Associations between Nurse Experience, Clinical Specialty Setting, and Level of Nursing Education with Adherence to Clinical Practice Guidelines for Inpatient Influenza and Pneumococcal Vaccination Administration

Authors

Amy C. Alsante, DNP, MS, RN, NE-BC, CHEP, George Washington University

Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2018

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Christine Pintz PhD, RN, FNP-BC, FAANP; Mary Michael Brown DNP, RN

Abstract

Background: This research project examines associations between years of nursing practice and compliance with clinical practice guidelines for inpatient influenza/pneumococcal vaccination administration. Previous research demonstrates novice nurses are at higher risk for errors of omission and face challenges with critical thinking.

Objectives: 1) Identify associations between years of practice and compliance with clinical practice guidelines for inpatient influenza/pneumococcal vaccination administration and 2) to identify associations among independent variables including levels of education, and specialty setting.

Methods: A retrospective chart review was conducted to identify associations between years of practice and compliance with clinical practice guidelines for inpatient influenza/pneumococcal vaccination administration. Aggregate data were obtained from the quality improvement coordinator of a 37 bed inpatient community hospital. A chi-squared analysis was used to identify the relationship between variables.

Results: There were sixty-three Registered Nurses in this study with a compliance rate of 81.64%. We accepted the three null hypotheses. Nurse experience X 2 (1, N=50) =0.836, p=0.361, specialty setting X 2 (1, N=50) =0.836, p=0.361, level of education (ADN=35.30%, BSN and above = 44.40% X 2 (1, N=44) =0.863, p=0.36. Proficient/Expert=47.10%), specialty setting (Med-Surg= 39.40%, ICU=52.90%), level of education (ADN=35.30%, >BSN = 44.40%).

Conclusion: This project will serve as a basis for future quality improvement projects to improve compliance with vaccination administration. A significant finding was compliance among these groups being < 50% (compliance was defined at >90%). Overall compliance with nurse experience 45.20% (Novice = 42.90%, Competent =45.50%, No statistically significant associations were found between compliance based on nurse experience, clinical specialty setting, and education level.

Copyright Notice

© 2018 Amy C. Alsante. All rights reserved.

Recommended Citation

Alsante, DNP, MS, RN, NE-BC, CHEP, A. C. (2018). Associations between Nurse Experience, Clinical Specialty Setting, and Level of Nursing Education with Adherence to Clinical Practice Guidelines for Inpatient Influenza and Pneumococcal Vaccination Administration. , (). Retrieved from https://hsrc.himmelfarb.gwu.edu/son_dnp/30

Open Access

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