Document Type
DNP - Open Access
Award Date
2025
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Dannica Callies
Abstract
Background: Pediatric cardiopulmonary mortality rates of 70%-85% in non-intensive hospitals highlight the critical need for pediatric cardiopulmonary training. This quality improvement project aimed to boost rural nurses' self-confidence in caring for pediatric patients during cardiopulmonary emergencies by implementing a training workshop.
Problem: The lack of exposure to pediatric patients in the rural setting makes it difficult to manage and care for this population and affects nurses’ competency. Rural nurses must care for these patients due to lack of transportation to or bed availability at tertiary centers.
Methods: Eight rural medical surgical nurses participated in a pediatric workshop related to cardiopulmonary emergency training including intravenous (IV), interosseous (IO), and subcutaneous rehydration therapy. Participants completed a questionnaire including 10 questions regarding self-perceived confidence caring for pediatric patients before the workshop, immediately after, and 3 and 6 months later. Questionnaire responses were matched, and each question was assessed using the Friedman Test.
Intervention: The pediatric workshop encompassed two 45 minute in situ simulated mock codes and a medication and fluid access technique station. Intravenous techniques were reviewed, and instructions on inserting IO and subcutaneous rehydration therapy were given per hospital policy.
Results: Improvements were noted from pre- to post-workshop in self-perceived competency with managing a pediatric airway (p < .003), IV insertion (p < .005), IO insertion (p < .002), and subcutaneous rehydration (p < .001). These skills remained significant at the 3-month follow-up. At 6 months, further improvements included caring for pediatric patients (p < .007) and cardiopulmonary training (p < .001), with IV insertion (p < .005), subcutaneous rehydration (p < .001), and pediatric airway management (p < .003) maintaining significance.
Conclusion: Utilizing in situ mock code simulation and access techniques can improve nurses' self-perceived competency in caring for pediatric patients, specifically with clinical skills during cardiopulmonary emergencies.
Publisher
South Dakota State University
Rights
© 2025 Cassandra Grabiel
Recommended Citation
Grabiel, Cassandra, "Implementation of a Pediatric Skills and Simulation Workshop Among Rural Nurses" (2025). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 210.
https://openprairie.sdstate.edu/con_dnp/210
