Publication Date

Spring 4-2018

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Danette Dutra

Second Advisor

Christian Cheng

Third Advisor

William Redford

Keywords

Pediatric, Emergency, Respiratory

Abstract

As pediatric visits to community hospitals increase, the Institute of Medicine (IOM) and the Pediatric Emergency Care Network (PECARN) recommend that staff be provided improved education, protocols, and resources to improve patient outcomes (Emergency Medical Services for Children, n.d.). Acute respiratory disorders are the most commonly seen complaints in children aged 0–24 months, with an average of 2–4 visits a year. The purpose of this Doctor of Nursing Practice (DNP) project is to create a pediatric respiratory care curriculum for emergency department nurses in the Kaiser Permanente Central Valley Area (CVA) and to have it evaluated by a group of DNP students with the goal of having a sound, reusable pediatric respiratory curriculum that can be used for continuing education and orientation for nurses. The curriculum is divided into 3 modules—module 1: review of cardiovascular and respiratory systems and pediatric assessment; module 2: review of six respiratory disorders’ (croup, asthma, bronchiolitis, upper respiratory infections, pneumonia and respiratory syncytial virus) pathophysiology, assessment, treatments, and interventions with disease-specific case study reviews; and module 3: simulation. A Survey Monkey tool was used to obtain demographic data of the participants and evaluate the stated outcomes for each module. Measures of central tendency were collected and analyzed by percentages for both demographics and curriculum evaluation. All participants agreed that the curriculum met the stated outcomes; however, results of less than 80% were identified as areas for future improvement.

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