Date of Award

Spring 3-23-2022

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Sarah M. I. Cartwright, DNP, MSN-PH, RN-BC, CAPA, FASPAN

Second Advisor

Jane Crable DNP, APRN, CNS

Abstract

Practice Problem: A hospital in the Sacramento County area seeking the ANCC Pathway to Excellence Program® designation determined upon performing a gap analysis that Element of Performance 2.8, a peer evaluation program, was absent, thus creating a deficiency in the fulfillment of the requirements for the designation.

PICOT: The PICOT question that guided this project was: In nurse leaders (P) how does the development of a formal peer evaluation process (I) compared to no formal process (C), influence the performance outcome score of self-efficacy (O) over 8 weeks (T)?

Evidence: The evidence demonstrated that if a peer evaluation process is implemented among nurse leaders and the outcome is measured using a pre- and post-survey, it can affect self-efficacy scores of those nurse leaders.

Intervention: A formal peer evaluation program for nurse leaders was developed to include a pre- and post-survey tool measuring self-efficacy. Post implementation the facility policy was amended to include the peer evaluation process at the annual performance review.

Outcome: Nurse leader participants (n = 22 pre-survey, n = 16 post-survey) completed the new peer evaluation process including self-efficacy scoring. There was a noted increase in the post self-efficacy scores overall after the implementation of the peer evaluation process. Project results were not statistically significant but were clinically significant.

Conclusion: Project results replicated literature findings that implementing a peer evaluation process correlates to an increase in nurse leaders’ self-efficacy scores. This program development, implementation, and policy amendment is beneficial to the hospital which will continue to move forward with obtaining the ANCC Pathway to Excellence Program® designation.

Comments

Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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