KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    The Evaluation of Graduate Nurses' Performance Gaps in Blood Administration

    Thumbnail
    View/Open
    Schott_ku_0099D_15889_DATA_1.pdf (3.084Mb)
    Issue Date
    2018-05-31
    Author
    Schott, Vanessa
    Publisher
    University of Kansas
    Format
    124 pages
    Type
    Dissertation
    Degree Level
    Ed.D.
    Discipline
    Educational Leadership and Policy Studies
    Rights
    Copyright held by the author.
    Metadata
    Show full item record
    Abstract
    New nurse graduates are expected to help relieve the current and pending massive nursing shortage anticipated in the nursing field (Goode, Reid Ponte, & Sullivan Havens, 2016). However, there is a discrepancy between evaluations of new graduate readiness and the expectation to provide competent complex care. Ninety percent of undergraduate nursing education leaders feel new graduate nurses are prepared to practice, yet 90% of hospital nurse administrators disagree. When graduate nurses participating in nurse residency programs perform self-assessments on procedural readiness, emergency management and blood product administration/transfusion are frequently in the top three skills/procedures they feel uncomfortable performing independently. Yet little is published regarding specifics within the procedure that lead to a gap in readiness to practice. In this study, an exploratory mixed methods action research approach was taken to evaluate graduate nurses’ performance gaps in blood administration procedures. Graduate nurses participating in a nurse residency program (n = 143) completed online surveys questioning their experiences and comfort with blood administration. Questions asked graduate nurses about nursing school blood administration training, stated comfort with performance, and experiences surrounding blood administration. Open- ended questions were used to identify common themes for more educational opportunities and the graduate nurses’ previous experience. Expert nurses were interviewed to gather organizational and department- specific blood administration processes relative to the patient care. Expert nurses (n=8) were asked about organizational orientation and performance practices in blood administration. Qualitative analysis of the interview themes was used to complete a preliminary procedural assessment. We then conducted consensus building to determine the underlying competencies needed for each procedural step (i.e., basic knowledge, psychomotor skill, and/or critical decision making) and the essentiality of each step for safe blood administration. Results indicated that graduate nurses had a mean comfort level with blood administration of 3.1 out of a 5-point Likert scale, near the “Undecided” anchor at 3.0. “Comfort” correlated positively with perceived Level of Difficulty in three of five subtasks: Starting a Transfusion, Assessment, and Documentation. “Comfort” correlated positively with self-perceived Learning Achievement for the subtasks “Starting Transfusion” and “Documentation.”. Survey results revealed no statistically significant relationship with “Comfort” and “Recent Semesters” or “More Semesters” of learning; Learning Difficulty with understanding “Purpose” or “Risks”; or self-perceived Learning Achievement in understanding “Purpose,”, “Risks,”, or “Assessment.”. OfIn those participants with previous experience prior to licensure (80%, n = 114), most participants were Nursing Assistants in acute care (48%, n = 55) and Nursing Assistants in nonacute care (18%, n = 21) – patient care areas which require significant amounts of hands-on patient care. However, one-way between-groups ANOVA comparing the effect of previous experience on “Comfort” showed no statistical significance at the p < .05 level [F(2, 111) = 1.109, p = .333]. When comparing graduate nurse survey responses and nurse expert interview themes, only two commonalities were emphasized within blood administration: skills within starting a transfusion and assessment of the patient receiving a blood transfusion. This study explored and found specific factors and curriculum training characteristics consistent with graduate nurses’ level of comfort with blood administration. The study also provided a 6-Phase Blood Administration Task List to be used in future competency-based assessment and education.
    URI
    http://hdl.handle.net/1808/27567
    Collections
    • Dissertations [4475]
    • Education Dissertations and Theses [1065]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps