Degree Name
Nursing Practice, DNP
Publication Date
6-24-2025
First Advisor
Lisa Drake
Second Advisor
Brittany Marshall
Abstract
Blood transfusion administration is a complex nursing skill registered nurses require in bedside settings, regardless of experience level. Nursing students are expected to be practice-ready upon graduation. A significant concern in nursing academia is the insufficient exposure to administering blood products, which many pre-licensure nursing students lack in clinical and educational environments. This gap in nursing curricula can compromise students’ preparedness to perform this skill in real-world scenarios. The core purpose of this Doctor of Nursing Practice (DNP) quality improvement (QI) project was to enhance clinical knowledge and impact self-confidence regarding blood transfusion administration and management, specifically by implementing a high-fidelity simulation scenario tailored to a cesarean client with postpartum anemia. The QI project was conducted at a regional university, and the participants included a cohort of senior I-level Bachelor of Science in Nursing (BSN) students enrolled in a maternal health course. A mixed-methods quasi-experimental design was employed. This design included a pre- and post-test to evaluate knowledge gain, a single confidence survey to examine self-confidence, and a competency evaluation tool that faculty utilized to measure skill performance. Findings from the QI project underscore significant data supporting simulation's contribution to nursing education. Following the simulation intervention, knowledge gains were noted, and confidence levels were rated as moderate to moderately high. This QI project supports the integration of targeted simulation-based education in nursing academia to address clinical gaps and improve students’ preparedness upon graduation. Ultimately, this skill can promote patient safety by integrating evidence-based strategies that foster experiential learning opportunities.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Rouse, Tresia, "Enhancing Pre-licensure BSN Students' Clinical Knowledge and Confidence in Blood Transfusion via Postpartum High-Fidelity Simulation" (2025). Doctor of Nursing Practice Projects. 184.
https://arch.astate.edu/dnp-projects/184
