Advisor
Hummel, Faye I.
Committee Member
Squires, Rhonda D.
Committee Member
Dingley, Catherine E.
Department
Nursing
Institution
University of Northern Colorado
Type of Resources
Text
Place of Publication
Greeley (Colo.)
Publisher
University of Northern Colorado
Date Created
12-1-2012
Genre
Thesis
Extent
163 pages
Digital Origin
Born digital
Abstract
The practice of mistaking asymptomatic bacteriuria (ASB) for urinary tract infections (UTI) is widespread in nursing homes and is contributing to patient overtreatment and adverse side effects such as clostridium difficile and multi-drug resistant microorganisms. The purpose of this DNP capstone project was to (a) write evidence-based policy and procedures (P&Ps) for evaluating institutionalized elders with clinical status changes when UTI was suspected, (b) utilize nursing leadership teams (NLT) in four northern Colorado nursing homes to implement evidence-based practice (EBP), and (c) evaluate implementation methods for their success in changing practice. Bandura’s self-efficacy theory, Plsek’s philosophy of adopting innovation in health care, and Grol and Wensing’s framework for successful EBP implementation provided the groundwork for working with the NLTs. New, unified, and evidence-based P&Ps for ASB and UTIs were created and fully replaced all nursing homes’ former policies. Successful implementation was achieved in three of the four nursing homes. The nursing leadership team was critical to both the success and failure of implementation. The DNP capstone project supported current literature on implementing EBP in health care settings, as well as provided new insight into cross-organizational barriers needing to be overcome and how to sustain EBP once it has been implemented.
Degree type
DNP
Degree Name
Doctoral
People
Bandura, Albert, 1925-
Language
English
Local Identifiers
Olson_unco_capstone
Rights Statement
Copyright is held by author.
