A Peer-to-Peer Approach to Increasing Staff Competency and Engagement in Wound and Ostomy Care: A Quality Improvement Project.

IF 1.7 3区医学 Q2 NURSING Journal of Wound Ostomy and Continence Nursing Pub Date : 2024-03-01 DOI:10.1097/WON.0000000000001061

Alexis M Aningalan, Stephanie I Walker, Brittany Ray Gannon

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Abstract

Purpose: The purpose of this quality improvement (QI) project was to provide an innovative, participatory approach to the education of staff nurses and nursing support personnel to improve skills and competencies in wound and ostomy care while enhancing staff engagement and empowerment.

Participants and setting: Project planning occurred between January and October 2020 and implementation began in November 2020. The project was implemented in 1 intensive care unit and 6 adult medical-surgical units of a 288-bed community hospital in the northeastern United States (Bronxville, New York). Participants included RNs and nursing support staff working in intensive care and medical-surgical units. A postimplementation survey was conducted in May 2021.

Approach: The Plan-Do-Study-Act (PDSA) model was used as a framework for this QI intervention. A peer-to-peer approach to staff education addressing different learning styles was used to improve knowledge and competencies of staff nurses pertaining to wound and ostomy care.

Outcomes: There were 72 participants; 68% (n = 49) exhibited knowledge retention 5 months after initial participation; 85% (n = 61) reported a high level of engagement; and 97.5% (n = 70) reported a high level of satisfaction 5 months after project implementation.

Implications for practice: An emerging need exists for educational innovation regarding wound and ostomy care to improve quality of care, nursing care outcomes, and staff engagement. Through a peer-to-peer approach to wound and ostomy care education, enhanced clinical knowledge and competencies can result in improved patient safety and increase care outcomes.

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以点对点的方式提高员工在伤口和造口护理方面的能力和参与度：质量改进项目。

目的：本质量改进（QI）项目旨在提供一种创新的、参与式的方法来教育员工护士和护理辅助人员，以提高伤口和造口护理的技能和能力，同时增强员工的参与度和授权：项目规划于 2020 年 1 月至 10 月间进行，并于 2020 年 11 月开始实施。该项目在美国东北部（纽约布朗克斯维尔）一家拥有 288 张床位的社区医院的 1 个重症监护病房和 6 个成人内外科病房实施。参与者包括在重症监护病房和内外科病房工作的护士和护理辅助人员。2021 年 5 月进行了一次实施后调查：计划-实施-研究-行动（PDSA）模式被用作此次 QI 干预的框架。针对不同的学习方式，采用点对点的员工教育方法，以提高护士员工在伤口和造口护理方面的知识和能力：共有 72 名参与者；68%（n = 49）的参与者在首次参与 5 个月后保留了相关知识；85%（n = 61）的参与者表示参与度很高；97.5%（n = 70）的参与者在项目实施 5 个月后表示满意度很高：实践启示：伤口和造口护理方面的教育创新需求不断涌现，以提高护理质量、护理效果和员工参与度。通过点对点的伤口和造口护理教育方法，增强临床知识和能力可改善患者安全并提高护理效果。

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来源期刊

Journal of Wound Ostomy and Continence Nursing 医学-护理

CiteScore

3.10

自引率

34.60%

发文量

186

审稿时长

6-12 weeks

期刊介绍： The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.