Background: Critical access hospitals (CAH) are crucial in providing access to health care. Due to strains on the health care system, rural nurses are being forced to care for high acuity patients, with minimal resources available, resulting in increased mortality and morbidity. Rural nurses must have access to evidence-based educational resources to manage and care for critically ill patients. Purpose: Evidence-based practice project to address CAH education with the implementation of asynchronous, online educational modules to increase the knowledge and confidence of nurses caring for critically ill patients. Methods: Electronic needs assessment survey distributed and analyzed to determine appropriate module content. The course was created through UI Learn platform “Introduction to Critical Care” to house educational modules, including incorporation of previous SRNA-DNP student “Module I: Vasopressors.” Based on the results of the needs assessment, a new module was developed. “Module II: Ventilator Management” created including lectures, videos, and charts. Pre-assessment and post-assessment performed to evaluate the change in nurses’ knowledge and self-perceived confidence. Findings: New module “Module II: Ventilator Management” created and disseminated to 20 registered nurses (44% of CAH nurses). Mean CAH nurses’ knowledge increased from 67% on the pre-assessment quiz to 90% on the post-assessment quiz. 90% of CAH nurses increased knowledge in ventilator management and 80% of CAH nurses reported increased confidence managing a ventilated patient. Discussion: The use of online learning modules are beneficial to enhancing the knowledge and confidence of participants. The implementation of critical care modules will serve as a resource for CAH nurses taking care of critically ill patients. In the future, incorporation of spaced learning approaches, such as yearly competencies, and hands-on training, such as simulation, are beneficial to retaining knowledge from online learning modules.
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Details
Title: Subtitle
Educational Program for Critical Access Hospitals to Care for Critically Ill Patients
Creators
Molly Jordan Thomas - University of Iowa
Contributors
Kathleen Fear (Chair) - University of Iowa
Resource Type
Dissertation
Project Type
Poster
Degree Awarded
Doctor of Nursing Practice (DNP), University of Iowa