Date of Award
12-2025
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Degree Discipline
Nursing Practice
Abstract
Background: Post-resuscitation debriefing improves team dynamics and CPR quality and can identify systemic barriers to quality care delivery. However, completion rates remain low in acute care settings. Purpose: This quality improvement project evaluated whether a one-hour training session for rapid response nurses and charge nurses, combined with weekly reminder emails, would increase completion rates of post-resuscitation debriefings and influence nurses’ perceptions of their usefulness in an acute care community hospital. PICOT Questions: Will a one-hour training session (I) with rapid response nurses and unit charge nurses (P), along with a weekly reminder system (I), increase the completion rate (O) of post-resuscitation debriefings in an acute care community hospital in three months (T)? Will a one-hour training session (I) with rapid response nurses and unit charge nurses (P) change their perceptions of the usefulness of post-resuscitation debriefings (O) in an acute care community hospital? Theoretical Framework:The PDSA framework was utilized to guide this project due to its structured methodology and wide acceptance in healthcare quality improvement. Methodology: A pre-post, quasi-experimental design was implemented at a 293-bed acute care community hospital. Forty nurses participated in a one-hour virtual educational session and then received weekly automated reminder emails. Pre- and post-surveys (n = 18) assessed respondents’ perceptions of debriefing usefulness, and debriefing completion rates were audited over a three-month period and compared with the same period in the prior year. Statistical analyses included chi-square testing for completion rates and Wilcoxon signed-rank testing for perception data. Results: The results of the post-intervention analysis demonstrated significant increases in debriefing completion rates (χ² [1]=31.65, p< .001) and perceived usefulness of post-resuscitation debriefing (V=4.00, z=−2.67, p=.008). Conclusion: A one-hour educational session combined with structured reminders significantly increased both the completion rate and perceived value of post-resuscitation debriefings. These findings highlight the potential of these low-resource strategies to improve adherence to post-resuscitation debriefing. A longitudinal study is warranted to assess the long-term sustainability of this post-resuscitation debriefing intervention and examine changes in specific patient outcomes, such as neurological deficits or survival rates, with increased debriefings.
Keywords: clinical event debriefing, post-resuscitation debriefing, post-code debriefing, team dynamics, reminder systems, electronic reminder systems, clinical reminder systems
Committee Chair/Advisor
Sherisse Hebert
Committee Member
Chloe Gaines
Committee Member
Gloria Rose
Committee Member
Antonea Jackson
Publisher
Prairie View A&M University
Rights
© 2021 Prairie View A & M University
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Date of Digitization
01/05/2026
Contributing Institution
J. B . Coleman Library
City of Publication
Prairie View
MIME Type
Application/PDF
Recommended Citation
Tolden, T. (2025). Improving Post-Resuscitation Debriefing Completion Rates In An Acute Care Community Hospital: A Quality Improvement Project. Retrieved from https://digitalcommons.pvamu.edu/dnp-projects/25