First Advisor

Finn, Cris

Thesis Committee Member(s)

McCallum, Colleen


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

107 pages


This project addressed the ongoing procedural competency assessment of Neonatal Nurse Practitioners (NNPs), and included the development and implementation of an online review module and application of a standardized format for evaluation of NNP procedural performance. The question addressed was: Is the completion of on online module effective review for NNPs for neonatal thoracostomy by needle aspiration as evaluated by the Leicester Clinical Assessment Tool (LCAT) comparable or better than a standardized textbook review?

The project utilized a two-group descriptive, quantitative, pre-experimental design. Participants were randomized to either online or textbook review. Expert NNPs, blinded to the randomization, evaluated 45 NNPs' procedural performance on neonatal needle thoracostomy in a simulated setting utilizing the LCAT. Data was analyzed using IBM SPSS version 21.

The online module overall summary scores were more effective than textbook review (p <0.005 at 0.007), equivocal for procedural performance, safety, and infection prevention, yet superior in communication (p<0.05 at 0.008) and teamwork (p<0.005 at 0.024) as scored by the LCAT. This project provides a framework for future NNP procedural assessment.

Date of Award

Summer 2013

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

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