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Item Effectiveness of trauma nurse practitioner-led patient-centered discharge plan: a quality improvement project(Montana State University - Bozeman, College of Nursing, 2023) Stricker, Lisa Genevieve; Chairperson, Graduate Committee: Alice RunningTrauma Nurse Practitioners (TNPs) in Trauma Centers have been shown to expand the multidisciplinary team approach in caring for that patient population. TNPs create opportunities for increased patient throughput, decreased length of hospital stay, increased staff support for TNP collaboration, and the development of a comprehensive, detailed, patient-centered discharge plan. To evaluate peer-reviewed evidence-based articles assessing the impact of TNPs in developing a patient-focused, detailed discharge plan, a review of current literature (2007-2022) was completed by searching CINAHL, Google Scholar, PubMed, and Web of Science using mesh terms "trauma nurse practitioner," "trauma," "staff satisfaction," "throughput times," and "patient-centered plan of care." Thirty-nine articles were found and, of those, 28 are included in this review. Evidence supports the TNP's role in developing patient-focused discharge plans leading to increases in communication, increased focus on planning for unmet needs, efficiency in rounding, and decreases in length of stay. These changes result in increased satisfaction from physicians and nursing staff related to the TNP-centered role in discharge plan development. TNPs can be a valuable addition to trauma services as they coordinate the development of a comprehensive, individualized plan of care for patients throughout the hospital stay, allowing for a successful transition of care.Item Nurse practitioners in minor emergency areas : an examination of the feasability at Benefis Healthcare emergency department(Montana State University - Bozeman, College of Nursing, 1997) Jackson, Lauri Lee; Chairperson, Graduate Committee: Catherine CaniparoliItem A descriptive survey of rural emergency room nurses' knowledge and role perception of advanced cardiac life support(Montana State University - Bozeman, College of Nursing, 1980) Ellis, Daniel JosephItem Does scripting by nurses in the emergency department increase patient satisfaction scores?(Montana State University - Bozeman, College of Nursing, 2009) Fuller, Melissa Lynn; Chairperson, Graduate Committee: Christina SieloffIncreased patient satisfaction has become has become a serious financial issue in hospitals for two reasons: (1) unfavorable patient satisfaction ratings may prompt high-cost decisions such as a new construction prompted by competition from other hospitals and (2) low satisfaction rating may affect a hospital's standing. Research indicates that the patient satisfaction scores in many emergency departments (EDs) around the world are low. The purpose of this study was to evaluate the use of scripting by nurses in the Emergency Department to increase patient satisfaction scores. Satisfaction scores have decreased tremendously in EDs all around the world. Improving emergency department patient satisfaction scores has been studied from several approaches, with a common theme being a lack of communication between emergency department staff and their patients. One method in particular that might help to foster better communication is the use of scripting by the nursing staff. The study design was a quantitative research study using overall patient satisfaction scores as well as well as scores from individual communication questions during the pre-scripting and post-scripting time frames to examine the use of scripting by emergency department nursing staff and its relationship to the increase in patient satisfaction scores. A retrospective, longitudinal analysis was conducted of patient satisfaction scores before and after the implementation of scripting by emergency department nursing staff. This was done to determine if there was an increase in the patient satisfaction scores. The primary focus of this study was patient satisfaction and its association with perception of care in the ED. This includes communication with patients regarding their perception of care as it relates to the process of informing patients about their specific tests and procedures. However, because no statistical analysis could be done, the null hypotheses were accepted.Item Will educating staff regarding the importance of regular patient rounding increase staff knowledge of patient rounding in the emergency department?(Montana State University - Bozeman, College of Nursing, 2010) Lyons, Sharon Leann; Chairperson, Graduate Committee: Christina SieloffToday's health care is facing tough challenges. More and more physicians are exiting primary care. Patients, left without primary care physicians, are inundating emergency rooms for their health care concerns. The ripple effect of this is overcrowded emergency department waiting rooms, increased wait times for initial medical screenings, decreased patient perception of quality of care, decreased patient satisfaction, increased incidences of patients leaving the ED without seeing a provider, and decreased revenue for the emergency department. Patient rounding in the ED can be a solution to these problems. Patient rounding has been shown to increase communication between the ED staff and patients regarding wait times and plans of care. In addition, rounding is reported to increase patient satisfaction, increase patient safety, increase patient perception of quality of care, and increase revenue for the hospital. Educating the ED staff as to the importance of patient rounding is a key factor to enable staff to perform patient rounding. The purpose of this study was to examine the relationship of educating ED staff, regarding the importance of patient rounding, with increasing staff knowledge of patient rounding. An educational project utilizing an educational PowerPoint® in addition to a Likert style, pretest posttest questionnaire was implemented with participants. The participants' scores on the pretest-posttest were then statistically analyzed. The results of the pretest-posttest questionnaire showed that the educational PowerPoint® did indeed increase the ED staff knowledge as to the importance of regular patient rounding in the emergency department.