice as Registered Nurses (RNs). Practice analysis is a common way to identify competencies, knowledge, and skills required for a discipline. The National Council of the State Boards of Nursing (NCSBN) uses consensus methodologies to ascertain which competencies will be included in the national nurse licensing examination. This three-manuscript dissertation demonstrates how utilizing patient data can augment contemporary consensus methods to support objectively identifying clinical context that frames nursing competencies. A scoping review was completed to explore how organizations conducted practice analyses (Manuscript 1). Two gaps emerged: (1) practice analyses do not typically gather clinical information regarding medical diagnoses, medications, lab tests, and procedures that are essential nursing knowledge and skills for patient care and framing nursing competencies; and (2) digital patient data sources, such as electronic health records (EHR), were rarely utilized as sources for clinical content. Then, using Stanford’s Design Thinking Methodology, a prototype practice analysis methodology was developed - the Data-driven, Expert-approved Practice Model Analysis (DEPMA; Manuscript 2)- a new approach to determining content for practice competencies. The prototype was tested with over 80,000 deidentified medical-surgical patient records (Manuscript 3). The prototype successfully assisted in identifying and ranking 14,000+ detailed clinical items that medical-surgical nurses utilized when caring for their patients. Medical-surgical experts narrowed these down to 421 items that new nurses must master to demonstrate the competencies required to independently care for typical medical-surgical patients.
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Details
- Title
- Identifying and Prioritizing Clinical Content to Support Nurse Practice Readiness
- Creators
- Grant Ely
- Contributors
- Roschelle Fritz (Advisor)Mary Koithan (Committee Member)Stephen Michael James (Committee Member)Gwen Halaas (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- College of Nursing
- Theses and Dissertations
- Doctor of Philosophy (PhD), Washington State University
- Publisher
- Washington State University
- Number of pages
- 153
- Identifiers
- 99901031139701842
- Language
- English
- Resource Type
- Dissertation