Document Type

Dissertation

Degree

Doctor of Nursing Practice

Major

Nursing

Date of Defense

7-10-2024

Graduate Advisor

Joshua Minks, Ph-D, NP-C

Co-Advisor

Emily Winn, DNP, CPNP-PC

Committee

Jessica Mann, DNP, CPNP-AC

Abstract

Problem: Advanced practice provider (APP) peer reviewed clinical competencies is an expected part of professional, organizational, and The Joint Commission (Joint Commission) requirements, however, is not well defined and subject to organizational application and interpretation. Providers favor peer review as a means to improve professional practice. There is a lack of data to support frequency of feedback and method of feedback to support readiness to change practice and comfort giving and receiving feedback.

Methods: The quality improvement project utilized an analytical experimental design.

The Cardin Hospitalist Advanced Practice Provider - Readiness Assessment (CHAPP-RA) tool was implemented to a convenience sample of 18 APPs. Quantitative data was collected via survey via pre and post CHAPP-RA tool implementation. Data collected included readiness to change practice and comfort giving and receiving feedback.

Results: Following CHAPP-RA tool implementation, 75% (n = 3) APPs reported changing practice based on peer and attending feedback. This resulted in a 50% and 12.5 % increase in APPs changing their practice based on peer and attending feedback.

Comfort giving and receiving feedback was unchanged.

Implications for Practice: Use of the CHAPP-RA tool was one method to promote changing practice based on peer and attending feedback.

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