Theses and Dissertations at Montana State University (MSU)
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Item Implementing quick reference materials for the improvement of rarely performed clinical procedures: a quality improvement project(Montana State University - Bozeman, College of Nursing, 2022) Lange, Christine Merette; Chairperson, Graduate Committee: Molly SecorThis QI project sought to create and implement quick reference tools with the aim of enhancing compliance with clinical practice guidelines for rarely encountered clinical procedures. With collaboration from the Nurse Educator and Quality Improvement Officer on the medical floor at a southwest Montana hospital, the management of chest tubes and implanted ports were identified as inconsistently or infrequently performed procedures, and medical floor staff felt ill-prepared when executing these procedures. The following steps for this project required reviewing and adapting information from the existing clinical guideline materials condensing pertinent information into easy-to-use quick reference information sheets. Next, transcripts were outlined for short 2-minute video tutorials corresponding with each procedure on the quick reference sheets. These quick reference materials were designed using the cognitive and multimedia learning theories, which utilize clear verbal and graphic information that optimize deeper learning and recall. Finally, the implementation phase of this project introduced the quick reference information sheets on the medical unit, covering the skills necessary to manage both chest tubes and implanted ports. Additionally, recording the short video tutorials occurred while implementing the quick reference sheets was underway. It is planned that the QR codes will be added later to the quick reference sheets, allowing stakeholders to access the videos tutorial that correlates to each procedure. A survey of 10 medical floor nurses evaluated the utilization and helpfulness of the resources. The project's initial implementation results indicate a positive response from stakeholders to the quick-reference sheets. In addition, proxy outcomes show that nurses agreed on satisfaction, usefulness, and self-confidence survey questions regarding the use of the quick reference sheets. Future actions for this project are to add the video QR codes onto the quick reference sheets and implement these in the medical unit. It is predicted that a combined approach of using quick reference sheets and short videos will be an operative teaching method for advanced clinical skills of rarely encountered procedures, support clinical decision-making, and further enhance patient outcomes.Item Chemotherapy education: standardizing education and improving knowledge retention through multimedia platform(Montana State University - Bozeman, College of Nursing, 2019) Norby, Sydney Lauren; Chairperson, Graduate Committee: Susan RaphPatients with a new diagnosis of cancer undergoing chemotherapy treatment receive an overwhelming amount of information at the start of their journey. At a northcentral Montana healthcare agency, it was observed that patients were not retaining the chemotherapy education provided to them, which can negatively impact their timeliness of recognizing and reporting symptoms. The purpose of this project was to determine best practice, standardize the chemotherapy delivery process, and implement multimedia into chemotherapy education delivery in hopes of improving knowledge retention. A chemotherapy education checklist was developed to standardize the information delivered to patients during their chemotherapy education. Prior to their education, patients were asked to answer a seven-question pretest. Before their first day of treatment, patients followed a link to watch the Chemotherapy Basics video created by the Cleveland Clinic. On their first day of treatment, patients answered the same seven-question post-test and their scores were analyzed. Patients showed improvement in their post-test scores after the education intervention. The results of this project suggest that the addition of multimedia to the chemotherapy education process coupled with a standardized education checklist improves knowledge retention of patients.Item An experimental study of the effect of a photographic tool in the identification of nursing problems(Montana State University - Bozeman, 1964) Malone, Gertrude Rugland, Sister